A Study of suicidal ideation in different subgroups within a sexual minority by assessing variables that may reflect subjective experience of distress among minorities
DOI:
https://doi.org/10.61841/1jnyc334Keywords:
LGBTQ, Suicidal ideation, Thwarted belongingness, Perceived burdensomenessAbstract
INTRODUCTION: A discord between natal role and gender identity, poor self and societal acceptance of one’s sexual orientation/gender identity, physical, verbal and sexual abuse and discrimination, from family, friends, and peers during and after coming out, fear of law-enforcement, loneliness, and lack of coping mechanisms and healthy role models can lead to poor physical and mental health outcomes among the LGBTQ youth in India. For sexual minority people, sexual orientation-related discrimination and prejudice might be associated with feelings of thwarted belongingness. Given that perceived burdensomeness, thwarted belongingness and Psych-ache. have been associated with SI in other populations, included sexual minority.
Methodology: - Advertisement in form of Flash banners will be generated on websites, forums and social media related to sexual minority. Within the advertisement, volunteers who were at least 18 years of age (no other inclusion criteria) were invited to complete a survey that took approximately 20 min to finish. The Flash Banner containing the performa for Thwarted belongingness and perceived burdensomeness, Suicidal ideation, The Psych-ache Scale.
Result & Conclusion: Interpersonal construct perceived burdensomeness, which accounts for some increased prevalence of suicidal ideation for adult gay men, lesbian women, and bisexual men and women. Clinicians can utilize this information by using cognitive and behavioural interventions to decrease perceived burdensomeness and, thus, decrease suicide risk for sexual minority adult clients
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References
1. Bhattacharya S, Ghosh D. Studying physical and mental health status among hijra, kothi and transgender community in Kolkata, India. Soc Sci Med. 2020 Nov;265:113412. doi: 10.1016/j.socscimed.2020.113412. Epub 2020 Oct 6. PMID: 33049438; PMCID: PMC7738383.
2. Gaur PS, Saha S, Goel A, Ovseiko P, Aggarwal S, Agarwal V, Haq AU, Danda D, Hartle A, Sandhu NK and Gupta L (2023) Mental healthcare for y006Fung and adolescent LGBTQ+ individuals in the Indian subcontinent. Front. Psychol. 14:1060543. doi: 10.3389/fpsyg.2023.1060543
3. Journal of Psychosexual Health 2(1) 26–36, 2020 © 2020 Karnataka Sexual Sciences Academy Reprints and permissions: in.sagepub.com/journals-permissions-india DOI: 10.1177/2631831820918129 journals.sagepub.com/home/ssh
4. Journal of Psychosexual Health 2(1) 26–36, 2020 © 2020 Karnataka Sexual Sciences Academy Reprints and permissions: in.sagepub.com/journals-permissions-india DOI: 10.1177/2631831820918129
5. journals.sagepub.com/home/ssh Witte TK, Merrill KA, Stellrecht NE, Bernert RA, Hollar DL, Schatschneider C, Joiner TE Jr. "Impulsive" youth suicide attempters are not necessarily all that impulsive. J Affect Disord. 2008 Apr;107(1-3):107-16. doi: 10.1016/j.jad.2007.08.010. Epub 2007 Sep 4. PMID: 17804082.
6. Bryan, C. J., Morrow, C. E., Anestis, M. D., & Joiner, T. E. (2010). A preliminary test of the interpersonal- psychological theory of suicidal behavior in a military sample. Personality and Individual Differences, 48, 347–
350. doi:10.1016/j.paid.2009.10.023
7. Van Orden, K. A., Witte, T. K., Gordon, K. H., Bender, T. W., & Joiner, T. E. (2008). Suicidal desire and the capability for suicide: Tests of the interpersonal-psychological theory of suicidal behavior among adults. Journal of Consulting and Clinical Psychology, 76, 72– 83. doi:10.1037/ 0022-006X.76.1.72
8. Bostwick, W. B., Boyd, C. J., Hughes, T. L., West, B. T., & McCabe, S. E. (2014). Discrimination and mental health among lesbian, gay, and bisexual adults in the United States. American Journal of Orthopsychiatry, 84, 35–
45. doi:10.1037/h0098851
9. Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674 – 697. doi:10.1037/0033-2909.129.5
.674
10. Schrimshaw, E. W., Siegel, K., Downing Jr., M. J., & Parsons, J. T. (2013). Disclosure and concealment of sexual orientation and the mental health of non-gay-identified, behaviorally bisexual men. Journal of Consulting and Clinical Psychology, 81, 141–153. doi:10.1037/a0031272
11. Willoughby, B. L. B., Malik, N. M., & Lindahl, K. M. (2006). Parental reactions to their sons’ sexual orientation disclosures: The roles of family cohesion, adaptability, and parenting style. Psychology of Men & Masculinity, 7, 14 –26. doi:10.1037/1524-9220.7.1.14
12. Hilton, A. N., & Szymanski, D. M. (2011). Family dynamics and changes in sibling of origin relationship after lesbian and gay sexual orientation disclosure. Contemporary Family Therapy: An International Journal, 33, 291–
309. doi:10.1007/s10591-011-9157-3
13. Campos, R. C., Gomes, M., Holden, R. R., Piteira, M., & Rainha, A. (2017). Does psychache mediate the relationship between general distress and suicide ideation? Death Studies, 41(4), 241–245.
