Skip to main content
Log in

Sexuality and Suicidality: Matched-Pairs Analyses Reveal Unique Characteristics in Non-Heterosexual Suicidal Behaviors

  • Original Paper
  • Published:
Archives of Sexual Behavior Aims and scope Submit manuscript

Abstract

The present findings offer new perspectives on differences between suicide-risk heterosexuals and non-heterosexuals (lesbian, gay, bisexual, and questioning: LGBQ). Results from an anonymous online survey, employing standardized scales, showed that LGBQ participants reported significantly greater suicide-risk than heterosexuals. Seventy-nine matched pairs of suicide-risk LGBQ and heterosexuals were examined by individual suicide risk factors. Results showed no significant differences on separate measures of suicidal ideation; however, LGBQ participants were more likely to report suicide attempts, disclosure of suicidal intentions, and prediction of future suicide attempts. The LGBQ group also indicated greater likelihood of going online to develop new personal relationships. Multiple regression modeling was conducted to guide outreach and support efforts, revealing unique factors predicting help-seeking denial of suicide-risk LGBQ. Implications include the importance of online support and considering sexual minorities not just as a potential high-risk group, but also as a population with unique suicide risks and behaviors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: Evaluation of a short form of the CES-D. American Journal of Preventive Medicine, 10, 77–84.

    PubMed  Google Scholar 

  • Bolding, G., Davis, M., Hart, G., Sherr, L., & Elford, J. (2007). Where young MSM meet their first sexual partner: The role of the internet. AIDS and Behavior, 11, 522–526.

    Article  PubMed  Google Scholar 

  • Brown, G. K., Steer, R. A., Henriques, G. R., & Beck, A. T. (2005). The internal struggle between the wish to die and the wish to live: A risk factor for suicide. American Journal of Psychiatry, 162, 1977–1979.

    Article  PubMed  Google Scholar 

  • Bryan, C. J., & Rudd, M. D. (2006). Advances in the assessment of suicide risk. Journal of Clinical Psychology, 62, 185–200.

    Article  PubMed  Google Scholar 

  • Burn, S. M., Kadlec, K., & Rexer, R. (2005). Effects of subtle heterosexism on gays, lesbians, and bisexuals. Journal of Homosexuality, 49(2), 23–38.

    Article  PubMed  Google Scholar 

  • Carver, P. R., Egan, S. K., & Perry, D. G. (2004). Children who question their heterosexuality. Developmental Psychology, 40, 43–53.

    Article  PubMed  Google Scholar 

  • Choi, J. L., Rogers, J. R., & Werth, J. L. (2009). Suicide risk assessment with Asian American college students: A culturally informed perspective. Counseling Psychologist, 37, 186–218.

    Article  Google Scholar 

  • Ciarrochi, J., Deane, F. P., Wilson, C. J., & Rickwood, D. (2002). Adolescents who need help the most are the least likely to seek it: The relationship between low emotional competence and low intention to seek help. British Journal of Guidance & Counselling, 30, 173–188.

    Article  Google Scholar 

  • Ciro, D., Surko, M., Bhandarkar, K., Helfgott, N., Peake, K., & Epstein, I. (2005). Lesbian, gay, bisexual, sexual-orientation questioning adolescents seeking mental health services: Risk factors, worries, and desire to talk about them. Social Work in Mental Health, 3, 213–234.

    Article  Google Scholar 

  • Cochran, S. D., & Mays, V. M. (2000). Lifetime prevalence of suicide symptoms and affective disorders among men reporting same-sex sexual partners: Results from NHANES III. American Journal of Public Health, 90, 573–578.

    Article  PubMed  Google Scholar 

  • Cochran, S. D., Sullivan, J. G., & Mays, V. M. (2003). Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology, 71, 53–61.

    Article  PubMed  Google Scholar 

  • Darby-Mullins, P., & Murdock, T. B. (2007). The influence of family environment factors on self-acceptance and emotional adjustment among gay, lesbian, and bisexual adolescents. Journal of GLBT Family Studies, 3, 75–91.

