Mental health services use and depressive symptom scores among gay and bisexual men in Canada

Purpose To evaluate the association between mental health services (MHS) use and depressive symptom scores among gay and bisexual men (GBM) and compare with heterosexual men in Canada. Methods We used data from the 2015–2016 cycles of the Canadian Community Health Survey. Depressive symptoms were assessed using the PHQ-9 questionnaire (prior two weeks). MHS consultations […]

Ethnic and sexual identity-related inequalities in adolescent health and well-being in a national population-based study

Purpose: This study employed an intersectional framework to examine impact of inequalities related to sexual minority (SM) and ethnic minority (EM) identities in risk for health, well-being, and health-related behaviors in a nationally representative sample. Methods: Participants included 9789 (51% female) adolescents aged 17 years from the U.K.-wide Millennium Cohort Study, with data on self-identified sexual and […]

Sexual identity development: Relationship with lifetime suicidal ideation in sexual minority women

Aims and objectives—This study draws on a life course perspective to evaluate, in a sample of sexual minority women: (1) the relationship between age at reaching sexual identity milestones and risk of  suicidal ideation, (2) developmental stages or stages of sexual identity development that represent greatest risk, and (3) the relationship between age of reaching […]

Psychometric properties of the suicidal history of self-rating screening scale

The aim of this study was to develop a reliable self-report instrument (the Suicide History Self-Rating Screening Scale: SHSS) to identify individuals with a higher propensity for suicide in the near term. One hundred and twenty nine consecutive inpatients with mental illness completed the SHSS (a 16-item measure assessing death thoughts, suicidal ideation and behavior […]

The association between hate crime laws that enumerate sexual orientation and adolescent suicide attempts

Sexual minority youth are at elevated risk for suicide, and previous research supports an association between hate crimes targeting sexual minority youth and suicide attempts. Hate crime laws (HCLs) may reduce  bias-motivated victimization or reflect community support for marginalized groups, although not all states with such laws explicitly name sexual minorities as a protected class. […]

Queering gender-based violence prevention & response in Canada

Gender-based violence (GBV) in 2SLGBTQ+ communities is pervasive but stigmatized; it is both hyper-visible and invisibilized, known and neglected. Transphobia, homophobia, and biphobia are structural forms of GBV that  2SLGBTQ+ communities navigate every day in their public and private lives. 2SLGBTQ+ communities experience family violence, intimate partner violence (IPV), sexual violence, and street harassment, but […]

Associations of discrimination, suicide ideation severity and attempts, and depressive symptoms among sexual and gender minority youth

We examined the unique associations among discrimination, suicidal thoughts, suicide attempts, and depressive symptoms in a sample of sexual and gender minority (SGM) youth as well as interpersonal mediators of these associations. Participants included 94 SGM youth (Mage = 18; SD = 2.88) recruited from SGM-specific drop-in centers. We used mediation analyses to test the mediating effects of […]

Attachment-based family therapy for sexual and gender minority young adults and their nonaccepting parents

This pilot open trial examined the efficacy of attachment-based family therapy (ABFT) for Israeli sexual and gender minority (SGM) young adults and their persistently nonaccepting parents. Thirty families received up to 26 weeks of treatment, with parental rejection, parental acceptance, and young adults’ attachment avoidance and attachment anxiety assessed at baseline, 8, 16, 24, and 36 weeks […]

“Am I really alive?”: Understanding the role of homophobia, biphobia and transphobia in young LGBT+ people’s suicidal distress

Suicide is the fourth leading cause of death amongst young people aged 15–29 globally and amongst this young population, lesbian, gay, bisexual and trans (LGBT+) young people have higher rates of suicidal thoughts and attempts than their cisgender (non-trans), heterosexual peers. However, despite well-established knowledge on the existence of this health inequality, in the UK […]

Characteristics and perceptions of sexual and gender minority youth who utilized a national sexual and gender minority-focused crisis service

Background: Sexual and gender minority youth (SGMY) have heightened risk of suicidality; yet, we know little about their experiences when utilizing crisis services. Aims: The purpose of this study was to understand the characteristics and experiences of SGMY when in contact with SGMY-specific suicide crisis services. Method: Data were from 592 SGMY who contacted the most widely utilized national US […]

Spreading pride in all who served: A health education program to improve access and mental health outcomes for sexual and gender minority veterans

