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GB Male Suicidality at a Glance! Results of 30 studies in four tables.

 "Attempted Suicide" Results For Homosexually Oriented Males & Females: More Than 140 Studies!
At Another Website (Includes Transgender Study Results)

InfoSource: Gay & Bisexual
Male Suicide Problems
(Part 5 of 6: Dissertation Abstracts)
Internet Links: GB Male Suicide Problems
BIBLIOGRAPHY: Papers, Theses, Articles, Books.
ABSTRACTS / HIGHLIGHTS: Papers, Articles,  Books
ABSTRACTS: Ph.D. & Master's Theses
Graphics by Websight West: Acknowledgments and Information Limitations
See: More Than 250 Full Text Papers and Documents Related to GLBT Suicidality.

Two Studies Are Re-Analysed by Plöderl et al., (2013) In The Published Study: "Suicide Risk and Sexual Orientation: A Critical Review."
Conclusion: Sexual Minority Adolescents Are At Greater Risk for Dying by Suicide. The Expanded Analysis Related to This Study is Available!

ABSTRACTS: Ph.D. & Master's Theses

Asher IJ (1997).What are the perceptions of five gay and lesbian youth as to the factors that caused them to attempt to commit suicide? ED.D. Thesis. DAI, Vol. 58-03A, p. 748, 181 pages.

Abstract by author: There has recently been great concern in the United States about reports of increased suicide amongst the young. This concern is based upon the rate of suicides in 15- to 19-year olds which has tripled from 3.6 per 100,000 people in 1960 to 11.3 per 100,000 in 1988, whereas the rates of suicide have increased only slightly in the total population (Garland & Zigler, 1993, pp. 169-182). A study using a large, nationally representative sample found that 31% of 8th graders and 36% of 10th graders reported having thought at some point in their lives about committing suicide, while 13% of 8th graders and 15% of 10th graders reported having attempted suicide (Windle, et al., 1992, pp. 317-330). According to Holinger, 1979 (pp. 1144-1147), suicide is the third leading cause of death among adolescents in the United States, being exceeded only by accidents and homicide. While there is a substantial body of literature uses quantitative methodology to address the particular challenges and stressors facing adolescents in general, few articles address the effects of one's homosexuality on adolescent suicide.

Gay and lesbian youth belong to two groups at high risk of suicide: youth and homosexuals. A majority of suicide attempts by homosexuals occur during their youth, and gay youth are two to three times more likely to attempt suicide than any other adolescents. They may comprise up to 30% of completed youth suicides annually (Report of the Secretary's Task Force on Youth Suicide, 1989). As important as these quantitative studies are, the research for this dissertation will employ a qualitative approach to further understand the experiences of six gay men and lesbians in their twenties who as adolescents made a serious attempt on their own lives. This research will attempt to address the paucity of ethnographic studies related to this topic. Thus, the purpose in selecting these six cases is to extend our intellectual and emotional understanding of the phenomena for the high rate of suicide among gay and lesbian adolescents in America in the late 1980s and early 1990s.

Research questions include (1) commonalities in suicidal behavior among gay and lesbian adolescents; (2) what is going on here; (3) how do these six young people make sense of their world and their experience; (4) how can high schools help these young people through their stressful journey. This sampling is not meant to achieve population validity or to represent accurately this defined population. The intent is to achieve an in-depth understanding of selected individuals. However, in selecting these six cases, it is expected that the analysis of their histories will yield data from which a broadly applicable theory can be constructed.

Publication No.  9725675

Brady SM (1983).The relationship between differences in stages of homosexual identity formation and background characteristics, psychological well-being and homosexual adjustment. PH.D. Thesis, University of California, Santa barbara, DAI Vol. 45-10B, p. 3328, 196 pages.

Abstract by author: The purpose of this study was twofold: (a) to examine the relationship between subject stage of homosexual identity formation and background characteristics, psychological well-being and homosexual adjustment; and (b) to assess the validity of the Homosexual Identity Formation (HIF) Model proposed by Cass (1979).

The subjects who participated in this study were 225 males who reported having homosexual thoughts or feelings or had engaged in homosexual behavior. All subjects completed a paper and pencil measure developed and validated by the researcher, the Homosexual Identity Questionnaire (HIQ), and the Background Qestionnaire. The HIQ was used to identify subjects in discrete stages of HIF, while the Background Questionnaire was used to provide information about the demographic, psychographic and homosexual adjustment of subjects.

On the basis of the 225 subjects' responses to the instruments, 196 individuals were included in tests of the hypotheses examining the relationship between the following subject stages of HIF and their responses to the Background Questionnaire: (a) stage three (tolerance); (b) stage four (acceptance); (c) stage five (pride); and (d) stage six (synthesis). Subjects identified in stage one (confusion) and stage two (comparison) were excluded from tests of the hypotheses because they were not identified in sufficient numbers in either stage to employ the statistical procedures used in this study.

The results of the present study indicated an overall significant relationship between subject stage of HIF and psychological well-being, as well as homosexual adjustment. The only background characteristic which was significantly related to HIF stage was occupation. More specifically, subjects identified in stage four were more likely to describe themselves as professionals and subjects belonging to stage three were more likely to be students, compared to subjects in other stages of HIF. In terms of psychological well-being, post-hoc comparisons between stages revealed subjects identified in stage three (tolerance) reported having significantly less psychological well-being compared to their counterparts in stages four, five and six who were not significantly different from one another on this variable.

