Skip to main content

Advertisement

Log in

Pathways to Suicide in Lesbian and Gay Populations in Australia: A Life Chart Analysis

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

Abstract

Given the continued paucity of research into suicide in lesbian and gay (LG) people, there is a need to investigate the characteristics of those LG suicides that are able to be identified. The aim of this article was to analyze pathways to suicide in lesbian and gay individuals by way of life charts. Data were gathered through of 24 psychological autopsy interviews with next-of-kin of an LG person who had died by suicide. The female (n = 5) and male (n = 19) cases in this study clustered into younger and older suicides. The defining feature of the younger suicides was lack of acceptance by family and, to a lesser extent, self, and that of the older suicides was romantic relationship conflict, although this was also common in younger suicides. There appears to have been, furthermore, an accumulation of risk factors, particularly in the period prior to death where these specific risk factors combined with other life stressors, such as work problems. Initiatives to reduce stigma around diversity in sexuality and to support families and young people through the “coming out” process as well as services designed to assist those experiencing problems in same-sex relationships, in particular, would appear to be the most relevant within the trajectories presented.

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

Access this article

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

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

Notes

  1. The PA consisted of the following sections: demographic questions, sexuality and gender profile, history of suicide attempts and exposure to suicidal behaviors in others, an aggressive behavior inventory, history of physical and mental health problems, details of bullying and victimization experienced, Paykel Interview for Recent Life Events (Paykel, 1997), Internalized Shame Scale (Cook, 1988), internalized homo/transphobia scale (Szymanski & Chung, 2001), the Australian Personality Inventory (Murray et al., 2009), the Bille-Brahe Social Support Scale (Bille-Brahe & Jensen, 2004), details of hobbies and friendships, and the Mini International Psychiatric Interview (MINI) (Sheehan et al., 1998). Suicide has been found to be multifaceted phenomenon (e.g., De Leo et al., 2013), and hence the importance in a PA of exploring an array of possible predictive factors, including physical and mental health, personality factors, and social support, as well as life events.

References

  • Australian Bureau of Statistics. (2010). Survey of mental health and wellbeing 2007. Canberra, Australia: Author.

    Google Scholar 

  • Baams, L., Bos, H. M., & Jonas, K. J. (2014). How a romantic relationship can protect same-sex attracted youth and young adults from the impact of expected rejection. Journal of Adolescence, 37, 1293–1302.

    Article  PubMed  Google Scholar 

  • Bille-Brahe, U., & Jensen, B. (2004). The importance of social support. In D. De Leo, U. Bille-Brahe, A. Kerkhof, & A. Schmidtke (Eds.), Suicidal behaviour: Theories and research findings (pp. 197–208). Cambridge, MA: Hogrefe and Huber.

    Google Scholar 

  • British Columbia Child Death Review Unit. (2008). “Looking for something to look forward to…”: A five-year retrospective review of child and youth suicide in B.C. Vancouver, BC: Author.

    Google Scholar 

  • Chang, S.-S., Stuckler, D., Yip, P., & Gunnell, D. (2013). Impact of 2008 global economic crisis on suicide: Time trend study in 54 countries. British Medical Journal, 347, f5239.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cook, D. R. (1988). Measuring shame: The Internalized Shame Scale. Alcoholism Treatment Quarterly, 4, 197–215.

    Article  Google Scholar 

  • De Leo, D., Draper, B. M., Snowdon, J., & Kõlves, K. (2013). Suicides in older adults: A case–control psychological autopsy study in Australia. Journal of Psychiatric Research, 47, 980–988.

    Article  PubMed  Google Scholar 

  • De Leo, D., Dudley, M. J., Aebersold, C. J., Mendoza, J. A., Barnes, M. A., Harrison, J. E., & Ranson, D. L. (2010). Achieving standardised reporting of suicide in Australia: Rationale and program for change. Medical Journal of Australia, 192, 452–456.

    PubMed  Google Scholar 

  • Fortune, S., Stewart, A., Yadav, V., & Hawton, K. (2007). Suicide in adolescents: Using life charts to understand the suicidal process. Journal of Affective Disorders, 100, 199–210.