Access to effective, replicable services is critical to reduce known mental health disparities for sexual and gender minority or LGBTQ+ veterans (lesbian, gay, bisexual, transgender, queer, questioning, and related identities). This paper examines the impact of a manualized 10-week health education group, called PRIDE in All Who Served on veteran patient experience, protective factors (e.g., […]

The ethics of facing the other in suicide

Despite a plethora of existing literature on the topic of suicide, very little attention has been given to research ethics in practice in research on suicide. When suicide research does pay attention to the ethical issues researchers are likely to face, the focus is on the roles institutional human ethics review committees fulfil to ensure […]

How do sexual and gender minority people acquire the capability for suicide? Voices from survivors of near-fatal suicide attempts

Despite well-documented disparities by sexual and gender minority (SGM) status in suicide attempt and mortality rates, few studies have investigated the lived experiences that contribute to SGM people’s disproportionate risk of suicide. Having a history of at least one near-fatal (or medically serious) suicide attempt serves as a proxy for suicide mortality, but no known […]

Depression and suicide literacy among Canadian sexual and gender minorities

The purpose of this study was to examine and compare depression and suicide literacy among Canadian sexual and gender minorities (SGM). Online surveys comprised of the 22-item depression literacy scale (D-LIT) and the 12-item literacy of suicide scale (LOSS) were completed by 2,778 individuals identifying as SGM. Relationships between depression and suicide literacy and demographic […]

Perceived barriers to mental health services among Canadian sexual and gender minorities with depression and at risk of suicide

This study examines barriers to mental health services among sexual and gender minorities (SGM) who screened positive for depression and risk of suicide. Data from an online survey of SGM (N = 2778) are analyzed. 37.5% met criteria for depression and 73.6% screened for being at risk of suicide. The most frequently cited barriers to mental health […]

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. […]

Cumulative minority stress and suicide risk among LGBTQ youth

Exposure to minority stress is the primary mechanism through which lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ) youth experience a greater risk for suicide. The current study examines the association of LGBTQ-based cumulative minority stress with suicide risk using online survey data collected from 39,126 LGBTQ youth ages 13-24 in the United States. Youth […]

Effective screening and treatment to reduce suicide risk among sexual and gender minority youth

The increased risk for suicidal ideation and behavior among this vulnerable population of youth is well described. The findings in this report regarding the early emergence and rapid progression of suicide risk among sexual minority adolescents suggest that early identification of risk and implementation of risk reduction interventions are critical.

Sexual orientation enumeration in state antibullying statutes in the United States: Associations with bullying, suicidal ideation, and suicide attempts among youth

Purpose: The aim was to assess the associations of antibullying U.S. state statutes that enumerate sexual orientation with exposure to bullying and other stressors and with suicidal ideation and suicide attempts in sexual minority and non sexual minority youth. Methods: We analyzed data from the 2015 national school-based Youth Risk Behavior Survey, representative of 9th through 12th […]

Sexual minority status and age of onset of adolescent suicide ideation and behavior

Objectives: To determine if sexual minority adolescents have earlier onset of suicidality and faster progressions from ideation to plan and attempt than heterosexual adolescents. Methods: A population-based longitudinal cohort of 1771 adolescents participated in the NEXT Generation Health Study. Participants reported sexual minority status (defined by sexual attraction) in 2010-2011 and retrospectively reported age at onset of […]

Predicting the transition from suicidal ideation to suicide attempt among sexual and gender minority youths

Objective: Sexual and gender minority youths are more likely to consider, attempt, and die by suicide than are heterosexual and cisgender youths, yet little is known about how to predict future attempts or transitions from suicidal thoughts to behaviors. Additionally, adaptive measurement of psychopathology is a promising approach that may help characterize risk in this […]

Bullying and suicide risk among sexual minority youth in the United States

Bullying is associated with increased suicide risk and maladaptive development for sexual minority youth (SMY). The purpose of this study is to determine whether multiple forms of bullying mediate the relationship between biological sex and suicide risk among SMY and to determine whether sexual identity moderates these relationships (i.e., moderated mediation). Data from the 2015–2019 […]

Gender-diverse: A spotlight on the health of trans and non-binary young people in BC. Results of the 2018 BC Adolescent Health Survey

This report provides a profile of the health of gender-diverse youth in British Columbia (BC). The report uses data from the 2018 BC Adolescent Health Survey (BC AHS). The BC AHS is the most reliable, comprehensive health survey of adolescents ages 12–19 in public schools in BC. Repeated every five years since 1992, the survey […]