Psychological well-being was assessed on the basis of subject response to eight items measuring happiness, loneliness, worry, sexual satisfaction, mental health, physical health, being nice and having suicidal thoughts.....

Publication No.  8425800

Cano KM (1997) Surviving streets, substance abuse, and sex. M.S.W. Thesis, California State University, MAI Vol. 36-01, p. 83, 58 pages.

Abstract by author: This exploratory study explored the characteristics and support needs of homeless, runaway youth, and young adults who were gay, lesbian, bisexual, or transgendered. The youth responded to questions regarding: physical health, medical and dental care, HIV testing, support services utilized, career goals, alcohol and substance abuse, depression, suicide ideation, sexual orientation, living situation, and if there were contact with parents or family members. In addition, they were asked if the Department of Children and Family Services would be a service they would use to obtain assistance.

For these homeless and runaway youth and young adults, the risk factors were depression, substance abuse, problem solving, living situations, and suicide ideation. The youth were in conflict with their own individual identification which caused them to feel isolated, lonely, and depressed. The social services which were provided to the youth and young adults were not regularly used for reasons not disclosed.

Publication No.  1386323

Carter BA (1994). The development of an empirically validated model curriculum on suicidology. PH.D. Thesis, Pacific Graduate School of Psychology, DAI, Vol. 56-04B, p. 2317, 283 pages.

Abstract by author: This study represents the pilot testing of a new instrument designed to measure mental health professionals' suicide related knowledge as part of the larger goal of developing a possible model curriculum as a training tool in the field of suicidology. There was a 71.62% response rate, providing 51 valid questionnaires. Reliability analysis yielded an overall alpha of.5221. Inter-item correlations were also acceptable (see Appendix B). However, item-to-total correlations were rather low with several questions showing negative correlations with the total score, raising doubts regarding the overall reliability and validity of the instrument.

Questionnaire items were designed to reflect the different content areas of suicidology contained within the proposed suicide curriculum. In order to achieve this goal, a minimum of one item was chosen to represent each of the different content areas as outlined in the curriculum (epidemiology, demographics, assessment, risk factors, predictors, treatment, management, special risk groups, special populations, legal/ethical issues, research, consultation, risk management, and postvention).

These findings indicate that the informational areas most in need of strengthening would include: (a) the ubiquity of encountering suicidal patients in clinical practice (Q1); (b) suicide trends in ethnic minority groups (Q13); (c) suicide trends in gay and lesbian populations (26); (d) suicide risk factors in schizophrenic populations (Q17); (e) empirical findings regarding the use of no-suicide contracts (Q21); (f) postvention care of suicide survivors (Q18); and (g) understanding/identifying suicidal intent and communications (Q10 & 11).

No known empirical data exists that addresses the question of what clinicians should know about suicidality, furthermore there is little information regarding what kinds of skills clinicians should possess in order to handle suicidal patients. As such, the current study represents an initial attempt to measure what the clinicians already know about suicidology, and what areas of knowledge are weak. Given the empirical data that suggested suicide training helps to reduce therapist's fear and anxiety in dealing with suicidal patients (Kleespies, 1993; Kleespies, Penk, & Forsyth, 1993; Mahrer, 1993), this would appear to be a fertile area for future research.

In addition to the suicide related information collected, a descriptive profile of the mental health professionals was developed through the collection of demographic data from the respondents of the questionnaire. Should this study be refined and tested on larger samples, the descriptive data collected should provide for comparisons across a variety of categories both within and between the different mental health professions.

Publication No.  9528201

Debord KA (1995). The relevance of sexual orientation to substance abuse and psychological distress among college students. PH.D. Thesis, University of Missouri - Columbia, DA Vol. 57-09B, p. 5913, 106 pages.

Abstract by author: The current study was unique in its comparison of heterosexual and gay, lesbian, and bisexual (GLB) substance use patterns across the four years following college entry.

Overall, GLB students were found to be more alcohol involved than heterosexual students. No differences in drug involvement, psychological distress, and suicidal ideation or attempts were found between GLBs and heterosexuals.

Evidence suggested that year-two psychological distress differentially predicted year-two and year-three alcohol dependence for GLBs and heterosexuals, with stronger distress-dependence relations being evinced for GLBs.

Finally, the process of self-identifying as GLB was not found to have developmental properties in the current study. The largest number of GLB participants self-identified as GLB in the last year of the study.

Publication No.  9705580

Dohaney KE (1995). Hopelessness, coming out, and suicide ideation and attempts among gay and lesbian youth. M.S. Thesis, University of Nevada, MAI, Vol. 34-01, p. 0415, 106 pages.

Abstract by author: This preliminary study sought to add to information on the coming out experience, suicide ideation and attempts among gay and lesbian youth. Using an ecological systems framework, the study examined level of hopelessness before, during, and after the coming out process; hopelessness at the present time; level of disclosure of homosexual orientation; hostility/rejection encountered with coming out; and the prevalence of suicide ideation, attempts, and the likelihood of future attempts.

The questionnaire, completed by 20 subjects, included Beck's Hopelessness Scale. Chi square analysis suggested that homosexual adolescents experience greatest hopelessness before and during coming out. No subjects reported a low level of disclosure, and over half reported no hostile / rejecting reactions from others. Suicide ideation (n = 10) and attempts (n = 5) were reported during all phases of the coming out process. The possibility of future suicide attempts was reported by four of the five participants who had made previous attempts.