14. Li, H., Xie, W., Luo, X., Fu, R., Shi, C., Ying, X., … Wang, X. (2014). Clarifying the role of psychological pain in the risks of suicidal ideation and suicidal acts among patients with major depressive episodes. Suicide and Life-Threatening Behavior, 44(1), 78–88
15. Verrocchio, M. C., Carrozzino, D., Marchetti, D., Andreasson, K., Fulcheri, M., & Bech, P. (2016). Mental pain and suicide: A systematic review of the literature. Frontiers in Psychiatry, 7, 108. https://doi.org/10.3389/fpsyt.2016.00108
16. Mee, S., Bunney, B. G., Reist, C., Potkin, S. G., & Bunney, W. E. (2006). Psychological pain: A review of evidence. Journal of Psychiatric Research, 40(8), 680–690
17. Schneidman, E. S. (1993). Suicide as psychache: A clinical approach to self-destructive behavior. Northvale, NJ: Jason Aronson
18. Shneidman, E. S. (1998). Further refections on suicide and psychache. Suicide and Life-Threatening Behavior, 28(3), 245–250.
19. Schneidman, E. S. (1996). The suicidal mind. New York: Oxford University Press.
20. Lee, R. S., Kochman, A., & Sikkema, K. J. (2002). Internalized stigma among people living with HIV–AIDS. AIDS and Behavior, 6(4), 309–319.
21. Hatzenbuehler, M. L. (2011). The social environment and suicide attempts in lesbian, gay, and bisexual youth. Pediatrics, 127, 896 –903. doi: 10.1542/peds.2010-3020
22. Hong, J. S., Espelage, D. L., & Kral, M. J. (2011). Understanding suicide among sexual minority youth in America: An ecological systems analysis. Journal of Adolescence, 34, 885– 894. doi:10.1016/j.adolescence .2011.01.002
23. Haas, A. P., Eiason, M., Mays, V. M., Mathy, R. M., Cochran, S. D., D’Augelli, D. R.,... Clayton, P. J. (2011). Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: Review and recommendations. Journal of Homosexuality, 58, 10 –51. doi:10.1080/ 00918369.2011.534038
24. Cole, S. W. (2006). Social threat, personal identity, and physical health in closeted gay men. In A. M. Omoto & H.
S. Kurtzman (Eds.), Sexual orientation and mental health: Examining identity and development in lesbian, gay, and bisexual people (pp. 245–267). Washington, DC: American Psychological Association.
25. Joiner, T. E. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press
26. Haas, A. P., Eiason, M., Mays, V. M., Mathy, R. M., Cochran, S. D., D’Augelli, D. R.,... Clayton, P. J. (2011). Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: Review and recommendations. Journal of Homosexuality, 58, 10 –51. doi:10.1080/ 00918369.2011.534038
27. Keshvari, B. (2012). Determining the Effect of Gender and Racial Differences on Mental and Physical Tasks (Doctoral dissertation, Universiti Teknologi Malaysia).
28. Meyerson, P., & Tryon, W. W. (2003). Validating Internet research: A test of the psychometric equivalence of Internet and in-person samples. Behavior Research Methods, Instruments, & Computers, 35, 614-620.
29. Riggle, E. D., Rostosky, S. S., & Reedy, C. S. (2005). Online surveys for BGLT research: Issues and techniques. Journal of homosexuality, 49(2), 1-21.
