Testing the interpersonal theory of suicide in a sample of sexual minority young adults: Attention to within-group differences

Introduction This study investigated demographic differences in interpersonal theory of suicide factors and their associations with suicide attempts among sexual minority young adults. Methods 784 sexual minority young adults ages 18–29 (42.7% cisgender men, 42.2% cisgender women, 15.1% transgender/gender diverse; 62.2% non-Hispanic White; 50.5% gay/lesbian, 49.5% bisexual+) completed an online survey assessing lifetime suicide attempts […]

The re-emerging suicide crisis in the U.S.: Patterns, causes and solutions

The suicide rate in the United States has risen nearly 40 percent since 2000. This increase is puzzling because suicide rates had been falling for decades at the end of the 20th Century. In this paper, we review important facts about the changing rate of suicide. General trends miss the story of important differences across […]

Age differences in the associations between outness and suicidality among LGBTQ+ youth

Objective: Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) youth are at increased risk for suicidality compared to their heterosexual and cisgender peers, and outness (the extent to which an individual is open about their LGBTQ+ identity to others) is an important correlate of suicidality. However, previous research has led to mixed findings regarding whether outness functions […]

The mediating role of emotion regulation on self-harm among gender identity and sexual orientation minority (LGBTQ+) individuals

Objective: The present study was conducted to (1) investigate the role of emotion regulation difficulties among self-harming Lesbian, Gay, Bisexual, Transgender, Queer, or Questioning (LGBTQ+) individuals and (2) to test for a mediating role of emotion regulation difficulties in self-harm among LGBTQ + individuals. Method: This study investigated the relationship between LGBTQ + status, self-reported levels of […]

Policy priority: LGBTQ individuals and communities

Lesbian, gay, bisexual, transgender, and queer persons and those who are questioning their sexual orientation or gender identity (LGBTQ1) experience significant health and behavioral health disparities. Sexual orientation is defined as “an inherent or immutable enduring emotional, romantic, or sexual attraction to other people.” Gender identity is an individual’s innermost sense of self as male, […]

Demographic and psychosocial factors associated with recent suicidal ideation and suicide attempts among trans and gender diverse people in Australia

Introduction Correlates of suicidal ideation and suicide attempts among a large cross-section of trans and gender diverse populations in Australia were examined. Methods A national survey was conducted that included 1466 trans and gender diverse participants aged 18+ years. Multivariable regressions identified factors associated with recent suicidal ideation and suicide attempts. Results Overall, 62.4% reported […]

A multicomponent digital intervention to promote help-seeking for mental health problems and suicide in sexual and gender diverse young adults: A randomized controlled trial

Background LGBTQ+ community’s higher susceptibility to worse mental health outcomes and more help-seeking barriers compared to the cis-heterosexual population. Despite the LGBTQ+ population facing higher mental health risks, there has been a dearth of research focusing on developing tailored interventions targeting them. This study aimed to assess the effectiveness of a digital multicomponent intervention in promoting […]

Inclusive state legislation and reduced risk of past-year suicide attempts among lesbian, gay, bisexual, and questioning adolescents in the United States

Objective This study examines the relationship between state legislation relevant to equality for sexual minorities and past-year suicide attempts among lesbian, gay, bisexual, and questioning (LGBQ) adolescents in the United States. Methods Data were aggregated from 24 states that participated in the 2017 Youth Risk Behavior Surveillance System (N = 70,599). We utilized multilevel logistic regression to […]

An integrated conceptual model to understand suicidality among queer youth to inform suicide prevention

In this article, we apply and combine elements from four theoretical frameworks (i.e., Minority Stress Theory, Person-in-Environment and Risk and Resilience Framework, Interpersonal-Psychological Theory of Suicide, and Intersectionality) to explain the problem of queer youth suicide through our integrated conceptual model, Queer Prevention of Youth Suicidality Model (Queer-PRYSM). The need for this conceptual model is […]

Anti-transgender rights legislation and internet searches pertaining to depression and suicide

The purpose of this study was to examine whether anti-transgender rights legislation among state legislators is associated with increased suicide- and depression-related Internet searches. Employing a quasi-experimental non-equivalent control group design, we focused on bills that were introduced to state legislatures from July 2019 to July 2020. As our panel is constructed of 51 states/territories […]

The influence of families on LGBTQ youth health: A call to action for innovation in research and intervention development

Lesbian, gay, bisexual, transgender, queer, questioning, and other sexual and gender minority youth (LGBTQ) experience myriad health inequities relative to their cisgender heterosexual peers. Families have a profound impact on adolescent health, but little is known about this influence on LGBTQ youth specifically. We draw on work presented at a public symposium that aimed to […]

A longitudinal examination of the interpersonal theory of suicide for predicting suicidal ideation among LGBTQ+ youth who utilize crisis services: The moderating effect of gender