Publication No.  1375528

Fenaughty, John J (2000).Life on the seesaw: an assessment of suicide risk and resiliency for bisexual and gay male youth in Aotearoa / New Zealand. Master's Thesis, Department of Psychology, University of Auckland, New Zealand.

Abstract: While considerable research has highlighted the factors that increase lesbian, bisexual and gay (L/B/G) youth suicide risk, there has been much less emphasis on resiliency factors.  Using the existing literature and grounded theory methodology, the interaction between suicide risk and resiliency was explored in interviews with eight young gay men in Aotearoa/New Zealand. Common risk and resiliency themes emerged.  Factors that appeared to increase risk included heterosexist victimisation, rejection, social isolation, internalised homophobia, social withdrawal, depression, HIV-anxiety, and substance abuse.  Resiliency factors appeared to include positive societal acceptance, support groups, positive L/B/G media representations, social support, high self-esteem, and the availability of L/B/G role models.  These risk and resiliency factors were integrated to form the Seesaw Model of Bisexual and Gay Male Suicide.  Depending on the weight of the respective risk and resiliency factors, gay and bisexual male youth might either come-out ‘resilient’, suicide, or teeter somewhere in between.

To assess the validity of the Seesaw model, 111 non-exclusively heterosexual male identified participants aged between 16 and 26 completed a questionnaire assessing these risk and resiliency factors.  Participants were classified into two dichotomous pairs: attempters and non-attempters, and participants who had serious thoughts of suicide/made suicide plans and those who had not.  The quantitative findings verified most factors in the original Seesaw Model, and further indicated other significant risk and resiliency factors.  An early age at disclosure of one’s non-exclusive heterosexuality, and a younger age at first consensual same gender sexual activity were found to be associated with increased suicide ideation.  Victimisation at home, as well as school was also associated with increased suicidality, while accurate sexuality information was found to be significant factor for suicide resiliency.

The current findings indicate that L/B/G youth suicide prevention requires efforts to reduce risk and increase resiliency factors.

The abstract was made available by the author in June, 2001.

Gilmore TC (1996). Stress, coping and adjustment among gay, lesbian, and bisexual youth. Ph.D. Thesis, George Mason University, DAI Vol. 57:04B, p. 2865, 161 pages.

Abstract by author: This study examined mental health and substance use among 105 gay, lesbian, and bisexual youth (ages 14-21). Participants were recruited through social and support groups in three mid-Atlantic cities. Stress and coping theory was applied in an attempt to understand the relationships among gay-related stress, general stress, coping style, social support, comfort with sexual orientation, depression, substance use, anxiety, and self-esteem in this population. Gay-related stress (including coming out events, indirect hostility toward gays and lesbians in the environment, and direct verbal and physical abuse) was shown to be a significant correlate of anxiety and depression. Overall, younger age, general stress, gay-related stress, comfort with sexual orientation, and social support were all strong predictors of depression among the participants. Only general stress and social support predicted substance use.

Publication No.9625607

Ginsberg RW (1996). In the triangle/out of the circle: gay/lesbian students' school experience. ED.D., Thesis, DAI, Vol. 58-01A, p. 72, 163 pages.

Abstract by author: This dissertation research was a study of the school experience of students in gay/lesbian support groups in two high schools located in a mid-sized southwestern city. A qualitative methodology incorporated the tools of ethnography and naturalistic inquiry to guide the observations and interviews of students both in and out of the "closet" who participated in these support groups. Analysis of the data yielded the need for the public teaching institutions to provide opportunities for gay/lesbian students to explore questions related to their shared sexual identity. The stories delivered in the students' own voices provided a basis for understanding gay/lesbian students in the context of their school experience.

Their previously unheard voices contribute another dimension to the educational discourse and incorporates a deeper understanding of and appreciation for the similarities and differences that characterize today's adolescent population in schools. The study found that the homosexual adolescents in the study population spent a major portion of their school lives feeling isolated, fearful, and confused, forced to confront their emerging sexuality in settings that range, as they understood it, from ignorance of their existence, on the one hand, to open hostility, on the other.

The study also found that these gay/lesbian adolescents exhibited considerable ambivalence about their sexual identity and, that apart from this one aspect of their lives, they appear to be much like their heterosexual peers, even with respect to their attitudes toward homosexuality and in the extent and nature of their sexual activity. Nevertheless, this singular difference likely is the core reason behind a gay/lesbian adolescent rate of suicide that is almost three times that of the adolescent population at large. Responding to this national problem, a few schools have established on campus support groups wherein trained counselors facilitate discussion among students who may be questioning their sexuality or simply are curious about the topic.

This study, based on the activities of two such support groups, found the adolescents hoped for the continuance of these groups; they considered the groups to be of vital importance to them at this point in their life. A review of the existing literature revealed that although much has been written about the subject of gays/lesbians, a dearth of literature exists. Also, much of that literature has been generated outside of the academy and includes fiction and "new media" forms of which many educators are unaware. Thus, the study includes an appraisal of the breath of pertinent literature and a list of references that may aid future researchers.

Recommendations as to the kinds of future research that could further illuminate the subject, and recommendations regarding curricula, teacher education, and the implementation of gay/lesbian support groups also comprise an important part of the conclusions.