    Article  Google Scholar 

  • D’Augelli, A. R., Hershberger, S. L., & Pilkington, N. W. (2001). Suicidality patterns and sexual orientation-related factors among lesbian, gay, and bisexual youths. Suicide and Life-Threatening Behavior, 31, 250–264.

    Article  PubMed  Google Scholar 

  • Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2001). Suicidal ideation and help-negation: Not just hopelessness or prior help. Journal of Clinical Psychology, 57, 901–914.

    Article  PubMed  Google Scholar 

  • Diamond, L. M., & Butterworth, M. (2008). Questioning gender and sexual identity: Dynamic links over time. Sex Roles, 59, 365–376.

    Article  Google Scholar 

  • Donald, M., Dower, J., Correa-Velez, I., & Jones, M. (2006). Risk and protective factors for medically serious suicide attempts: A comparison of hospital-based with population-based samples of young adults. Australian and New Zealand Journal of Psychiatry, 40, 87–96.

    Article  PubMed  Google Scholar 

  • D’Zurilla, T. J., Chang, E. C., Nottingham, E. J., & Faccini, L. (1998). Social problem-solving deficits and hopelessness, depression, and suicidal risk in college students and psychiatric inpatients. Journal of Clinical Psychology, 54, 1091–1107.

    Article  PubMed  Google Scholar 

  • Eisenberg, M. E., & Resnick, M. D. (2006). Suicidality among gay, lesbian and bisexual youth: The role of protective factors. Journal of Adolescent Health, 39, 662–668.

    Article  PubMed  Google Scholar 

  • Eskin, M., Kaynak-Demir, H., & Demir, S. (2005). Same-sex sexual orientation, childhood sexual abuse, and suicidal behavior in university students in Turkey. Archives of Sexual Behavior, 34, 185–195.

    Article  PubMed  Google Scholar 

  • Farberow, N. L., & Shneidman, E. S. (Eds.). (1961). The cry for help. New York: McGraw-Hill.

    Google Scholar 

  • Feigelman, W., Gorman, B. S., Beal, C. K., & Jordan, J. R. (2008). Internet support groups for suicide survivors: A new mode for gaining bereavement assistance. Omega: Journal of Death and Dying, 57, 217–243.

    Article  PubMed  Google Scholar 

  • Fergusson, D. M., Horwood, L. J., & Beautrais, A. L. (1999). Is sexual orientation related to mental health problems and suicidality in young people? Archives of General Psychiatry, 56, 876–880.

    Article  PubMed  Google Scholar 

  • Fish, J. (2008). Navigating queer street: Researching the intersections of lesbian, gay, bisexual and trans (LGBT) identities in health research. Sociological Research Online, 13. Available: http://ideas.repec.org/a/sro/srosro/2007-52-3.html.

  • Garofalo, R., Wolf, R. C., Wissow, L. S., Woods, E. R., & Goodman, E. (1999). Sexual orientation and risk of suicide attempts among a representative sample of youth. Archives of Pediatrics and Adolescent Medicine, 153, 487–493.

    Article  PubMed  Google Scholar 

  • Gennaro, C. D., & Dutton, W. H. (2007). Reconfiguring friendships: Social relationships and the internet. Information Communication and Society, 10, 591–618.

    Article  Google Scholar 

  • Ginsburg, K. R., Winn, R. J., Rudy, B. J., Crawford, J., Zhao, H., & Schwarz, D. F. (2002). How to reach sexual minority youth in the health care setting: The teens offer guidance. Journal of Adolescent Health, 31, 407–416.

    Article  PubMed  Google Scholar 

  • Gutierrez, P. M., Rodriguez, P. J., & Garcia, P. (2001). Suicide risk factors for young adults: Testing a model across ethnicities. Death Studies, 25, 319–340.

