New resource: LGBTI R U OK? Conversation Guide

National LGBTI Health Alliance and R U OK?,  February 2020

“Life can be challenging, and we all need support during times of grief, loss, relationship breakdown and when we’re under work or financial pressure. On top of this, LGBTI people might be subject to prejudice, stigma, discrimination, harassment, and violence.” 

National LGBTI Health Alliance has collaborated with R U OK? to produce this LGBTI guide which was released just in time for the Sydney Gay and Lesbian Mardi Gras.

Snapshot of mental health and suicide prevention statistics for LGBTI people

The National LGBTI Health Alliance (The Alliance), February 2020

Although many lesbian, gay, bisexual, transgender and intersex (LGBTI) Australians live healthy and happy lives, research has demonstrated that a disproportionate number experience poorer mental health outcomes and have higher risk of suicidal behaviours than their peers.

These health outcomes are directly related to experiences of stigma, prejudice, discrimination and abuse on the basis of being LGBTI. This document aims to provide a snapshot of what is known of the current mental health and wellbeing outcomes of LGBTI people in Australia.

Call for allies to step up with LGBTQ distress ‘worse than after postal survey’

Sydney Morning Herald, February 23, 2020

Four out of five LGBTQ+ people say they feel worse now than they did after the “yes” vote on same-sex marriage, describing the debate over religious discrimination as “Marriage Equality 2.0” because it is amplifying negative voices.

The findings are from the Make Love Louder report by Macquarie University researcher Shirleene Robinson.

It found three out of four LGBTQ+ Australians have personally experienced negativity or discrimination on the basis of their sexual or gender identity and one in four experience it on a daily basis. For transgender Australians, four out of five have experienced it, two out of five on a daily basis.

The research suggests 63 per cent of Australians support the LGBTQ+ community, but three out of four of these, dubbed allies, are “silent supporters”. Dr Robinson said it was important for allies to be vocal to “make love louder than hate”.

Meanwhile, separate research by mental health charity Headspace found most LGBTQ+ young people experience high or very high psychological distress.

 

 

Psychosocial mediators of perceived stigma and suicidal ideation among transgender women

Kota, K.K., Salazar, L.F., Culbreth, R.E. et al. Psychosocial mediators of perceived stigma and suicidal ideation among transgender women. BMC Public Health 20125 (2020). https://doi.org/10.1186/s12889-020-8177-z

Abstract

Background

Transgender women (TGW) in the U.S. experience high rates of stigma, depression, and elevated rates of suicide. This study examined correlates of suicidal ideation and estimated the conditional indirect effects of perceived stigma and psychosocial mediators on suicidal ideation.

Methods

Using a cross-sectional study design, TGW (N = 92) were recruited through snowball sampling in Atlanta, Georgia. Structured interviews were conducted. Suicidal ideation was assessed by combining two variables that measured suicidal thoughts. Logistic regression models were performed to identify the potential risk and protective factors for suicidal ideation. We examined hypothesized psychosocial factors, including anxiety, depression, psychosocial impact of gender minority status, and substance use behaviors as potential mediators for the relationship between perceived stigma and suicidal ideation. All models were controlled for age, race, education, and homelessness.

Results

Suicidal ideation was reported by 33% (N = 30) of the study participants. In multivariable analysis, suicidal ideation was associated with sexual abuse (AOR = 3.17, 95% CI = 1.10–9.30), anxiety (AOR = 1.74, 95% CI = 1.10–2.73), family verbal abuse (AOR = 2.99, 95% CI = 1.10–8.40), stranger verbal abuse (AOR = 3.21, 95% CI = 1.02–10.08), and psychosocial impact of gender minority status (AOR = 3.42, 95% CI = 1.81–6.46). Partner support was found to be the protective factor for suicidal ideation (AOR = 0.34, 95% CI = 0.13–0.90). In the mediation analysis, the psychosocial impact of gender minority status mediated the relationship between perceived stigma and suicidal ideation. The estimated conditional indirect effect was 0.46, (95% CI = 0.12–1.11).

Conclusion

Interventions that aim to reduce suicidal behaviors among TGW should address stigma, psychosocial imfamilpact of gender minority status, and different forms of violence and abuse.

Life satisfaction and mental health among transgender students

Life satisfaction and mental health among transgender students in Norway

Anderssen, N., Sivertsen, B., Lønning, K.J. et al.

BMC Public Health 20, 138 (2020)

Background

Social attitudes to transgender persons and other gender minorities vary around the world, and in many cultures, prejudices and social stigma are common. Consequently, transgender persons face challenges related to discrimination and negative attitudes among the public. The purpose of this study was to compare life satisfaction, loneliness, mental health, and suicidal behavior among transgender students with cisgender students’ experiences in a nationwide sample of Norwegian students pursuing higher education.

Methods

In total,50,054 full-time Norwegian students completed an online questionnaire (response rate 30.8%), of whom 15,399 were cisgender males, 34,437 cisgender females, 28 individuals who reported being binary transgender (12 transwomen and 16 transmen), and 69 individuals non-binary transgender persons. The measures included questions concerning gender identity, life satisfaction (Satisfaction With Life Scale), loneliness (The Three-Item Loneliness Scale), mental health problems (Hopkins Symptoms Check List), mental disorders, and suicidal ideation, suicidal behavior, and self-harm. Chi-square tests, Independent-Samples Kruskal-Wallis tests, and logistic regression analyses were used to examine differences between gender identities.

Results

Transgender students reported significantly more psychosocial burdens on all measures. There were no significant differences in any of the measures between the binary and non-binary transgender students.

Conclusion

The findings call for increased awareness about welfare and health for transgender students in Norway. Higher education institutions need to consider measures at various levels to establish a learning environment that is more inclusive for gender minorities.

Understanding LGBTI+ Lives in Crisis (Report)

Australian Research Centre in Sex, Health and Society, La Trobe University & Lifeline Australia, February 2019

This research report presents findings of lesbian (L), gay (G), bisexual (B), transgender (T), intersex people (I), and other sexual identity and gender diverse individuals (+) use of crisis support services (CSS) in Australia.

This is the first research of its kind in Australia that explores the needs of LGBTI+ people during a time of personal or mental health crises. It focuses on their uptake and familiarity with crisis support services in Australia, their perceptions and experiences with crisis support services, and where they might seek other professional mental health service support during a time of crisis.

This study enhances the evidence base for those working to design, resource or deliver services to meet the needs of LGBTI people in Australia during times of crisis.