Publication No.  9719534

Goldblum PB (1985). Psychosocial factors associated with the risk of attempted suicide by homosexual men. PH.D. Thesis, Pacific Graduate School of Psychology, DAI, Vol. 45-12B, p. 3939, 140 pages.

Abstract by author: The purpose of this study was to determine what psychological and social factors, either separately or in combination, differentiate homosexual men who have attempted suicide from those who have not. It is one of the first studies to specifically investigate suicide behavior in the homosexual population.

Twenty Caucasian homosexual men who had attempted suicide were compared with 163 Caucasian homosexual men who had never attempted suicide. Of the 20 subjects who had attempted suicide, 15 had attempted within one year of the study and the other five had attempted suicide within three years. A statistical procedure developed by Motto and Heilbron (1976) was adapted for this study which used a screening procedure to determine which of 49 variables discriminate suicide attempters from nonattempters. Two logistic regression models were constructed to determine the discriminative power attained by combining groups of variables.  A second goal of this analysis was to determine which variables in the models have the most explanatory power which is not shared by other variables. Specific hypotheses related to attempting suicide by homosexual men were tested for three of the 49 variables.

The first hypothesis, that homosexual men who have made a suicide attempt would participate less extensively in the gay community than homosexual men who have not, was not confirmed. In fact, the homosexual men in this study who had attempted suicide actually participated more extensively in the gay community than the nonattempters.

The second hypothesis, that homosexual men who had attempted suicide would be more concerned about their homosexuality, was confirmed.

The third hypothesis, that homosexual men who had attempted suicide would be less likely to disclose their homosexuality to heterosexuals, was not confirmed.

No difference was found between the two groups in terms of the level of disclosure to heterosexuals.

A logistic regression model consisting of eleven variables identified in the screening procedure was able to discriminate between the suicide attempters and nonattempters more effectively than any single variable; however, the depression scale was the only variable with unique power to discriminate. When a second logistic regression model was constructed and depression was omitted, homosexual concerns alone provided unique variance to a ten variable logistic model.

Publication No.  8502627

Halpert, Stephen  C. (1999).  Suicidal behavior among gay male youth:  Fact or fiction? Ph.D. Thesis, Wright State
University, Dayton, Ohio. Abstract supplied by author on August 21, 2001. A paper related to this study is in press, Journal of Gay and Lesbian Psychotherapy.

Abstract by author: Suicide has been purported to be a major problem among gays and lesbians in general, and rates of suicidal behavior (suicide atempts and ideation) are said to be even higher among adolescent samples. While most studies have consistently found rates of suicide atempts among gay and lesbian adolescent opulations to be two to three times higher than their heterosexual peers, these findings have not been supported by all studies, particularly those which have relied upon psychological autopsies.  In a  comprehensive review of the literature, over 100 sources are examined to determine:  (a) whether suicidal behaviors are greater among gay male youth than among heterosexuals, (b) if, in fact, homosexuality is nonpathological, can the higher rates of purported suicide be explained if supported by the literature, and (c) can findings contradicting the higher rates of suicidal behavior among gay male youth be explained?  Seven broad areas of risk factors are reported including general discrimination/stigma, societal, identity conflicts, family difficulties, mental health problems, and an overall negative outlook on the future.  In addition to reviewing the studies both supporting and refuting higher rates of suicidal behavior among gay male youth, a discussion of common methodological problems is presented including difficulties in sampling definitions, measures, and methodology.  It is hypothesized that the higher rates of suicidal behavior among gay male youth are not due to a homosexual orientation per se, but to the societal hatred and prejudice inflicted upon gay youth.

Hecht JB (1998). Suicidality and psychological adjustment in a community sample of lesbian, gay, and bisexual youth. PH.D. Thesis, Boston University, DAI, Vol. 58-07B, p. 3924, 66 pages.

Abstract by author: Recent research suggests that gay, lesbian, bisexual, and transgendered youth are much more likely to be suicidal than their heterosexual peers. Past research has linked suicidality in this population to general psychopathology and to factors related to homo- or bi- sexuality. This study investigated the relationship between psychological risk factors and suicidality in a sample of support groups for gay, lesbian, bisexual, and transgendered youth.

Seventy-four participants, 52 males and 22 females, were recruited from a large Northeastern community. Participants completed the Beck Depression Inventory, the Youth SelfReport, the Beck Scale for Suicide Ideation, and two instruments designed to assess developmental experiences of homo- and bi-sexual youths. The data were analyzed using bivariate correlations.

The data showed that the experience of physical assault related to sexual orientation, distress with sexual orientation, depression, and psychopathological symptomatology were positively related to suicidality in male participants. The total number of disclosures of sexual orientation and a supportive family reaction were negatively correlated with suicidality for male participants. Scores for depression and psychopathological symptomatology were positively correlated with suicidality for female subjects.

Nineteen of 74 participants [25.7%] reported prior suicide attempts, a level consistent with previous studies of this population. Only one of the participants indicated current suicidality. Males and females showed roughly equivalent rates of suicidality.

The results of this study did not support research linking age of awareness of same-sex attraction and gender non-conformity with suicidality.

Additional findings suggest that gay and lesbian youth engage in defensive and compensatory behavior to cope with a heterosexual world. Although a majority of participants reported fearing negative consequences from disclosure of sexual orientation, including verbal harassment, physical assault, school problems, and family and peer rejection, only a minority reported actually having these experiences.

