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Predictors of Self-Harm and Suicide in LGBT Youth: The Role of Gender, Socio-Economic Status, Bullying and School Experience

Jadva, V; Guasp, A; Bradlow, J; Bower-Brown, S; Foley, S; (2021) Predictors of Self-Harm and Suicide in LGBT Youth: The Role of Gender, Socio-Economic Status, Bullying and School Experience. Journal of Public Health 10.1093/pubmed/fdab383. (In press). Green open access

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Abstract

BACKGROUND: Lesbian, gay and bisexual (LGB) young people’s increased risk of self-harm, suicidal attempts and suicide compared with heterosexual youth is well established. The current study sought to examine whether these findings also apply to the trans (T) population and which factors act as additional risk or protective factors. METHODS: In a national cross-sectional survey, 3713 LGBT adolescents, aged 11–19 years, reported on their own history of self-harm, suicidal ideation and suicide attempts, as well as their experiences of school and homophobic, biphobic and transphobic bullying. Logistic regressions tested the association between risk and protective factors on self-harm, suicidal ideation and suicide attempts. RESULTS: A high proportion of the sample reported self-harm (65.3%), suicidal ideation (73.8%) and suicide attempts (25.7%). Demographic risk factors included identifying as female, non-binary or trans and being from a low-income background. Bullying and online bullying were associated with an increased risk for each outcome, and positive school experience was associated with a reduced risk for each outcome. CONCLUSIONS: Consistent with minority stress theory, the study found high rates of mental health problems within LGBT youth. Interventions focused on improving young people’s experiences in schools appear useful targets to help improve mental health outcomes.

Type: Article
Title: Predictors of Self-Harm and Suicide in LGBT Youth: The Role of Gender, Socio-Economic Status, Bullying and School Experience
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/pubmed/fdab383
Publisher version: https://doi.org/10.1093/pubmed/fdab383
Language: English
Additional information: © The Author(s) 2021. Published by Oxford University Press on behalf of Faculty of Public Health. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Self-harm, suicide, LGBT, mental health
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health > Reproductive Health
URI: https://discovery.ucl.ac.uk/id/eprint/10134931
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