30. Shaffer MOS. Suicidal Ideation. City University of New York. 2013;11.
http://www.urban.hunter.cuny.edu/~miranda/pdf/Miranda&Shaffer2013.pdf
31. Cochran SD, Mays VM, Sullivan JG. Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. J Consult Clin Psychol. 2003 Feb;71(1):53-61. doi: 10.1037//0022-006x.71.1.53. PMID: 12602425; PMCID: PMC4197971.
32. Joiner, T. E., Van Orden, K. A., Witte, T. K., and Rudd, M. D. (2009). The Interpersonal Theory of Suicide: Guidance for Working With Suicidal Clients. Arlington, VA: American Psychiatric Association. doi: 10.1037/11869-000
33. Van Orden, K. A., Cukrowicz, K. C., Witte, T. K., & Joiner, T. E. (2012). Thwarted belongingness and perceived burdensomeness: Construct validity and psychometric properties of the Interpersonal Needs Questionnaire. Psychological Assessment, 24, 197–215. doi:10.1037/a0025358
34. Metalsky, G. I., & Joiner, T. E. (1997). The Hopelessness Depression Symptom Questionnaire. Cognitive Therapy and Research, 21, 359 – 384. doi:10.1023/A:1021882717784
35. Savin-Williams, R. C. (2001). Suicide attempts among sexual-minority youths: Population and measurement issues. Journal of Consulting and Clinical Psychology, 69, 983–991. doi:10.1037/0022-006X.69.6.983
36. Holden, R. R., Mehta, K., Cunningham, E. J., & McLeod, L. D. (2001). Development and preliminary validation of a scale of psychache. Canadian Journal of Behavioural Science, 33(4), 224–232
37. Meyers, L. S., Gamst, G. C., & Guarino, A. J. (2012). Applied Multivariate Research: Design and Interpretation. Thousand Oaks, CA: Sage
38. Hill, R. M., & Pettit, J. W. (2012). Suicidal ideation and sexual orientation in college students: The roles of perceived burdensomeness, thwarted belongingness, and perceived rejection due to sexual orientation. Suicide and Life-Threatening Behavior, 42, 567–579. doi:10.1111/j.1943-278X .2012.00113.x
39. Tang, Y., & Masicampo, E. J. (2018). Asian American college students, perceived burdensomeness, and willingness to seek help. Asian American Journal of Psychology, 9(4), 344–349. https://doi.org/10.1037/aap0000137
40. By Van Orden, Kimberly A.,Witte, Tracy K.,Cukrowicz, Kelly C.,Braithwaite, Scott R.,Selby, Edward A.,Joiner Jr., Thomas E.
41. Psychological Review, Vol 117(2), Apr 2010, 575-600
42. Ryan, C., Huebner, D., Diaz, R. M., & Sanchez, J. (2009). Family rejection as a predictor of negative health outcomes in White and Latino lesbian, gay, and bisexual young adults. Pediatrics, 123, 346 –352. doi:10.1542/ peds.2007-3524
43. Scourfield, J., Roen, K., & McDermott, L. (2008). Lesbian, gay, bisexual and transgender young people’s experiences of distress: Resilience, ambivalence and self-destructive behaviour. Health & Social Care in the Community, 16, 329 –336. doi:10.1111/j.1365-2524.2008.00769.x
44. McDaniel, J. S., Purcell, D., & D’Augelli, A. R. (2001). The relationship between sexual orientation and risk for suicide: Research findings and future directions for research and prevention. Suicide and LifeThreatening Behavior, 31, 84 –105. doi:10.1521/suli.31.1.5.84.24224
45. Jobes, D. A. (2012). The Collaborative Assessment and Management of Suicidality (CAMS): An evolving evidence-based clinical approach to suicidal risk. Suicide and Life-Threatening Behavior, 42, 640 – 653. doi:10.1111/j.1943-278X.2012.00119.x
46. O’Keefe, V. M., Wingate, L. R., Tucker, R. P., Rhoades-Kerswill, S., Slish, M. L., & Davidson, C. L. (2014). Interpersonal suicide risk for American Indians: Investigating thwarted belongingness and perceived burdensomeness. Cultural Diversity and Ethnic Minority Psychology, 20, 61– 67. doi:10.1037/a0033540
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