Most participants reported that disclosing their sexual orientation and joining a support group contributed to an increased sense of integrity, feelings of relief, more honest friendships and relationships, and increased self-esteem.

These findings support the hypotheses of some researchers that providing support such as safe opportunities for disclosure of sexual orientation and social support may help reduce suicidality in this population.

Publication No.  9738659

Hendricks ML (1993). The occurrence of suicidal ideation over the course of HIV infection in gay men: a cross-sectional study. PH.D. Thesis,The American University, DAI, Vol. 55-03B, p. 1184, 102 pages.

Abstract by author: Previous research has demonstrated an elevation in emotional distress and suicidality in persons infected with HIV. However, no study had previously reported having systematically analyzed the modulation of suicidal ideation or the qualitative changes associated with ideation which likely occur with the progression of HIV illness. This study utilized a controlled, cross- sectional model and self-report questionnaire instruments to assess the level of suicidal ideation and factors related to ideation, as well as depression, hopelessness, social support, and disease-related health factors in gay men at different points of HIV illness progression. As expected, the seropositive group evidenced significantly greater levels of suicidal ideation, depression, and hopelessness than the seronegative controls.

Among the disease-related factors, only time since diagnosis of seropositivity predicted level of suicidal ideation: ideation increased linearly with the passage of time, suggesting that suicidality is mediated by psychological processes. A discriminant analysis revealed that time since diagnosis correctly distinguished ideators from nonideators only 61.2% of the time. This function lacks the accuracy necessary to be useful as a diagnostic tool, but suggests the importance of assessing this factor.

Seropositive ideators who had survived HIV for more than five years, compared to those who had been diagnosed within two years, reported a higher incidence of persons in their environment who would lend at least emotional support for committing suicide, and among reasons for not committing suicide rated fear of social disapproval and moral objections as less important. These two groups were not significantly different on other measures, suggesting that the long-term survivors had sought out support for their suicidal intentions and disposed of reasons which might prevent them from enacting them.

Finally, significant interactions were found between time since diagnosis and presence or absence of suicidal ideation on the factors of support network size, helpers for suicide, and fear of suicide and moral objections as suicide deterrents. These results suggest that long-term HIV survivors develop support networks that are more similar in size but different in composition than those newly diagnosed, and that they tend to dispose of reasons that would prevent them from acting on suicidal thoughts.

Publication No.  9420765

Horton LC (1995). Coming out reactions in the family system to the gay or lesbian sexual orientation of an adolescent family member. M.S. Thesis, Texas Women's University, MAI Vol. 34-03, p. 1302, 111 pages.

Abstract by author: While researchers have studied various aspects of the gay and lesbian experience, most existing literature fails to address the experience of the families of gay and lesbian adolescents. Because of the lack of information in this area, a qualitative study was done. The writer interviewed 7 families in which a gay or lesbian member had disclosed his or her sexual orientation to the family during adolescence. General Systems Theory and Family Stress Theory were used as a framework for the study. Research questions were based upon a structured interview guide designed by the writer.

Verbatim transcripts of the audiotaped interviews were analyzed to reveal common themes between the families in the areas of (1) attitudes toward sexual orientation, (2) sources and quality of support sought by family members, and (3) relationship between mother and child. In all but two cases, only the mother and gay or lesbian child were present for the interview. As a result, only mother and child responses were analyzed.

Emerging themes indicated that the mothers and children tended to change their attitudes about gay men and lesbians from negative or neutral attitudes to positive views. Both mothers and children sought help outside the family. Quality of support varied. Notably, all 7 children sought psychotherapy. All 7 reported feelings of depression prior to the disclosure and 3, of suicidal ideation. These feelings seemed related to shame and feelings of inferiority. All families reported an improvement in the mother-child relationship following the child's disclosure.

Publication No.  1377734

Jackson KW (1997). Risk factors associated with suicide probability in HIV-positive and AIDS patients.  PH.D, Thesis, DAI, Vol. 57-12B, p. 7776, 149 pages.

Abstract by author: Since the identification of the Human Immunodeficiency Virus (HIV) and AIDS, the epidemic has received considerable attention. Medical researchers have directed their attention to finding a cure, and the social scientists inVolvement in education and prevention programs. Thus far medical researchers have focused on finding a vaccine to improve the quality of life for AIDS patients. As we now enter the second decade of the AIDS epidemic, the profession of psychology also needs to focus it's attention to the healing of the social consequences that is associated with the AIDS epidemic.

The stigma, isolation discrimination, and depression associated with AIDS persists and may contribute to the hopelessness and the suicides of many people with HIV or AIDS. Social constructions have an influence on the individuals in our society. AIDS continues to elicit a negative image and a negative attitude for a majority of people in society. Judgements are frequently made due to the pre-existing negative attitudes toward the marginalized groups of society that are at greatest risk for HIV infection and AIDS.

These marginalized groups include gay men, IV drug users, ethnic and racial minorities, and women. Membership in one or more of these groups is associated with increased stress due to experiences of prejudice, discrimination, and violence. These factors place individuals with already compromised immune systems at great risk for negative health outcomes. Violence was significantly correlated with hopelessness at p < .05 and with violence at p < .05.

Depression, suicide, and external L.O.C. were significantly correlated with hopelessness at p < .01. Depression, external L.O.C., social support were significantly correlated with suicide probability at p < .01.

