PS03 - State-of-the-science Sexual and Gender Minority Suicide Research: Empirical Evidence from Europe and North America

Self-Perceived Factors of Recovery from Suicidal Ideation and Attempts of LGBT+ Emerging Adults in the Netherlands
August, 28 | 17:00 - 18:30

Introduction: Over the past decade, a perspective emphasizing risk has partly shifted to a recovery perspective in suicide research. This study examined self-perceived factors of recovery from suicidal ideation and/or attempts among LGBT+ emerging adults. Methods: We conducted qualitative interviews with 28 LGBT+ emerging adults in the Netherlands (age 18-28), who were recruited through various online channels. There were 13 cisgender, 8 gender diverse and 7 transgender participants; 18 reported a bi- or pansexual identity; 10 reported a gay or lesbian identity. Thematic analyses were conducted using the Constant Comparative Comparison Method facilitated by Atlas.ti. Three coders were involved who also performed reliability and validity checks. Results: Self-perceived factors for recovery consisted of interpersonal factors (peer support and family support), mental health care, psychological factors and practical aspects. Peers were described as helpful as they offered acceptance of LGBT identities, and they were caring including at moments when participants had felt suicidal. In some peer groups, multiple peers had also felt suicidal, which had felt supportive for some participants but others said it had reinforced their self-harm. Peers who were also LGBT had enabled a sense of LGBT security/pride and had countered isolation. Some participants listed their parental home as a safe space and said they could turn to their parents when they felt suicidal. Others stated that their parents or the bond they had with them, prevented suicidal behaviors. Mental health care professionals were perceived as beneficial if they could link participants’ mental issues to underlying gender and sexuality issues. Respectful probing and discussion by professionals regarding suicidality and LGBT issues was deemed important. Psychological factors included becoming less self-judgmental, including of one’s suicidal thoughts, and giving yourself compliments. Practical factors consisted of enrolling at a new educational setting in a more progressive environment. Discussion. Recovery factors offer an important angle for empirically informed recommendations for suicide prevention strategies among LGBT+ emerging adults. Suicide prevention needs to focus on strengthening LGBT+ youth informal support network, and educating mental health care professionals about the need to address the intersection of sexual and gender identity stress.

Speakers