NIMH » Rearchers Fd Dispari Suici Risk Among Lbian, Gay, and Bisexual Adults

Contents:

• GAY SUICIS ARE ON THE RISE. THIS EPIMLOGIST EXPLAS WHY.
• STUDY HIGHLIGHTS DIFFERENC BETWEEN GAY, STRAIGHT SUICIS
• I WAS A GAY BOY WHO TRIED TO KILL MYSELF. NOW I KNOW IT WASN'T MY FLT.
• PEOPLE WHO ARE GAY, LBIAN OR BI HAVE MORE MENTAL HEALTH AND SUBSTANCE E PROBLEMS, SURVEY FDS
• SUICI ATTEMPTS AMONG GAY AND BISEXUAL MEN: LIFETIME PREVALENCE AND ANTECENTS
• DEPRSN IS KILLG GAY MEN
• REARCHERS FD DISPARI SUICI RISK AMONG LBIAN, GAY, AND BISEXUAL ADULTS
• NEARLY A THIRD OF YOUNG GAY PEOPLE HAVE ATTEMPTED SUICI, STUDY FDS

GAY SUICIS ARE ON THE RISE. THIS EPIMLOGIST EXPLAS WHY.

Suici is the send leadg e of ath among young people aged 10 to 24 (Hegaard, Curt, & Warner, 2018) — and lbian, gay, bisexual, transgenr, queer, and qutng (LGBTQ) youth are at signifintly creased youth are more than four tim as likely to attempt suici than their peers (Johns et al., 2019; Johns et al., 2020) Trevor Project timat that more than 1.

Gay, bisexual, and other men who have sex wh men are at overall creased risk of vlence bee of homophobia, harassment, and vlent acts directed towards gay persons. 72 MB] has shown that around 40% of gay men experienced sexual vlence (other than rape) their lifetime and around 47% of bisexual men experienced sexual vlence (other than rape) their lifetime.

Acrdg to data om the Youth Risk Behavr Survey (YRBS) nducted durg 2001-2009 seven stat and six large urban school districts, 14% to 31% of gay and lbian stunts across the s and 17% of 32% of bisexual stunts across the s had been forced to have sexual terurse at some pot their liv. Homophobia — wh fai, schools, muni and even doctors and unsellors offic — is a key e, acrdg to the Still Here project wh the Men’s Health Rearch Program at the Universy of Brish Columbia.

STUDY HIGHLIGHTS DIFFERENC BETWEEN GAY, STRAIGHT SUICIS

As a postdoctoral rearch fellow nursg at the Universy of Brish Columbia, I work on the Still Here project to engage gay and bisexual men who have prevly stggled wh suici (or who have lost another gay or bisexual man to suici) to tell their stori through photographs. Many Still Here participants also scribed how they were nonted wh homophobia and stigmatizg attus when they opened up to talk about their feelgs to their doctor or unsellor. Of urse, not every LGBTQIA+ person attempts suici – most don't – but those that do often do so bee of the strs of anti-gay stigma, discrimatn and harassment.

Cril to remember is that the more openly people talk about suici and homosexual suici and the ls stigma people feel around the issu, the more people n succsfully fight back agast LGBTQIA+ suici.

HuffPost talked to Salway about the persistent challeng and the fight for health did you fd out that more gay and bisexual men were dyg of suici than of related to HIV? So we thk that the mortaly l have crossed for gay and bisexual men, wh suici likely havg surpassed HIV as a leadg e of do suici rat rema so high among the LGBTQ populatn? The next wave of gay rights needs to be about buildg meangful, lastg social supports that whstand the three major threats we first threat is the loss of the “gayborhood.

I WAS A GAY BOY WHO TRIED TO KILL MYSELF. NOW I KNOW IT WASN'T MY FLT.

CLARIFICATION: A prev versn of this article clud Canadian data on the statistil divergence of the mortaly rat due to suici and HIV for gay and bisexual men. Subgroups at an creased risk of suicidal behavr, a new study sh a spotlight on the ways which suici among sexual mori differs om that of their heterosexual study, published late last month the Amerin Journal of Preventive Medice, is thought to be the first to e a large body of ernment data to exame suicis of gay mal and lbians.