Depression, suicide probability, external L.O.C. and Hopelessness were significant with social support at p < .01. Also, t-tests revealed significant differences between groups experiencing high or low social value.

Significant differences were noted for suicide probability at p < .01 and noted for hopelessness at p < .001. Significant differences between groups being treated like a person vs. a stereotype were also noted.

Significant differences at p < .01 was identified for the variable hopelessness and p < .001 was identified for the variable suicide probability.

Publication No.  9715243

Kus RJ (1980). Gay freedom: an ethnography of coming out. PH.D. Thesis, University of Montana, DAI Vol. 42-02A, p. 864, 423 pages.

Abstract by author: The purpose of this study is to show that the coming out process experienced by gay Americans is a systematic and observable life process consisting of stages having profound consequences for the gay person's identity and self-esteem.

Data consisted of thirty-one in-depth interviews conducted in Missoula, Montana and Seattle, Washington with twenty-six gay men and five lesbians, gay studies literature, and other sources such as music, poetry, cartoons.

The four stages of coming out are: identification, cognitive changes, acceptance, and action.

In Stage I, the individual recognizes gay identity. Due to many factors, this stage may be very frightening and guilt-producing; this can lead to problems such as depression, alcohol abuse, and suicidal ideation.

Stage II sees the gay person exploring the gay world and ridding self of negative preconceived notions about what gays are like. Passing as straight, which here is called "closet passing," is a common feature of this stage.

Stage III is acceptance of self in a positive light which leads to a healthy self-esteem. The hallmark of this stage is a special type of freedom from guilt, fear, hiding--a gay freedom. This freedom manifests itself in honesty, candidness, relaxation, energy release, etc.

Stage IV is action such as disclosure of gay identity, choosing new friends, working in the gay movement. An in- depth examination of "telling the family" is included to give the reader a clearer idea of the dynamic nature of the action stage of the coming out process and how it affects the gay's biographical others.

A few areas for future research in gay studies sociology are given at the end of the study.

Publication No.  8115407

Lewis GR (1988). The correlation between unsafe sexual behaviors and suicidal probability. PH.D. Thesis, United States International University, DAI Vol. 49-07B, p. 2863, 139 pages.

Abstract by author: The problem. The purpose of this study was to investigate the relationship between unsafe sexual practices, as defined by the Center of Disease Control in Atlanta, and Suicide Probability, as revealed by the Suicide Probability Scale.

Method. A correlational study was done, and 263 male homosexuals in several locations in San Diego were administered the testing packet. The packet was comprised of the Lewis Sexual Behaviors Scale and the Suicide Probability Scale.

Results. The findings indicate a majority of homosexual men (61.94%) continue to use unsafe sexual practices. A significant correlation exists between a person's sexual practices and the probability of him belonging to a group of suicide attemptors. Other findings include heterosexual sexual activity, increased hostility, negative self-evaluation, and hopelessness.

Publication No.  8819736

Marrero JA (1994). Interpersonal cognitive problem-solving skills among adolescents at high risk of suicidal behavior in New York City. PH.D. Thesis, New York University, DAI, Vol. 55-08B, p. 3594, 232 pages.

Abstract by author: Suicidal behavior among adolescents has become a national epidemic. Suicide is currently the second most common cause of death among the 15-19 age group. This study examined the role in suicidal behavior of a risk/mediating factor amenable to preventive and therapeutic interventions. More specifically, this study examined the relationship between interpersonal cognitive problem-solving skills (ICPSS) and suicidal behavior among high risk adolescents.

The sample consisted of 31 male runaways, 33 female runaways, and 47 male gay youths between the ages of 12 and 19. All participants completed depression, anxiety, and conduct problems scales, the ICPSS instrument, and a suicidal behavior questionnaire.

Suicidal behavior was negatively related to generation of alternatives among male runaways.

Among female runaways, suicidal behavior was positively related to the number of times they chose the most effective among the alternatives they generated, to a bias toward self-enhancing goals in their chosen alternative solutions, and to a bias toward appeasement goals in the rest of the alternatives they generated.

Suicidal behavior was also related to a bias toward self- enhancement goals on the chosen alternative solutions of male gays, as well as to the number of obstacles they anticipated in reaching a goal.

Except for a deficit in generation of alternatives among male runaways, suicidal behavior was not associated with previously found deficits in ICPSS. On the other hand, a bias in the type of goals suicidal adolescents seek to maximize when solving a problem emerges as a relevant variable.

Gender differences in the relationship of a number of ICPSS variables to the suicidal behavior of at risk adolescents were also found.

Treatment implications are discussed and suggestions for future research are offered.

Publication No.  9422940

Meyer IH (1993). Prejudice and pride: minority stress and mental health in gay men. PH.D. Thesis, Columbia University, DAI, Vol. 54-12B, p. 6499, 284 pages.

Abstract by author: This study describes a special type of psychosocial stress--stress derived from minority status--and explores its effects on psychological distress in gay men. The concept of minority stress is based on the premise that gay people in a heterosexist society are subjected to chronic stress related to their stigmatization, and that this stress leads to adverse mental health outcomes.

The idea that stigmatization may be stressful stems from diverse theoretical orientations, but research has not shown that members of stigmatized groups have higher rates of distress than others, leading researchers to refute minority stress conceptualizations. Taking a different methodological approach, instead of comparing rates of distress, the present investigation specified mechanisms of minority stress, and directly tested their association with mental health in a group of gay men.