    Article  PubMed  Google Scholar 

  • Harris, K. M., McLean, J. P., & Sheffield, J. (2009). Examining suicide-risk individuals who go online for suicide-related purposes. Archives of Suicide Research, 13, 264–276.

    Article  PubMed  Google Scholar 

  • Harris, K. M., McLean, J. P., Sheffield, J., & Jobes, D. A. (2010). The internal suicide debate hypothesis: Exploring the life vs. death struggle. Suicide & Life-Threatening Behavior, 40, 181–192.

    Article  Google Scholar 

  • Hendin, H., Haas, A. P., Maltsberger, J. T., Koestner, B., & Szanto, K. (2006). Problems in psychotherapy with suicidal patients. American Journal of Psychiatry, 163, 67–72.

    Article  PubMed  Google Scholar 

  • Hershberger, S. L., Pilkington, N. W., & D’Augelli, A. R. (1997). Predictors of suicide attempts among gay, lesbian, and bisexual youth. Journal of Adolescent Research, 12, 477–497.

    Article  Google Scholar 

  • Hidaka, Y., & Operario, D. (2006). Attempted suicide, psychological health and exposure to harassment among Japanese homosexual, bisexual or other men questioning their sexual orientation recruited via the internet. Journal of Epidemiology and Community Health, 60, 962–967.

    Article  PubMed  Google Scholar 

  • Horvath, K. J., Rosser, B. R. S., & Remafedi, G. (2008). Sexual risk taking among young internet-using men who have sex with men. American Journal of Public Health, 98, 1059–1067.

    Article  PubMed  Google Scholar 

  • Houle, J., Mishara, B. L., & Chagnon, F. (2008). An empirical test of a mediation model of the impact of the traditional male gender role on suicidal behavior in men. Journal of Affective Disorders, 107, 37–43.

    Article  PubMed  Google Scholar 

  • Imai, K., King, G., & Nall, C. (2009). The essential role of pair matching in cluster-randomized experiments, with application to the Mexican Universal Health Insurance evaluation. Statistical Science, 24, 29–53.

    Article  Google Scholar 

  • Innamorati, M., Pompili, M., Masotti, V., Personé, F., Lester, D., Tatarelli, R., … Amore, M. (2008). Completed versus attempted suicide in psychiatric patients: A psychological autopsy study. Journal of Psychiatric Practice, 14, 216–224.

    Article  PubMed  Google Scholar 

  • Israel, T., Gorcheva, R., Burnes, T. R., & Walther, W. A. (2008). Helpful and unhelpful therapy experiences of LGBT clients. Psychotherapy Research, 18, 294–305.

    Article  PubMed  Google Scholar 

  • Julien, D., Jouvin, E., Jodoin, E., l’Archevêque, A., & Chartrand, E. (2008). Adjustment among mothers reporting same-gender sexual partners: A study of a representative population sample from Quebec province (Canada). Archives of Sexual Behavior, 37, 864–876.

    Article  PubMed  Google Scholar 

  • King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8.

  • Kovacs, M., & Beck, A. T. (1977). The wish to die and the wish to live in attempted suicides. Journal of Clinical Psychology, 33, 361–365.

    Article  PubMed  Google Scholar 

  • Kuang, M.-F., Mathy, R. M., Carol, H. M., & Nojima, K. (2003). The effects of sexual orientation, gender identity, and gender role on the mental health of women in Taiwan’s T-Po lesbian community. Journal of Psychology & Human Sexuality, 15, 163–184.

    Article  Google Scholar 

  • Levinson, D., Haklai, Z., Stein, N., Polakiewicz, J., & Levav, I. (2007). Suicide ideation, planning and attempts: Results from the Israel national health survey. Israel Journal of Psychiatry and Related Sciences, 44, 136–143.

    PubMed  Google Scholar 

  • Mathy, R. M. (2002). Suicidality and sexual orientation in five continents: Asia, Australia, Europe, North America, and South America. International Journal of Sexuality & Gender Studies, 7, 215–225.

