The social determinants of lesbian, gay, bisexual and transgender youth suicidality in England

a mixed methods study

Elizabeth McDermott, Elizabeth Hughes, Victoria Rawlings

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: Lesbian, gay, bisexual and transgender (LGBT) youth have a higher risk of suicidality and self-harm than heterosexual youth populations but little is known about the underlying mechanisms. We aimed to investigate the social determinants of this mental health inequality. Methods: A two-stage sequential mixed method study was conducted. Firstly, 29 semi-structured interviews with LGBT youth (aged 13 to 25 years old) were completed. Data was analysed thematically. Stage 2 involved a self-completed questionnaire employing an online community-based sampling strategy (n=789). Logistic regression analysis was performed to predict suicidality. Results: Five social determinants explained suicidal risk: i) homophobia, biphobia or transphobia; ii) sexual and gender norms; iii) managing sexual and gender identities across multiple life domains; iv) being unable to talk; v) other life crises. Youth who were transgender (OR= 1.50, p<0.022), disabled (OR= 2.23, p<0.000), had self-harmed (OR= 7.45, p<0.000), were affected by abuse (OR=2.14, p<0.000), and affected by not talking about their emotions (OR= 2.43, p<0.044) were most likely to have planned or attempted suicide. Conclusions: Public health universal interventions that tackle bullying and discrimination in schools, and selected interventions that provide specific LGBT youth mental health support could reduce LGBT mental health inequalities in youth suicidality
Original languageEnglish
Pages (from-to)e244-e251
Number of pages8
JournalJournal of Public Health
Volume40
Issue number3
Early online date10 Nov 2017
DOIs
Publication statusPublished - Sep 2018

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Transgender Persons
England
Mental Health
Sexual Minorities
Homophobia
Social Determinants of Health
Bullying
Attempted Suicide
Heterosexuality

Cite this

McDermott, Elizabeth ; Hughes, Elizabeth ; Rawlings, Victoria. / The social determinants of lesbian, gay, bisexual and transgender youth suicidality in England : a mixed methods study. In: Journal of Public Health. 2018 ; Vol. 40, No. 3. pp. e244-e251.
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abstract = "Background: Lesbian, gay, bisexual and transgender (LGBT) youth have a higher risk of suicidality and self-harm than heterosexual youth populations but little is known about the underlying mechanisms. We aimed to investigate the social determinants of this mental health inequality. Methods: A two-stage sequential mixed method study was conducted. Firstly, 29 semi-structured interviews with LGBT youth (aged 13 to 25 years old) were completed. Data was analysed thematically. Stage 2 involved a self-completed questionnaire employing an online community-based sampling strategy (n=789). Logistic regression analysis was performed to predict suicidality. Results: Five social determinants explained suicidal risk: i) homophobia, biphobia or transphobia; ii) sexual and gender norms; iii) managing sexual and gender identities across multiple life domains; iv) being unable to talk; v) other life crises. Youth who were transgender (OR= 1.50, p<0.022), disabled (OR= 2.23, p<0.000), had self-harmed (OR= 7.45, p<0.000), were affected by abuse (OR=2.14, p<0.000), and affected by not talking about their emotions (OR= 2.43, p<0.044) were most likely to have planned or attempted suicide. Conclusions: Public health universal interventions that tackle bullying and discrimination in schools, and selected interventions that provide specific LGBT youth mental health support could reduce LGBT mental health inequalities in youth suicidality",
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The social determinants of lesbian, gay, bisexual and transgender youth suicidality in England : a mixed methods study. / McDermott, Elizabeth; Hughes, Elizabeth; Rawlings, Victoria.

In: Journal of Public Health, Vol. 40, No. 3, 09.2018, p. e244-e251.

Research output: Contribution to journalArticle

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