    Article  PubMed  Google Scholar 

  • Foster, T. (2011). Adverse life events proximal to adult suicide: A synthesis of findings from psychological autopsy studies. Archives of Suicide Research, 15, 1–15.

    Article  PubMed  Google Scholar 

  • Frisch, M., & Simonsen, J. (2013). Marriage, cohabitation and mortality in Denmark: National cohort study of 6.5 million persons followed for up to three decades (1982–2011). International Journal of Epidemiology, 42, 559–578.

    Article  PubMed  Google Scholar 

  • Hawton, K., & Fagg, J. (1988). Suicide and other causes of death, following attempted suicide. British Journal of Psychiatry, 152, 359–366.

    Article  PubMed  Google Scholar 

  • Hillier, L., Jones, T., Monagle, M., Overton, N., Gahan, L., Blackman, J., & Mitchell, A. (2010). Writing Themselves in 3: The Third National Report on the Sexual Health and Wellbeing of Same Sex Attracted and Gender Questioning Young People. Melbourne, Australia: Australian Research Centre in Sex, Health and Society, La Trobe University.

    Google Scholar 

  • Hjelmeland, H., Dieserud, G., Dyregrov, K., Knizek, B. L., & Leenaars, A. A. (2012). Psychological autopsy studies as diagnostic tools: Are they methodologically flawed? Death Studies, 36, 605–626.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ide, N., Wyder, M., Kõlves, K., & De Leo, D. (2010). Separation as an important risk factor for suicide: A systematic review. Journal of Family Issues, 31, 1689–1716.

    Article  Google Scholar 

  • Mathy, R. M., Cochran, S. D., Olsen, J., & Mays, V. M. (2011). The association between relationship markers of sexual orientation and suicide: Denmark, 1990–2001. Social Psychiatry and Psychiatric Epidemiology, 46, 111–117.

    Article  PubMed  Google Scholar 

  • McDaniel, J. S., Purcell, D., & D’Augelli, A. R. (2011). The relationship between sexual orientation and risk for suicide: Research findings and future directions for research and prevention. Suicide and Life-Threatening Behavior, 31, 84–105.

    Article  Google Scholar 

  • McDermott, E., Roen, K., & Piela, A. (2013). Hard-to-reach youth online: Methodological advances in self-harm research. Sexuality Research and Social Policy, 10, 125–134.

    Article  Google Scholar 

  • Murray, G., Judd, F., Jackson, H., Fraser, C., Komiti, A., Pattison, P., & Robins, G. (2009). Personality for free: Psychometric properties of a public domain Australian measure of the five-factor model. Australian Journal of Psychology, 61, 167–174.

    Article  Google Scholar 

  • Nicholas, J., & Howard, J. (1998). Better dead than gay? Depression, suicide ideation and attempt among a sample of gay and straight-identified males aged 18 to 24. Youth Studies Australia, 17, 28–33.

    Google Scholar 

  • Paykel, E. (1997). The Interview for Recent Life Events. Psychological Medicine, 27, 301–310.

    Article  PubMed  Google Scholar 

  • Plöderl, M., & Fartacek, R. (2005). Suicidality and associated risk factors among lesbian, gay, and bisexual compared to heterosexual Austrian adults. Suicide and Life-Threatening Behavior, 35, 661–670.

    Article  PubMed  Google Scholar 

  • Plöderl, M., Sellmeier, M., Fartacek, C., Pichler, E.-M., Fartacek, R., & Kralovec, K. (2014). Explaining the suicide risk of sexual minority individuals by contrasting the minority stress model with suicide models. Archives of Sexual Behavior, 43, 1559–1570.

    Article  PubMed  Google Scholar 

  • Plöderl, M., Wagenmakers, E.-J., Tremblay, P., Ramsay, R., Kralovec, K., Fartacek, C., & Fartacek, R. (2013). Suicide risk and sexual orientation: A critical review. Archives of Sexual Behavior, 42, 715–727.