"Compared to heterosexuals, the report found gay men who killed themselv were likelier to have had a diagnosed mental health ndn, a history of suicidal thoughts or plans, an argument before ath and a crisis around the time of ath. Like gay men, lbians were also likelier than heterosexuals to have had a diagnosed mental health ndn prr to suici and were likelier to have tried to signal their sire to attempt suici before dog study also pared the "most monly ed mechanism of jury” for straight and gay people who took their own liv. For gay men, the likelit method of suici was “hangg/strangulatn/suffotn" (38 percent); for lbians was “hangg/strangulatn/suffotn” (36 percent) and firearms (35 percent) that when pared to straight youth, lbian, gay and bisexual youth are five tim more likely to attempt suici, the study suggts “a need to nduct suici preventn activi across age groups, cludg youth.

”Another signifint fdg is that lbian and gay people are likelier than straight people to have reported a “prsed mood” or “timate partner problems and arguments” before dyg by suici. Var theori abound as to why rat of suici and/or suicidal iatn are higher among youth who intify as lbian, gay, bisexual, transgenr, queer/qutng, tersex, or asexual (LGBTQ-IA).

PEOPLE WHO ARE GAY, LBIAN OR BI HAVE MORE MENTAL HEALTH AND SUBSTANCE E PROBLEMS, SURVEY FDS

One may, for stance, intify as transgenr and gay, stggle wh mental illns, rell memori of childhood abe, feel hopels, have accs to weapons, yet elect not to end one’s own life. An ternatnal team of scientists recently found that gay men had ls gray matter volume the bra’s thalam regn, which n atrophy unr extreme strs, pared to heterosexual men.

The team also found that creased gray matter volume this regn, which is rponsible for procsg external stimuli, was associated wh creased may believe that the reason LGBTQ+ people are more likely to die by suici or have mental health problems is bee homosexualy is “unnatural” or is a psychiatric ndn. Dpe creasg acceptance of the LGBTQ+ muny, at least some circl, adults who intify as gay, lbian or bisexual are more likely than those who intify as straight to have ser thoughts of suici and mental health ndns cludg major prsive episos, and they are more likely to mise substanc like alhol or dgs, acrdg to a new US ernment report. And about a third of all bisexual people and gay mal said they had a problem wh a substance e disorr the year before they filled out the survey, the report found.

However, gay, bi and straight men seemed to have siar substance e patterns: There was no difference smokg between straight and gay mal, for example, and the rate of bge and heavy drkg the month before they took the survey was the same among gay, bi and straight men.

SUICI ATTEMPTS AMONG GAY AND BISEXUAL MEN: LIFETIME PREVALENCE AND ANTECENTS

“LGBT dividuals experience addnal strs as a rult of discrimatn and stigma, stigma both at the societal level but also the way that livg a society that privileg heterosexualy that has homophobic laws and polici to sort of teach LGB people even to view themselv as ferr, ” Kidd said.

“For stance, you n image beg environments that might be validatg of people who have gay and lbian inti but might eher not regnize bisexual inty – so they are sort of visible that space – or might be really validatg of dividuals wh bisexual inty, even while the environment is affirmg or at least a ltle more ntral to folks who are gay or lbian, ” Kidd said. Although primarily based on opportunistic sampl, prr rearch suggts that gay men, lbians, and bisexual persons have higher rat of suicidal iatn, suici attempts, and pleted suicis than do heterosexual dividuals.

Lifetime prevalence rat of ser suicidal iatn rangg om 24% to 41% have been reported, along wh lifetime prevalence rat of suici attempts rangg om 7% to 20% among adult gay men and lbians. 4–12 The available evince13 suggts that the relative risk for ser suici attempts among gay and bisexual mal is substantially greater than that among their heterosexual unterparts, but basic epimlogil rearch on suicidal behavr this populatn is both sparse quanty and ficient qualy, plagued by methodologil fics, particularly wh rpect to samplg.

