A suicide prevention intervention for emerging adult sexual and gender minority groups: Protocol for a pilot hybrid effectiveness randomized controlled trial

Background: Suicide attempts and suicide death disproportionately affect sexual and gender minority emerging adults (age 18-24 years). However, suicide prevention strategies tailored for emerging adult sexual and gender minority (EA-SGM) groups are not widely available. The Safety Planning Intervention (SPI) has strong evidence for reducing the risk for suicide in the general population, but it is […]

Suicidality and protective factors among sexual and gender minority youth and adults in Canada: A cross‑sectional, population‑based study

Background Sexual and gender minority populations experience elevated risks for suicidality. This study aimed to assess prevalence and disparities in non-fatal suicidality and potential protective factors related to social support and health care access among sexual and gender minority youth and adults and their heterosexual and cisgender counterparts in Canada. The second objective was to […]

Lesbian, gay, and bisexual behavioral health: Results from the 2021 and 2022 National Survey on Drug Use and Health

Lesbian, Gay, and Bisexual Behavioral Health: Results from the 2021 and 2022 National Surveys on Drug Use and Health presents data on key substance use and mental health indicators by sexual identity and gender among adults aged 18 or older in the United States. Estimates are based on pooled data from the 2021 and 2022 […]

Eating disorders in sexual minority adolescents and young adults: Examining clinical characteristics and psychiatric co‑morbidities in an inpatient medical setting

Background Sexual minority adolescents and young adults are at higher risk of eating disorders compared to heterosexual peers. However, little is known about the clinical and psychiatric presentation of this population requiring inpatient medical stabilization. Given the increased risk for eating disorder behaviors in sexual minority individuals amidst increased rates of medical hospitalizations secondary to […]

Sexual identity-behavior profiles, and suicide outcomes among heterosexual, lesbian, and gay sexually active adolescents

Objective Adolescents’ sexual behaviors can be incongruent with those assumed to align with their sexual identity. Identity–behavior profiles permit the characterization of youth who might remain undetected using a single-dimensional assessment of sexual orientation. This study examined suicide risks among four distinct sexual identity–behavior profiles of youth: heterosexual with other-sex partners only, heterosexual with any […]

Sexual orientation as a social determinant of suicidal ideation: A study of the adult life span

Objective Rates of suicide attempts are highest among younger ages and women, and especially elevated among sexual minorities (lesbian, gay, and bisexual [LGB] people). We examined the prevalence of lifetime suicide ideation among sexual minorities and sought to determine whether this relationship depended on age and gender. Method Using data from the Annual Component of […]

Self-injury in young bisexual people: A microlongitudinal investigation (SIBL) of thwarted belongingness and self-esteem on non-suicidal self-injury

Background Bisexual people are at an elevated risk for non-suicidal self-injury (NSSI). Psychological factors including self-esteem and thwarted belongingness may help explain this risk. The aim of the current study was to investigate associations between self-esteem, thwarted belongingness and NSSI urges and behavior in young bisexual people. Methods Participants aged 16–25 from 25 countries took […]

Dialectical behavior therapy for adolescents (DBT-A): Outcomes among sexual minorities at high risk for suicide

The alarming rates and pervasiveness of suicidal and self-destructive behaviors (e.g., non-suicidal self-injury) among young sexual minorities represent a major public health concern. We set out to examine whether an empirically driven treatment for suicide and self-harm, dialectical behavior therapy for adolescents (DBT-A), provides benefits for adolescents who identify as gay, lesbian, bisexual, or questioning […]

Application of minority stress and the interpersonal theory of suicide in bisexual+ versus gay/lesbian young adults

Introduction Sexual minority young adults are at increased risk for suicidal ideation (SI) compared with heterosexual young adults. Though several frameworks exist to explain the development of suicide risk, including the Interpersonal Theory of Suicide (IPTS) and the Minority Stress Model, few studies have examined these frameworks simultaneously. This study examines these frameworks longitudinally among […]

Suicidal as normal: A lesbian, gay, and bisexual youth script?