Despite high rates of suicide among LGBTQ+ youth, the interpersonal theory of suicide (IPTS) has rarely been examined in this population. The current study utilized a longitudinal design to examine whether perceived burdensomeness and thwarted belongingness independently and simultaneously predicted higher levels of suicidal ideation over time in a sample of LGBTQ+ youth who utilized […]

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 […]

Transgender-based disparities in suicidality: A population-based study of key predictions from four theoretical models

Introduction Numerous studies have reported a high prevalence of suicidality among transgender individuals. Yet few studies have reported results from population-based samples, leaving open questions about the generalizability of existing findings. Factors proposed to explain transgender individuals’ elevated risk of suicidality derive from several theoretical models (i.e., clinical model, interpersonal model, minority stress model, and […]

Minority stressors and suicidal ideation in sexual and gender minority youth assigned female at birth: Prospective associations and racial differences

Introduction: Suicidal ideation (SI) disproportionately affects sexual and gender minority (SGM) versus cisgender/heterosexual youth, likely due to the minority stressors (MS) they face. Research has shown cross-sectional associations between SGM MS and suicidality; however, few studies have used  longitudinal data or examined racial differences in the effects of MS on SI. The current study tested […]

Syndemic relationship of depressive symptoms, substance use, and suicidality in transgender youth: A cross‑sectional study using the U.S. youth risk behavior surveillance system

Purpose Syndemics are co-occurring epidemics that cluster within populations due to shared socio-structural factors and are often in populations with intersecting forms of vulnerability. Suicide, depression, and substance use all disproportionately affect transgender and gender diverse (TGD) youth. In this study, we test a syndemic model of the relationship between these three mental health conditions […]

What’s unique about lesbian, gay, bisexual, and transgender (LGBT) youth and young adults suicides? Findings from the National Violent Death Reporting System

Purpose: The purpose of the study was to explore variability in circumstances around suicide deaths among youth and young adults by sexual/gender identity category (gay male, lesbian/gay female, bisexual male, bisexual female, transgender male, transgender female, non-LGBT [lesbian, gay, bisexual, and transgender] male, and non-LGBT female). Methods: Secondary analysis of National Violent Death Reporting System (NVDRS) data […]

Comparison of lifetime suicide attempts and recent suicidal/self-harming thoughts among sexual minority and heterosexual Utahns: Results from a population-based survey

Objective We sought to be the first published article to report differences in population-representative prevalence of suicidal thoughts and attempts by sexual orientation. Method Data from Utah’s Behavioral Risk Factor Surveillance System (BRFSS) collected for 2016 (N = 10,988) and 2017 (N = 10,251) were examined to determine differences in the prevalence of suicidal thoughts in the past 2 […]

Greater minority stress is associated with lower intentions to disclose suicidal thoughts among LGBTQ+ youth

Objective The current study examined suicide-related disclosure intentions in LGBTQ + youth, and the associations between reporting of lifetime experiences of minority stress and intentions to disclose suicidal thoughts. Method A sample of 592 LGBTQ + youth ages 12–24 (22.3% cisgender men, 33.1% cisgender women, 44.6% gender diverse, 75.3% white) who contacted an LGBTQ-specific crisis service, completed a survey. […]

Suicide and self-harm prevention and intervention in LGBTQIA+ youth: Current research and future directions (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

Youth who are lesbian, gay, bisexual, queer, and questioning their sexual identities (LGBQ+) and/or who are a gender distinct from their birth-assigned sex (i.e., trans gender and gender diverse), collectively LGBTQIA+, show nearly triple the risk for self-injurious thoughts and behaviors (SITBs), including nonsuicidal self-injury, suicide ideation, and suicide attempts (Marshal et al., 2011). Unfortunately, […]

Demographic and psychosocial factors associated with recent suicidal ideation and suicide attempts among lesbian, gay, bisexual, pansexual, queer, and asexual (LGBQ) people in Australia: Correlates of suicidality among LGBQ Australians

Introduction To examine demographic and psychosocial correlates of suicidal ideation and suicide attempts among a large cross-section of sexual orientation populations in Australia, including lesbian, gay, bisexual, pansexual, queer, and asexual (LGBQ) people. Methods A national survey was conducted involving 5,174 cisgender LGBQ participants aged 18+ years. Multivariable regressions identified factors associated with recent suicidal […]

The mental health and well-being of multiracial LGBTQ youth

This report is the first of its kind to exclusively explore the mental health and well-being of multiracial LGBTQ youth, highlighting the unique mental health experiences among youth of different racial backgrounds. It uses data from a national sample of nearly 4,739 multiracial LGBTQ youth ages 13–24 who participated in The Trevor Project’s 2022 National […]

Being safe, being me 2019: Results of the Canadian trans and non-binary youth health survey

In 2014, Stigma and Resilience Among Vulnerable Youth Centre (SARAVYC) conducted a bilingual survey to learn about the health of transgender youth in Canada. It was the first and largest of its kind in Canada, with 923 young people responding. From this report, recommendations—such as developing safe, more inclusive schools and providing support for families […]