This study examines associations between structural minority stress and behavioral health outcomes including suicidal ideation and behaviors, substance use, and sexual risk taking among sexual minority adolescents. Data were analyzed from the 2021 Youth Risk Behavior Survey, which included 3,996 sexual minority adolescents. A series of multi-level binomal logistic models were calculated to examine the association between state equity index and suicidal thoughts and behaviors (ideation, plan, att