Background: Lesbian, gay, and bisexual (LGB) youth are more likely to report suicidal thoughts and/or behavior (STB) than heterosexual youth. The elevated suicidality of LGB youth is not fully accounted for by sexual-minority stress, according to a meta-analysis. A less-tested explanation is that suicidality has become an expected idiom of LGB youth distress. This explanation is […]

Recent suicide attempts across multiple social identities among gay and bisexual men: An intersectionality analysis

This study draws from intersectionality to describe variations in recent suicide attempts (RSA) among gay and bisexual men (GBM) across sociodemographics. Using survey data, logistic regression modeling explored RSA in two analytical stages: (1) the individual effects of each sociodemographic were measured; (2) two-way interaction terms between sociodemographics were tested and added to the models […]

Suicide prevention from the perspectives of gay, bisexual, and two-spirit men

Although gay, bisexual, and two-spirit men (GBTSM) experience high rates of suicidality, there have been few empirical studies of prevention initiatives and policies that could address or reverse this major social problem. This article reports on a photovoice study of 29 GBTSM who had a history of suicidality or lost a fellow GBTSM to suicide. […]

Prevalence of depression, anxiety and suicide among men who have sex with men in China: A systematic review and meta-analysis

Aims. Chinese men who have sex with men (MSM) are at high risk for depression, anxiety and suicide. The estimated prevalence of these problems is essential to guide public health policy, but published results vary. This meta-analysis aimed to estimate the prevalence of depressive symptoms, anxiety symptoms and suicide among Chinese MSM. Methods. Systematic searches […]

Relationship status and suicidal behavior in gay men: The role of thwarted belongingness and hope

Objective Levels of suicidal behavior among gay men are a significant concern. The Interpersonal Theory of Suicide proposes that being unpartnered is a risk factor for suicidal behavior due to thwarted belongingness; however, this has yet to be tested empirically. Recent studies also indicate that the two components of hope, agency and pathways, may be […]

Using photovoice to understand suicidality among gay, bisexual, and two-spirit men

This study explored the drivers of suicidality from the perspectives of gay, bisexual, and two-spirit men (GB2SM) with a history of suicidality. Twenty-one GB2SM participated in this photovoice study taking photographs to depict and discuss their previous suicidality. Data were collected from in-depth individual interviews in which participants discussed their photographs and in turn offered […]

Suicide and HIV as leading causes of death among gay and bisexual men: A comparison of estimated mortality and published research

Gay and bisexual men experience numerous health disparities relative to heterosexual men, including high rates of HIV and suicidal behavior. Systematic community health assessments could provide direct comparisons of the burden of mortality across diseases and thus facilitate the prioritization of public health activities; however, such assessments have been precluded by the absence of sexual […]

Suicidality among gay and bisexual men in Taiwan: Its relationship with sexuality and gender role characteristics, homophobic bullying victimization, and social support

This study aimed to examine the associations of suicidality in emerging adulthood with time of coming out, gender role nonconformity, sexual orientation, traditional and cyber homophobic bullying victimization, and family and peer support during childhood in gay and bisexual men in Taiwan. The frequency of “experiencing suicide ideation” and “attempting suicide” in the past year […]

Healthcare engagement among gay and bisexual men with recent suicide ideation or attempts

ay and bisexual men experience elevated rates of suicide ideation and attempts, as compared with heterosexual men, but face unique barriers in accessing health services. In this context, the present study sought to describe rates of health care engagement among gay and bisexual men with a recent history of suicide ideation or attempts. An anonymous […]

Gays and mental health:fighting depression, saying no to suicide.


Minority Stress and Mental Health in gay men

This article examines stress derived from having a minority status & explores its effect of psychological distress in gay men. The article notes that minority stress in gay men is based on the premise that gay men live in a heterosexist society, being subjected to chronic stigmatization. The study addresses internal homophobia & the stigma […]