    Article  PubMed  Google Scholar 

  • Pouliot, L., & De Leo, D. (2006). Critical issues in psychological autopsy studies. Suicide and Life-Threatening Behavior, 36, 491–510.

    Article  PubMed  Google Scholar 

  • Qin, P., Agerbo, E., & Mortensen, P. B. (2003). Suicide risk in relation to socioeconomic, demographic, psychiatric, and familial factors: A national register-based study of all suicides in Denmark, 1981–1997. American Journal of Psychiatry, 160, 765–772.

    Article  PubMed  Google Scholar 

  • Renaud, J., Berlim, M. T., Begolli, M., McGirr, A., & Turecki, G. (2010). Sexual orientation and gender identity in youth suicide victims: An exploratory study. Canadian Journal of Psychiatry, 55, 29–34.

    Article  PubMed  Google Scholar 

  • Rich, C. L., Fowler, R. C., Young, D., & Blenkush, M. (1986). San Diego Suicide Study: Comparison of gay to straight males. Suicide and Life-Threatening Behavior, 16, 448–457.

    Article  PubMed  Google Scholar 

  • Rogers, G. (2005). Feeling queer: Can a primary health care approach mitigate health inequity experienced by homosexually active men? Unpublished doctoral dissertation, University of Adelaide, Adelaide, Australia. Retrieved from http://hdl.handle.net/2440/37819

  • Séguin, M., Lesage, A., Turecki, G., Bouchard, M., Chawky, N., Tremblay, N., … Guy, A. (2007). Life trajectories and burden of adversity: Mapping the developmental profiles of suicide mortality. Psychological Medicine, 37, 1575–1583.

    Article  PubMed  Google Scholar 

  • Shaffer, D., Fisher, P., Hicks, R. H., Parides, M., & Gould, M. (1995). Sexual orientation in adolescents who commit suicide. Suicide and Life-Threatening Behavior, 25, 64–71.

    PubMed  Google Scholar 

  • Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., … Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (MINI): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59, 22–33.

    PubMed  Google Scholar 

  • Skerrett, D. M., Kõlves, K., & De Leo, D. (2014). Suicides among LGBT populations in Australia: An analysis of the Queensland Suicide Register Asia Pacific. Psychiatry, 6, 440–446.

    Google Scholar 

  • Skerrett, D. M., Kõlves, K., & De Leo, D. (2015). Are LGBT populations at a higher risk for suicidal behaviors in Australia? Research findings and implications. Journal of Homosexuality, 62, 883–901.

    Article  PubMed  Google Scholar 

  • Szymanski, D. M., & Chung, Y. B. (2001). The Lesbian Internalized Homophobia Scale: A rational/theoretical approach. Journal of Homosexuality, 41, 37–52.

    Article  PubMed  Google Scholar 

  • Wang, J., Plöderl, M., Häusermann, M., & Weiss, M. G. (2015). Understanding suicide attempts among gay men from their self-perceived causes. Journal of Nervous and Mental Disease, 203, 499–506.

    Article  PubMed  Google Scholar 

  • Webb, R. T., Kontopantelis, E., Doran, T., Qin, P., Creed, F., & Kapur, N. (2012). Suicide risk in primary care patients with major physical diseases: A case–control study. Archives of General Psychiatry, 69, 256–264.

    Article  PubMed  Google Scholar 

  • WHO. (2014). Preventing suicide: A global imperative. Geneva: Author.

    Google Scholar 

Download references

Acknowledgments

The authors would like to thank the individuals who took part in this research for giving up their time and for sharing the stories about their loved ones.

Funding

This research was funded by beyondblue (Project Code CB: 6723).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Delaney M. Skerrett.

Ethics declarations

Ethical Standards

The protocol for this research project was approved by the Griffith University Human Research Ethics Committee (CSR/01/13/HREC).

Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Skerrett, D.M., Kõlves, K. & De Leo, D. Pathways to Suicide in Lesbian and Gay Populations in Australia: A Life Chart Analysis. Arch Sex Behav 46, 1481–1489 (2017). https://doi.org/10.1007/s10508-016-0827-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10508-016-0827-y

Keywords

Navigation