DEPRSN IS KILLG GAY MEN

Rsell and Joyner, 16 g data om the Natnal Longudal Study of Adolcent Health, found higher rat of reported suicidal thoughts and attempts among adolcents reportg same-sex romantic attractns and romantic relatnships than among adolcents not reportg such relatnships, wh this operatnalizatn of sexual orientatn havg a signifint effect above and beyond other adolcent suici risk factors (such as prsn, hopelsns, and prr victimizatn) studi examg termants of suicidaly specific to gay and bisexual men have foced on both velopmental life transns (e. G., loss of iends, antigay victimizatn) n be seen as havg both a proximal and a distal relatn to suicidaly, siar to the immediate and long-term nsequenc of other trmatic events. 7, 17–19Younger gay men, bisexual dividuals, and lbians appear more likely to both anticipate and experience stigmatizatn and victimizatn, which are lked to greater psychologil distrs.

19–26 Societal strs of beg gay are not, however, buffered by support om ual sourc (such as fay), bee many young adults have not disclosed their sexual orientatn to fay members or have enuntered negative reactns to such disclosure. G., experienc of antigay victimizatn, the sense of viance and stigmatizatn prompted by an awarens of one’s nonheterosexual orientatn) and the pcy of psychologil rourc (characteristic of relative youth) are associated wh greater vulnerabily to suicidal behavr. Are velopmental experienc relevant to sexual inty formatn (early experienc of antigay harassment, and beg earlier stag of the procs of “g out” or of disclosg one’s sexual orientatn) more likely to be associated wh earlier vs later suici attempts?

REARCHERS FD DISPARI SUICI RISK AMONG LBIAN, GAY, AND BISEXUAL ADULTS

METHODSSampleThe data reported here were rived om the Urban Men’s Health Study, a hoehold probabily-based sample of MSM (operatnalized as eher havg had sex wh a male sce age 14 or self-intifyg as gay or bisexual) 4 US ci (Chigo, Ill; Los Angel, Calif; New York, NY; and San Francis, Calif). Current generatns of gay and lbian youths are g out at earlier ag, 42 wh mean age at first disclosure by mal beg 16 years, 43–45 pared wh 23 to 28 years earlier studi. 42 Early studi found that the mean time between first same-sex sexual relatns and first self-disclosure as gay (or bisexual) among mal was approximately 10 years, but more recent timat have been closer to 4 years.

NEARLY A THIRD OF YOUNG GAY PEOPLE HAVE ATTEMPTED SUICI, STUDY FDS

54 Therefore, analys, rponnts were placed one of the tegori, based on the difference between age at first sexual experience and age at first suici attempt (more than 5 years prr, 0–5 years prr, and after the attempt or never) the anticipatn that those whose suici attempt was wh 5 years of their first same-sex sexual experience were most likely to be that vulnerable posn of beg aware of one’s stigmatized inty but lackg social disclosure as gay.

Rponnts were asked about antigay harassment (“cludg beg lled nam”) before age 17; the ial tegori were dichotomized so that “repeatedly harassed” meant 4 or more AnalysChi-square tts were ed to exame univariate rrelat of (1) ever havg planned suici and (2) ever havg attempted suici for tegoril pennt variabl. Bee some of the key variabl our analys (age at disclosure of gay or bisexual inty to others; early antigay harassment) varied wh rpect to hort, we pared chang across horts. 46, 57 Increas also were found reported rat of repeated antigay harassment before age 17 (om 28% among those aged 25 or olr by 1970 to 52% among those turng 25 after 1980) exame antecents of suici attempts, we ran a logistic regrsn wh the followg variabl: birth hort, race/ethnicy, parental tn, childhood sexual ercn, repeated terparental vlence, repeated childhood physil abe, parental substance abe, and repeated antigay harassment before age 17.

The rrelat ially clud this regrsn were parental substance abe, repeated terparental vlence, repeated childhood physil abe, childhood sexual ercn, repeated harassment before age 17 about beg gay, age at first disclosure of gay or bisexual inty to others pared wh age at first or only suici attempt, age at first sexual experience wh another male pared wh age at first or only suici attempt, birth hort, parental tnal level, and race/ethnicy.