Increased Risk of Suicide Attempts Among Black and Latino Lesbians, Gay Men, and Bisexuals

O’Donnell, Shannon; Meyer, Ilan H.; Schwartz, Sharon

doi:10.2105/ajph.2010.300032

Cited by 91 publications

(69 citation statements)

References 28 publications

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“…Overall, these findings are in concert with some previous studies, 3,12 which found that Latino sexual minority youth were more likely to report suicide attempts than their White counterparts, but are inconsistent with findings from other studies that found Black sexual minority youth 13 and adults 14 were also at heightened risk of ideation and attempt. Such differences across studies are likely a function of variations in measurement of both sexual orientation and “suicidality”, as well as how samples were obtained.…”

Section: Discussioncontrasting

confidence: 99%

“…A study of New York City adults found that Latino and Black LGB participants were more likely to report serious suicide attempts than were White LGB participants, with most reported attempts occurring during adolescence and young adulthood. 14 These conflicting results suggest that there are important differences in suicidality at the intersections of sexual minority status and race/ethnicity, yet further study requires data of sufficient scale and scope to enable analyses of low prevalence behaviors across small subgroups of youth.…”

Section: Introductionmentioning

confidence: 99%

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Mental Health and Suicidality Among Racially/Ethnically Diverse Sexual Minority Youths

et al. 2014

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Objectives We examined the relationships among sexual minority status, sex, and mental health and suicidality, in a racially/ethnically diverse sample of adolescents. Methods Using pooled data from 2005 and 2007 Youth Risk Behavior Surveys, hierarchical linear modeling was used to examine 6 mental health outcomes across 6 racial/ethnic groups, intersecting with sexual minority status and sex. Based on an omnibus measure of sexual minority status, there were 6,245 sexual minority adolescents in the current study. The total sample was N = 72,691 Results Compared to heterosexual peers, sexual minorities reported higher odds of feeling sad; suicidal ideation, planning and attempts; suicide attempt treated by a doctor or nurse, and self-harm. Among sexual minorities, compared with White youth, Asian and Black youth had lower odds of many outcomes, whereas American Native/Pacific Islander, Latino and Multi-racial youth had higher odds. Conclusions Although in general, sexual minority youth were at heightened risk of suicidal outcomes, risk varied based on sex and on race/ethnicity. More research is needed to better understand the manner in which sex and race/ethnicity intersect among sexual minorities to influence risk and protective factors, and ultimately, mental health outcomes.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mental Health and Suicidality Among Racially/Ethnically Diverse Sexual Minority Youths

et al. 2014

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“…However, evidence has been mixed, especially for mental health (Balsam et al, 2010; Balsam et al, 2012; Cochran, Mays, Alegria, Ortega, & Takeuchi, 2007; Kertzner, Meyer, Frost, & Stirrat, 2009; Meyer, Dietrich, & Schwartz, 2008; Mustanski, Garofalo, & Emerson, 2010; O’Donnell, Meyer, & Schwartz, 2011). Specifically, some studies have found differences in depression and psychological distress (Bostwick, Hughes, and Johnson, 2005; Kim & Fredriksen-Goldsen, 2012), whereas others have not (e.g., Balsam et al, 2010; Balsam et al, 2012; Kertzner et al, 2009).…”

Section: Lgb People Of Color: Stressors and Health Disparitiesmentioning

confidence: 99%

Racial/ethnic differences in identity and mental health outcomes among young sexual minority women.

Balsam

Molina

Blayney

et al. 2015

Cultural Diversity and Ethnic Minority Psychology

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Previous research suggests that sexual minorities are at greater risk for trauma exposure, mental health problems, and substance use. To date, few studies have examined racial/ethnic differences among sexual minorities in relation to health-related behaviors and outcomes. Furthermore, studies of racial/ethnic differences among young adult sexual minority women (SMW) are virtually non-existent. The current study adds to the previous literature by exploring differences in trauma exposure, sexual identity, mental health, and substance use in a non-probability national sample of young adult SMW. A total of 967 self-identified lesbian and bisexual women were recruited via the internet using social networking sites to participate in a larger longitudinal study on young women’s health behaviors. The present study included 730 (76%) White, 108 (10%) African American, 91 (9%) Latina, and 38 (4%) Asian women ages 18 to 25. Results revealed differences in socioeconomic variables, degree of outness to family, childhood sexual assault, and forcible rape, but not overall lifetime trauma exposure. Among mental health and health-related behavior variables, few differences between groups emerged. Our findings indicate that both researchers and clinicians should turn their attention to processes of resilience among young SMW, particularly young SMW of color.

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“…A cross-sectional study was developed to evaluate suicide risk and associated factors in HIV/AIDS patients, interviewing 211 patients, the risk of suicide was 34% (Passos et al, 2014). In our study MSM was a risk factor for HIV infection in 21%, in a study in NYC was described increased risk of suicide attempts among black and latino lesbians, gay men, and bisexuals, lifetime suicide attempt was 17% (O’Donnell, 2011). According with HIV-1 subtypes, in our study, the risk of suicide was more than two times higher in people with HIV-1 subtype B than in HIV-1 subtype C (29% vs. 13%), although this difference was not significant.…”

Section: Discussionmentioning

confidence: 47%

Suicide risk and prevalence of major depressive disorder (MDD) among individuals infected with HIV-1 subtype C versus B in Southern Brazil

et al. 2016

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Major depressive disorder (MDD) is among the most prevalent neuropsychiatric disorders associated with HIV infection; however, its risks and neurobiologic correlates in diverse cultures are poorly understood. This study aimed to examine the frequency of MDD among HIV+ participants in southern Brazil. We hypothesized that the frequency and severity of MDD would be higher among individuals HIV+ compared with HIV−, and higher in HIV subtype B compared with C. Individuals with HIV (n=39) as well as seronegative controls (n=22) were enrolled in a cross-sectional, prospective, observational study. Current and lifetime history of MDD was diagnosed by MINI-Plus; symptom severity was assessed by BDI-II. Current and past episodes of MDD were significantly more frequent in the HIV+ versus HIV− group: current MDD, 15 (38.5%) vs. 0 (0%), p = 0.0004; past MDD, 24 (61.5%) vs. 3 (13.6%), p = 0.0004. The median BDI-II score in the HIV+ group was significantly higher than in the HIV− (13 [8–27.5] vs. 2.5 [1–5.5]; p < 0.0001). Current suicide risk, defined as during the last month, was found in 18% of participants in the HIV-positive and in none in the HIV-negative group. Neither current MDD frequency (8 (57.1%) vs. 6 (40%), p = 0.47) nor BDI-II score differed across subtypes B and C. Conclusions HIV+ group may be more likely to experience current MMD than HIV−. This was the first study to compare the frequency and severity of MDD in HIV subtype B and C; we found no difference between HIV subtypes B or C.

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Increased Risk of Suicide Attempts Among Black and Latino Lesbians, Gay Men, and Bisexuals

Cited by 91 publications

References 28 publications

Mental Health and Suicidality Among Racially/Ethnically Diverse Sexual Minority Youths

Mental Health and Suicidality Among Racially/Ethnically Diverse Sexual Minority Youths

Racial/ethnic differences in identity and mental health outcomes among young sexual minority women.

Suicide risk and prevalence of major depressive disorder (MDD) among individuals infected with HIV-1 subtype C versus B in Southern Brazil

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