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The social determinants of lesbian, gay, bisexual and transgender youth suicidality in England: a mixed methods study
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-st...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166581/ https://www.ncbi.nlm.nih.gov/pubmed/29045707 http://dx.doi.org/10.1093/pubmed/fdx135 |
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author | McDermott, Elizabeth Hughes, Elizabeth Rawlings, Victoria |
author_facet | McDermott, Elizabeth Hughes, Elizabeth Rawlings, Victoria |
author_sort | McDermott, Elizabeth |
collection | PubMed |
description | 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 13–25 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. |
format | Online Article Text |
id | pubmed-6166581 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-61665812018-10-04 The social determinants of lesbian, gay, bisexual and transgender youth suicidality in England: a mixed methods study McDermott, Elizabeth Hughes, Elizabeth Rawlings, Victoria J Public Health (Oxf) Original Article 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 13–25 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. Oxford University Press 2018-09 2017-10-17 /pmc/articles/PMC6166581/ /pubmed/29045707 http://dx.doi.org/10.1093/pubmed/fdx135 Text en © The Author 2017. Published by Oxford University Press on behalf of Faculty of Public Health. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Original Article McDermott, Elizabeth Hughes, Elizabeth Rawlings, Victoria The social determinants of lesbian, gay, bisexual and transgender youth suicidality in England: a mixed methods study |
title | The social determinants of lesbian, gay, bisexual and transgender youth suicidality in England: a mixed methods study |
title_full | The social determinants of lesbian, gay, bisexual and transgender youth suicidality in England: a mixed methods study |
title_fullStr | The social determinants of lesbian, gay, bisexual and transgender youth suicidality in England: a mixed methods study |
title_full_unstemmed | The social determinants of lesbian, gay, bisexual and transgender youth suicidality in England: a mixed methods study |
title_short | The social determinants of lesbian, gay, bisexual and transgender youth suicidality in England: a mixed methods study |
title_sort | social determinants of lesbian, gay, bisexual and transgender youth suicidality in england: a mixed methods study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166581/ https://www.ncbi.nlm.nih.gov/pubmed/29045707 http://dx.doi.org/10.1093/pubmed/fdx135 |
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