Three stressors were considered: Internalized homophobia, which relates to gay men's direction of societal negative attitudes toward the self; stigma, which relates to expectations of discrimination and rejection in interactions with the world; and actual experiences of discrimination and violence.

But minority groups are not passive recipients of societal oppression--against a hostile social environment, the gay community has developed positive minority coping. It was therefore suggested that sense of cohesiveness with the gay community protects gay men from the detrimental effects of minority stress.

The mental health effects of the three minority stressors, and the buffering effect of sense of cohesiveness, were tested in a community sample of 741 New York City gay men. The results supported minority stress hypotheses: each of the stressors had a significant independent association with mental health measures (including, generalized sense of demoralization, guilt feelings, suicide ideation and behavior, AIDS-related traumatic stress response, and sex problems).

Odds ratios suggested that men who had high levels of minority stress were twice to three times more likely to suffer from high levels of distress. In addition, sense of cohesiveness was significant in reducing distress, and interactive buffering effects were significant in buffering the effect of internalized homophobia.

Public health and public policy implications are considered.

Publication No.  9412815

Morrison AC (1991). Suicidal ideation and intent among HIV-positive persons. PH.D. Thesis, Brigham Young Universitry, DAI, Vol. 52-05B, p. 2780, 86 pages.

Abstract by author: Person's with Human Immunodeficiency Virus (HIV) have been shown to be at greater risk for depression and suicide than the general population. This paper evaluates the extent to which an HIV infected group of gay males is more depressed and/or suicidal, on three psychological measures and a self-report questionnaire, than a non-infected group.

The subjects were 20 HIV infected and 20 non-infected gay males. Subjects in both groups were administered the Rorschach Inkblot test, the Symptom Checklist-90-revised (SCL-90-R), the Hopelessness Scale, and the HIV Information Questionnaire (HIQ) (a questionnaire that was prepared for this study).

Results revealed that the HIV infected group had higher scores on the Suicide Constellation from the Rorschach, the Depression Scale of the SCL-90- R, and the Hopelessness Scale. These results support the idea that HIV infected persons are at higher risk for depression and suicide than persons who are not infected.

Publication No.  9131148

Nicholas, Jonathan (1998). Better to be dead than gay? A study of suicidal behaviour in a sample of gay and straight males aged 18-24. Honors thesis, Macquarie University, Australia. (Copies of the thesis may be obtained from the author at  jono@reachout.asn.au.) A related article: Better dead than gay? Depression, suicide ideation and attempt among a sample of gay and straight-identified males aged 18 to 24 by Jonathan Nicholas and John Howard. Youth Studies Australia Vol.17(4), 1998, 28-33. (Must scroll to locate abstract.)

Abstract by author: Research over the last ten years has consistently found a link between sexual orientation and suicidal behaviour in youth populations; estimating the rate of gay attempted suicide at between 20-42%. This research has however been criticised on methodological grounds as mostly uncontrolled and biased. Two studies examining suicide completions have found no evidence of the expected over-representation of gay youth in completed suicide figures. This study examined the rate of suicidal behaviour using a matched sample of 57 gay and 54 straight males aged 18-24. A self-administered questionnaire covering sexual behaviour, support, substance use, relationships, experience of violence current and lifetime mental health and for gay youth, experiences of coming out was administered. Gay youth had significantly higher levels of suicidal ideation and were 3.7 times more likely to attempt suicide than straight youth; most attempts occurring between ages 15-17. Predictors of suicidal ideation were similar for both the overall sample and gay sub-sample with low levels of paternal support predictive in both regressions. In the gay sub-sample attempters were significantly more likely to have been sexually assaulted, perceive low levels of paternal support, cope poorly at the end of a relationship experience verbal and physical violence and develop their sexual identity precociously. The findings have implications for suicide prevention activities, which need to explore how best to assist this group of young people, given that they are to a large extent a hidden population and take into account the crucial role of paternal support and sexual identity development in the suicidal behaviour of gay youth.

Additional Information: The Study examines the comparative suicide risk of 111 gay (n=57) and straight identified (n=54) young men aged 18-24. Participants were drawn from across four areas within greater Sydney. Gay identified males were 3.84 times more likely to attempt suicide than straight identified males. The lifetime attempted suicide rate for the gay sample is 28.1% compared to 7.4% for the heterosexual sample. Eleven bisexual males were present in the original sample but they were excluded from the analysis, although some information is available about them in the study.

On measures of lifetime suicidal ideation gay identified males were significantly more likely than straight identified males to:

        1) think there was no point to living,
        2) have frequent suicidal thoughts
        3) have intrusive suicidal thoughts
        4) think about how they would kill themselves
        5) have access to the chosen means to kill themselves

Attempt status was related to:

        1) a younger age of becoming sexually interested in men
        2) younger age of identifing internally as gay
        3) perception of greater levels of violence in the household the person grew up in
        4) sexual assault
        5) engaging in sex work

O'Neill MR (1998). Depression vulnerability in gay, lesbian, and bisexual young adults.  Ph.D. Thesis, State University Of New York At Albany, DAI Vol. 59:04B, p. 1864, 159 pages.

