General and LGBTQ-specific factors associated with mental health and suicide risk among LGBTQ students

Gnan, Georgina; Rahman, Qazi; Ussher, Greg; Baker, D. N.; West, Elizabeth; Rimes, Katharine A.

doi:10.1080/13676261.2019.1581361

Cited by 100 publications

(65 citation statements)

References 55 publications

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“…As the survey is school-based, information on important national, community and household indicators factors were missing, such as socioeconomic status, food security, family risk and protective factors, cultural and religious factors or national political climate. Additionally, in some LMIC where school attendance is A recent systematic review reported higher rates of depression among young lesbian, gay, bisexual, transgender and questioning (LGBTQ) and LGBTQ-factors were associated with suicide risk [41,42]. This may help explain some of the findings regarding bullying, injuries, etc.…”

Section: Discussionmentioning

confidence: 99%

Suicidal behaviours among adolescents from 90 countries: a pooled analysis of the global school-based student health survey

et al. 2020

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Background: Understanding the burden and determinants of suicide during adolescence is key to achieving global health goals. We examined the prevalence and determinants of self-reported suicidal ideation and attempts among younger (13-15 years) and older adolescents (16-17 years). Methods: Pooled prevalence estimates with 95% confidence interval, were calculated for suicide ideation and attempts for 118 surveys from 90 countries that administered the Global School-based Student Health Survey (GSHS) to adolescents (13-17 years of age) from 2003 to 2017. Indicators (including individual and social factors) associated with suicidal ideation and attempts were determined from multivariable linear regressions on key outcomes. Results: The prevalence of suicidal ideation representing 397,299 adolescents (51.3% female) was significantly higher among girls than boys whereas attempts did not differ by age or sex. Being bullied, or having no close friends was associated with suicidal ideation among girls 13-15 years and 16-17 years, respectively. Among all boys, being in a fight and having no close friends was associated with suicidal ideation with the addition of serious injury for boys 13-15 years. Common to all younger adolescents was an association of suicide attempt with being bullied and having had a serious injury. Among young boys, having no close friends was an additional indicator for suicide attempt. Having no close friends was associated with suicide attempt in older adolescents with the addition to being bullied in older girls and serious injury in older boys. Conclusions: Building positive social relationships with peers and avoiding serious injury appear key to suicide prevention strategies for vulnerable adolescents. Targeted programs by age group and sex for such indicators could improve mental health during adolescence in low and middle-income countries, given the diverse risk profiles for suicidal ideation and attempts.

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Section: Discussionmentioning

confidence: 99%

Suicidal behaviours among adolescents from 90 countries: a pooled analysis of the global school-based student health survey

et al. 2020

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“…Only one study investigated self-acceptance of sexuality in relation to suicidality and found no significant relationship with suicidal ideation ( r = − .05) or attempts ( r = .10; Hershberger & D’Augelli, 1995 ). It is possible that suicidality may be less strongly associated with self-acceptance than with stressful events, such as LGBQ+ victimization (Gnan et al, 2019 ; Hershberger & D’Augelli, 1995 ). It is also possible that people whose self-acceptance is so problematic that they consider suicide will be less likely to report identifying with a minority sexual orientation in research, and those who completed suicide cannot be included in many research designs.…”

Section: Summary Of Study Findings and Discussionmentioning

confidence: 99%

LGBQ+ Self-Acceptance and Its Relationship with Minority Stressors and Mental Health: A Systematic Literature Review

2020

Self Cite

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Many individuals who identify as lesbian, gay, bisexual, queer, and with other non-heterosexual orientations (LGBQ+) experience stigma, prejudice, and/or discrimination because of their sexuality. According to minority stress and identity development theories, these experiences can contribute to difficulties with self-acceptance of sexuality. Lower self-acceptance is considered a risk factor for adverse mental health outcomes. The current review aims to investigate whether self-acceptance of sexuality is associated with minority stressors or difficulties with mental health in LGBQ+ individuals, as well as whether there are differences in self-acceptance between different sexual orientations. Five bibliographic databases were searched. Thirteen studies were identified which used quantitative methodology to investigate associations between self-acceptance, minority stressors, and/or mental health within LGBQ+ samples, or differences in self-acceptance between different sexual orientations. The results from these cross-sectional studies suggested that lower self-acceptance of sexuality was associated with higher levels of self-reported minority stressors, including a lack of acceptance from friends and family, a lack of disclosure to others, and internalized heterosexism. Lower self-acceptance of sexuality was associated with poorer mental health outcomes, including greater global distress, depression symptoms, and lower psychological well-being. There was no significant relationship with suicidality. Studies also found that LGBQ+ individuals had lower general self-acceptance compared to heterosexual participants, bisexual individuals had lower sexuality self-acceptance compared to lesbian/gay individuals, and lesbian women had lower sexuality self-acceptance compared to gay men. Given the potential importance of self-acceptance for LGBQ+ populations, further research is required with more robust methodology. Self-acceptance could be a potential target in clinical interventions for LGBQ+ individuals.

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“…Russell et al analyzed the data covering 245 LGBT youth aged between 21 and 25 and found that victimization at school was linked to high suicidal ideation, reduced self-esteem, and low levels of satisfaction with life [28]. In addition, a UK-based Youth Chances community survey involving 1,948 LGBTQ+ university students examined both general as well as LGBTQ+-specific factors linked to mental health problems, self-harm, suicide risks, and use of mental health services [29]. The findings revealed that negative experiences on account of one's LGBTQ+ identity can be linked to self-harm, heightened suicide risks, and mental health problems [29].…”

Section: Mental Health Issuesmentioning

confidence: 99%

“…In addition, a UK-based Youth Chances community survey involving 1,948 LGBTQ+ university students examined both general as well as LGBTQ+-specific factors linked to mental health problems, self-harm, suicide risks, and use of mental health services [29]. The findings revealed that negative experiences on account of one's LGBTQ+ identity can be linked to self-harm, heightened suicide risks, and mental health problems [29]. A different study also performed a secondary data analysis of 145 LGBT adults aged between 18 and 20 from 59 LGBT college and university student groups.…”

Section: Mental Health Issuesmentioning

confidence: 99%

Strategies for Schools to Prevent Psychosocial Stress, Stigma, and Suicidality Risks among LGBTQ+ Students

Madireddy¹,

Madireddy²

2020

EDUCATION

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As key centers for adolescent development, schools present sites for intervention ensuring the wellbeing of lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ+) students. Given mounting evidence on the association between LGBTQ+ identities, negative school climates, and disparities in mental health and suicidality, schools must maintain inclusive environments. This review focuses on strategies for schools to emerge as gateways to improved mental health and resilience among LGBTQ+ students. This study provides clear recommendations, including supporting anti-bullying policies, LGBTQ+-inclusive curricula, and safe spaces, for counselors, educators, school policy makers, and other stakeholders in school ecosystems to intervene professionally on behalf of LGBTQ+ students. The implications of this study help school counselors to be catalysts moving schools to better serve LGBTQ+ students.

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General and LGBTQ-specific factors associated with mental health and suicide risk among LGBTQ students

Cited by 100 publications

References 55 publications

Suicidal behaviours among adolescents from 90 countries: a pooled analysis of the global school-based student health survey

Suicidal behaviours among adolescents from 90 countries: a pooled analysis of the global school-based student health survey

LGBQ+ Self-Acceptance and Its Relationship with Minority Stressors and Mental Health: A Systematic Literature Review

Strategies for Schools to Prevent Psychosocial Stress, Stigma, and Suicidality Risks among LGBTQ+ Students

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