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 […]

Anchoring to life: A photovoice study of resiliencies among sexual and gender minority women post-suicide attempt

Lesbian, bisexual, trans, queer, and other sexual and gender minority (SGM) women are at high risk of suicide. Stigma, discrimination, and exclusion are known risk factors. Contrasting longstanding trends of risk-focused research, this study examines the experiences of SGM women who have attempted suicide focusing on their embodied strengths and resiliencies to continue living post-attempt. […]

The link between discrimination and worst point suicidal ideation among sexual and gender minority adults

Objective Sexual and gender minority (SGM) adults often report a disproportionately high rate of suicidal ideation compared to their heterosexual and cisgender counterparts. The current study aimed to understand the relationship between discrimination for one’s sexual orientation or gender identity and suicidal ideation. We hypothesized that discrimination would be associated with suicidal ideation at one’s […]

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 […]

Variation in suicide risk among subgroups of sexual and gender minority college students

Objective Sexual and gender minorities are at elevated risk for suicide, yet few studies have examined differences in risk within many sexual and gender minority subgroups. The purpose of this study was to examine differences in prevalence for suicide risk factors among a wide range of sexual orientations and gender identities. Method Forty-one thousand four […]

Questions of faith: Religious affiliations and suicidal ideation among sexual minority young adults

Objective To examine how the associations of specific religious affiliations with recent suicidal ideation vary by sexual orientation among young adults. Method This project was a cross-sectional secondary analysis of data from the 2006 and 2011 surveys of the National Research Consortium of Counseling Centers in Higher Education. The analytic sample was restricted to persons […]

Suicidal self-directed violence among gender minority individuals: A systematic review

Objective Gender minority individuals represent a population at increased risk for suicidal self-directed violence (SDV). However, traditional models of suicidal SDV fail to consider gender minority population-specific factors that may buffer or exacerbate risk; further, while sexual and gender minority (SGM) health disparity frameworks may be extended suicidal SDV outcomes among gender minority individuals, little […]

Understanding the clinical characteristics of lesbian, gay, and bisexual military service members and adult beneficiaries within an inpatient psychiatric sample

Background Limited knowledge exists regarding targets for suicide-focused care among high-risk United States (U.S.) civilian and military sexual minorities. Purpose This study aimed to understand the demographic and clinical characteristics of a suicidal sexual minority sample, psychiatrically hospitalized in military treatment facilities, to advance future targeted care for this vulnerable subgroup. Methods Secondary analysis of […]

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 […]

Moderating role of coping in the association between minority stress and suicidal ideation and suicide attempts among sexual and gender minority young adults

Objective This study examined associations of minority stressors (i.e., victimization, internalized homonegativity, and stigma consciousness), and coping styles (i.e., active, avoidant, and passive) with suicidal ideation and suicide attempts (suicidality) among sexual and gender minority (SGM) young adults, and whether coping style moderated these associations. Methods Logistic regression analyses examined these associations among 1432 SGM […]

Suicidality, sexual orientation, and race/ethnicity: Results from a U.S. representative adolescent sample

Objective: We examined sadness/hopelessness and suicide among racial/ethnic and sexual minority youth (SMY). Methods: 2017 Youth Risk Behavior Survey (YRBS) data on sadness/hopelessness and suicide were analyzed among White, Black, and Hispanic/Latino youth. Results: A main effect of sexual minority (SM) identity emerged for sadness/hopelessness, suicidal ideation, suicide plan, suicide attempts, and injurious attempts; SMY reported increased risk […]

Sexual minority status, affect liability, and suicide ideation: Buffering role of trait mindfulness

Objective Emotion regulation has been proposed as a mechanism driving sexual orientation disparities in suicide ideation (SI), but little research has examined the role of affect lability in the association of sexual minority identity and SI. As prior research has found trait mindfulness to be associated with lower SI, the objective of the present study […]

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., […]