Psychosocial Factors Associated With Suicide Attempts, Ideation, and Future Risk in Lesbian, Gay, and Bisexual Youth
The Youth Chances Study
Abstract
Abstract.Background: Lesbian, gay, and bisexual (LGB) youth have elevated suicidality rates. Aims: To investigate LGB-related and other factors associated with suicide attempts, suicidal ideation, and future suicide risk in a large UK sample. Method: Logistic regression was used to investigate factors associated with suicidality in 3,275 LGB young adults from the Youth Chances project. Results: Suicide attempts (lifetime) were reported by 13.6% of participants; 45.2 % had suicidal ideation in the past year and 9.5% said future suicide attempts were likely. LGB stigma and discrimination experiences were significantly associated with all three aspects of suicidality. These included school stigma factors (e.g., teachers not speaking out against prejudice, lessons being negative about sexual minorities), negative reactions to coming out from family and friends, and LGB-related harassment or crime experiences. Bisexuality, not feeling accepted where one lives, younger sexual minority identification, and younger coming out were also associated with suicidality. Significant non-LGB factors included female gender, lower social support, anxiety/depression help-seeking, experiences of abuse/violence, and sexual abuse. Limitations: This study is cross-sectional and further research is needed to test out whether any of these factors have a causal relationship with suicidality. Conclusion: A wide range of LGB stigma and discrimination experiences are associated with increased suicidality in LGB youth. Health, social care, and education professionals supporting young people should address LGB-specific risk factors.
References
2017). Suicide prevention in an international context. Crisis, 38, 1–6. 10.1027/0227-5910/a000461
(2008). "Looking for something to look forward to…": A five-year retrospective review of child and youth suicide in B.C. Vancouver, BC, Canada: Author.
. (1998). The AUDIT Alcohol Consumption Questions (AUDIT-C). Archives of Internal Medicine, 158, 1789–1795. 10.1097/00000374-199811000-00034
. (2014). Effectiveness of community facilitator training in improving knowledge, attitudes, and confidence in relation to depression and suicidal behavior: Results of the OSPI-Europe intervention in four European countries. Journal of Affective Disorders, 165, 142–150. 10.1016/j.jad.2014.04.052
(2010). Sexual orientation and drug use in a longitudinal cohort study of U.S. adolescents. Addictive Behaviors, 35, 517–521. 10.1016/j.addbeh.2009.12.019
(2016). The AFFIRM open pilot feasibility study: A brief affirmative cognitive behavioral coping skills group intervention for sexual and gender minority youth. Children and Youth Services Review, 64, 136–144. 10.1016/j.childyouth.2016.02.022
(2015). Screening for suicide risk in the college population. Journal of Rational – Emotive and Cognitive-Behavior Therapy, 33, 78–94. 10.1007/s10942-014-0203-6
(2014). LGBT Health, 1, 309–318. 10.1089/lgbt.2014.0005
(2012). Self-harm and suicide in adolescents. Lancet, 379, 2373–2382. 10.1016/S0140-6736(12)60322-5
(1997). Predictors of suicide attempts among gay, lesbian, and bisexual youth. Journal of Adolescent Research, 12, 477–497. 10.1177/0743554897124004
(2017). A sociobiological extension of the interpersonal theory of suicide. Crisis, 38, 69–72. 10.1027/0227-5910/a000463
(2014). Minority stress in lesbian, gay, and bisexual young adults in Australia: Associations with psychological distress, suicidality, and substance use. Archives of Sexual Behavior, 43, 1571–1578. 10.1007/s10508-014-0266-6
(2014). Stigma power. Social Science & Medicine, 103, 24–32. 10.1016/j.socscimed.2013.07.035
(2012). Suicidal ideation and self-harm in lesbian, gay, bisexual, and transgender youth. American Journal of Preventive Medicine, 42, 221–228. 10.1016/j.amepre.2011.10.023
(2011). Suicidality and depression disparities between sexual minority and heterosexual youth: A meta-analytic review. Journal of Adolescent Health, 49, 115–123. 10.1016/j.jadohealth.2011.02.005
(2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697. 10.1037/0033-2909.129.5.674
(2015). A minority stress model for suicidal ideation in gay men. Suicide and Life-Threatening Behavior, 46, 23–34. 10.1111/sltb.12169
(2017). Sexual orientation and suicidal behaviour in adolescents and young adults: Systematic review and meta-analysis. British Journal of Psychiatry, 211, 77–87. 10.1192/bjp.bp.116.196345
(2014). A syndemic of psychosocial health disparities and associations with risk for attempting suicide among young sexual minority men. American Journal of Public Health, 104, 287–294. 10.2105/AJPH.2013.301744
(2013). A longitudinal study of predictors of suicide attempts among lesbian, gay, bisexual, and transgender youth. Archives of Sexual Behaviour, 42, 437–448. 10.1007/s10508-012-0013-9
(2015). The RaRE Research Report: LGB&T mental health – risk and resilience explored. Project report. PACE (Project for Advocacy Counselling and Education), London. Retrieved from http://www.queerfutures.co.uk/wp-content/uploads/2015/04/RARE_Research_Report_PACE_2015.pdf
(2011). The integrated motivational-volitional model of suicidal behaviour. Crisis, 32, 295–298. 10.1027/0227-5910/a000120
(2001). The Suicidal Behaviors Questionnaire-Revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 8, 443–454. 10.1177/107319110100800409
(2017). Is the lack of specific lesbian, gay, bisexual, transgender and queer/questioning (LGBTQ) health care education in medical school a cause for concern? Evidence from a survey of knowledge and practice among UK medical students. Journal of Homosexuality, 64, 367–381. 10.1080/00918369.2016.1190218
(2017). Trends in suicidality among sexual minority and heterosexual students in a Canadian population-based cohort study. Psychology of Sexual Orientation and Gender Diversity, 4, 115–123. 10.1037/sgd0000211
(2014). Bisexuality and suicide: A systematic review of the current literature. Journal of Sexual Medicine, 11, 1903–1913. 10.1111/jsm.12581
(2012). Gay-straight alliances are associated with student health: A multi-school comparison of LGBTQ and heterosexual youth. Journal of Research in Adolescence, 23, 319–330. 10.1111/j.1532-7795.2012.00832.x
(2016). Predictors of sexual minority youth's reported suicide attempts and mental health. Journal of Homosexuality, 66, 697–715. 10.1080/00918369.2016.1196999
(2004). Recollections of bullying at school and their long-term implications for lesbians, gay men, and bisexuals. Crisis, 25, 169–175. 10.1027/0227-5910/a000120
(2011). Homophobic bullying. Oxford, UK: Oxford University Press.
(2013). Developmental trends in peer victimization and emotional distress in LGB and heterosexual youth. Pediatrics, 131, 423. 10.1542/peds.2012-2595
(2009). Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay, and bisexual young adults. Pediatrics, 123, 346–352. 10.1542/peds.2007-3524
(2015). Suicide risk among college students: The intersection of sexual orientation and race. Crisis, 36, 416–423. 10.1027/0227-5910/a000340
(2016). Factors related to suicide in LGBT populations: A psychological autopsy case-control study in Australia. Crisis, 37, 361–369. 10.1027/0227-5910/a000423
(2013). Victimization and suicidality among Dutch lesbian, gay, and bisexual youths. American Journal of Public Health, 103, 70–72. 10.2105/AJPH.2012.300797
(2012). Suicide in the world. International Journal of Resarch in Public Health, 9, 760–771. 10.3390/ijerph9030760
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