    Article  Google Scholar 

  • McFarlane, M., Bull, S. S., & Rietmeijer, C. A. (2000). The Internet as a newly emerging risk environment for sexually transmitted diseases. Journal of the American Medical Association, 284, 443–446.

    Article  PubMed  Google Scholar 

  • Ogilvie, G. S., Taylor, D. L., Trussler, T., Marchand, R., Gilbert, M., Moniruzzaman, A., et al. (2008). Seeking sexual partners on the internet: A marker for risky sexual behaviour in men who have sex with men. Canadian Journal of Public Health, 99, 185–188.

    PubMed  Google Scholar 

  • Osman, A., Bagge, C. L., Gutierrez, P. M., Konick, L. C., Kopper, B. A., & Barrios, F. X. (2001). The Suicidal Behaviors Questionnaire—Revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 8, 443–454.

    Article  PubMed  Google Scholar 

  • Plöderl, M., & Fartacek, R. (2009). Childhood gender nonconformity and harassment as predictors of suicidality among gay, lesbian, bisexual, and heterosexual Austrians. Archives of Sexual Behavior, 38, 400–410.

    Article  PubMed  Google Scholar 

  • Plöderl, M., Kralovec, K., & Fartacek, R. (2010). The relation between sexual orientation and suicide attempts in Austria. Archives of Sexual Behavior, 39, 1403–1414.

    Article  PubMed  Google Scholar 

  • Plöderl, M., Wagenmakers, E. J., Tremblay, P., Ramsay, R., Kralovec, K., Fartacek, C., & Fartacek, R. (2012). Suicide risk and sexual orientation: A critical review. Archives of Sexual Behavior. doi: 10.1007/s10508-012-0056-y.

  • Prinstein, M. J., Nock, M. K., Simon, V., Aikins, J. W., Cheah, C. S. L., & Spirito, A. (2008). Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization. Journal of Consulting and Clinical Psychology, 76, 92–103.

    Article  PubMed  Google Scholar 

  • Rivers, I., & Noret, N. (2008). Well-being among same-sex- and opposite-sex-attracted youth at school. School Psychology Review, 37, 174–187.

    Google Scholar 

  • Ross, M. W., Månsson, S. A., Daneback, K., & Tikkanen, R. (2005). Characteristics of men who have sex with men on the Internet but identify as heterosexual, compared with heterosexually identified men who have sex with women. CyberPsychology & Behavior, 8, 131–139.

    Article  Google Scholar 

  • Rowe, J. L., Conwell, Y., Schulberg, H. C., & Bruce, M. L. (2006). Social support and suicidal ideation in older adults using home healthcare services. American Journal of Geriatric Psychiatry, 14, 758–766.

    Article  PubMed  Google Scholar 

  • Rudd, M. D., Berman, A. L., Joiner, T. E., Jr, Nock, M. K., Silverman, M. M., Mandrusiak, M., … Witte, T. (2006). Warning signs for suicide: Theory, research, and clinical applications. Suicide and Life-Threatening Behavior, 36, 255–262.

    Article  PubMed  Google Scholar 

  • Rutter, P. A., & Leech, N. (2006). Sexual minority youth perspectives on the school environment and suicide risk interventions: A qualitative study. Journal of Gay and Lesbian Issues in Education, 4, 77–91.

    Article  Google Scholar 

  • Saewyc, E. M. (2007). Contested conclusions: Claims that can (and cannot) be made from the current research on gay, lesbian, and bisexual teen suicide attempts. Journal of LGBT Health Research, 3, 79–87.

    Article  PubMed  Google Scholar 

  • Saewyc, E. M., Bauer, G. R., Skay, C. L., Bearinger, L. H., Resnick, M. D., Reis, E., et al. (2004). Measuring sexual orientation in adolescent health surveys: Evaluation of eight school-based surveys. Journal of Adolescent Health, 35(345), e1–e15.

    PubMed  Google Scholar 

  • Savin-Williams, R. C. (2001). Suicide attempts among sexual-minority youths: Population and measurement issues. Journal of Consulting and Clinical Psychology, 69, 983–991.

    Article  PubMed  Google Scholar 

  • Shneidman, E. S. (1996). The suicidal mind. New York: Oxford University Press.

    Google Scholar 

  • Silenzio, V. M. B., Duberstein, P. R., Tang, W., Lu, N., Tu, X., & Homan, C. M. (2009). Connecting the invisible dots: Reaching lesbian, gay, and bisexual adolescents and young adults at risk for suicide through online social networks. Social Science and Medicine, 69, 469–474.

    Article  PubMed  Google Scholar 

  • Silenzio, V. M. B., Pena, J. B., Duberstein, P. R., Cerel, J., & Knox, K. L. (2007). Sexual orientation and risk factors for suicidal ideation and suicide attempts among adolescents and young adults. American Journal of Public Health, 97, 2017–2019.

    Article  PubMed  Google Scholar 

  • Stack, S., & Wasserman, I. (2005). Race and method of suicide: Culture and opportunity. Archives of Suicide Research, 9, 57–68.

    Article  PubMed  Google Scholar 

  • Suicide Prevention Resource Center. (2008). Suicide risk and prevention for lesbian, gay, bisexual, and transgender youth. Newton, MA: Retrieved from http://www.sprc.org/library/SPRC_LGBT_Youth.pdf.

  • Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Pearson Education.

    Google Scholar 

  • Tikkanen, R., & Ross, M. W. (2003). Technological tearoom trade: Characteristics of Swedish men visiting gay internet chat rooms. AIDS Education and Prevention, 15, 122–132.

    Article  PubMed  Google Scholar 

  • van Heeringen, C., & Vincke, J. (2000). Suicidal acts and ideation in homosexual and bisexual young people: A study of prevalence and risk factors. Social Psychiatry and Psychiatric Epidemiology, 35, 494–499.

    Article  PubMed  Google Scholar 

  • Vogel, D. L., & Wei, M. (2005). Adult attachment and help-seeking intent: The mediating roles of psychological distress and perceived social support. Journal of Counseling Psychology, 52, 347–357.

    Article  Google Scholar 

  • Wichstrøm, L., & Hegna, K. (2003). Sexual orientation and suicide attempt: A longitudinal study of the general Norwegian adolescent population. Journal of Abnormal Psychology, 112, 144–151.

    Article  PubMed  Google Scholar 

  • Williams, T., Connolly, J., Pepler, D., & Craig, W. (2005). Peer victimization, social support, and psychosocial adjustment of sexual minority adolescents. Journal of Youth and Adolescence, 34, 471–482.

    Article  Google Scholar 

  • Wilson, C. J., & Deane, F. P. (2001). Adolescent opinions about reducing help-seeking barriers and increasing appropriate help engagement. Journal of Educational & Psychological Consultation, 12, 345–364.

    Article  Google Scholar 

  • Wingate, L. R., Joiner, T. E., Jr, Walker, R. L., Rudd, M. D., & Jobes, D. A. (2004). Empirically informed approaches to topics in suicide risk assessment. Behavioral Sciences and the Law, 22, 651–665.

    Article  PubMed  Google Scholar 

  • Zhao, Y., Montoro, R., Igartua, K., & Thombs, B. D. (2010). Suicidal ideation and attempt among adolescents reporting “unsure” sexual identity or heterosexual identity plus same-sex attraction or behavior: Forgotten groups? Journal of the American Academy of Child and Adolescent Psychiatry, 49, 104–113.

    PubMed  Google Scholar 

  • Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52, 30–41.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Keith M. Harris.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Harris, K.M. Sexuality and Suicidality: Matched-Pairs Analyses Reveal Unique Characteristics in Non-Heterosexual Suicidal Behaviors. Arch Sex Behav 42, 729–737 (2013). https://doi.org/10.1007/s10508-013-0112-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10508-013-0112-2

Keywords

Navigation