Abstract by author: Research suggests that members of the sexual minority suffer from psychological difficulties in disproportionate numbers. This risk is discussed from a developmental perspective suggesting a causal mechanism in the unique developmental struggles faced by homosexuals. In the present study, specific psychosocial vulnerabilities linked to depression in the general population are hypothesized to occur at greater levels for homosexuals. These variables are the personality factors of sociotropy and autonomy, dysfunctional thinking, social support, and stressful life events.  Current depression was the primary adjustment variable. Subjects were 18-30 year old heterosexual and homosexual adults.  Homosexual subjects (N = 97) were solicited through local homosexual communities and statewide university and college organizations. Heterosexual subjects (N = 104) were subject pool participants. Two groups (heterosexual and homosexual) were based on subject self-identification; the homosexual group included subjects who identified themselves as bisexual. Correlational analyses replicate and extend previous literature. Both groups showed similar relationships between the risk factors and current depression. ANOVA and Chi-squares showed that homosexuals reported greater levels of current depression and a greater history of psychological distress and the associated mental health support.  ANOVA's did not provide support for the hypothesis that homosexuals would show greater levels of each of the general risk factors. Regression analyses failed to support that homosexuals would show stronger interactions between risk and stressful life events in the prediction of depression. At the level of specific risk factors, there was support that homosexuals posses greater levels of a 'pleasing others' personality style. Additionally, gays and lesbians showed stronger relationships than heterosexuals between current depression and a defensive personality style, an imperative cognitive style, and reliably available social support. A defensive personality style and lower levels of reliably available social support were related for homosexuals only. Lastly, discriminant analysis showed that the same risk factors associated with history of depressed mood and anhedonia for heterosexuals were associated with depressed mood only for homosexuals. Recommendations for future research regarding homosexual vulnerability to psychological distress are offered.

Publication No.9831216

Pompeo MD (1994). A comparison of suicidality between male homosexual and male heterosexual street youth in Los Angeles. M.S.W. Thesis, California State University, Long Beach, MAI Vol. 33-01, p. 98, 70 pages.

Abstract by author: The purpose of this study was to compare the suicidality of 20 male homosexual street youth and 20 male heterosexual street youth and to assess the association of a variety of risk factors to suicidality in the two groups. The sample was found at two homeless shelters in Los Angeles.

For heterosexuals, the risk factors of difficulties in problem solving, substance abuse, and having been physically abused were associated with suicidality. For homosexuals, the risk factors of low self esteem, difficulties in problem solving, substance abuse, depression, and having been physically abused were associated with suicidality. Homosexual youth had higher levels of suicidality and difficulties in problem solving than did their heterosexual peers.

These findings are important for social work practice in that social workers will often deal with homeless populations and social workers should be aware of the problems of suicidality and homosexuality in these populations.

Publication No.  1357640

Porta MK (1997). The professional contributions, critical incidents, and mentoring relationships of one exemplary, female, senior scholar: a qualitative case study. PH.D. Thesis, DAI, Vol. 58-03A, p. 772, 313 pages.

Abstract by author: The primary purpose of this qualitative case study was to document the professional contributions of one exemplary senior female teacher educator across her career and to determine how these contributions have changed across time (early, middle, and later years of her career). In addition, specific contributions that have been most meaningful to her, critical incidents in her life, and the barriers and dilemmas she has faced were identified. The researcher chose to study Dr. Eleanor Guetzloe of University of South Florida.

Three primary data collection techniques were used: interviewing, document review, and shadowing. In-depth interviews were conducted with the professor, six colleagues, three proteges, and three students. The researcher reviewed Dr. Guetzloe's employment records and publications and shadowed her for twenty hours while she taught and advised graduate students. The results of this study suggested that Dr.Guetzloe meets Sternberg and Horvath's (1995) prototype of an exemplary teacher who has extensive, accessible knowledge that is organized for use in teaching.

In 1994, Guetzloe was honored as the Contributor of the Year from the International Council for Exceptional Children. In 1995, she received a Teaching Incentive Program award from the University of South Florida. Guetzloe believes that her primary responsibility is to teach. As a teacher, study participants described Guetzloe as a humorous, compassionate, fair, insightful, knowledgeable teacher. As a mentor Guetzloe provided had high expectations for her proteges, sponsored them professionally, and sometimes acted in a maternal role.

Guetzloe's service as a professor can be characterized as a life of loyalty. She has International Council for Exceptional Children (CEC) for over 25 years. This loyalty is also evidenced in 18 years of service to a mental health organization known as Personal Enrichment through Mental Health Services (PEMHS). Throughout her career, Guetzloe has researched serious topics that she thought were not being adequately addressed. Her three major research interests have been suicide, violence, and resilience. Guetzloe' s book, Youth Suicide (1989), is the culmination of 25 years of research in the area of suicide and depression.

Recently, she has been an advocate for the needs of adolescent students who are lesbian or gay.

Guetzloe has encountered barriers typical of women in academia. She has handled adversity by remaining optimistic and developing a plan to solve problems.

Publication No.  9724021

Pretorius, Herman Walter (1992). A study of cases of suicide attempters admitted to the H F Verwoerd Hospital. M.D. Thesis, University of Pretoria, Afrikaans text, DAI, Vol. 53-11B, p. 5638.

Abstract by author: Suicide attempt cases pose major challenges to health care workers. The behaviour of the victim is an indication of psychological disturbance which often leads to repeated suicide attempts and eventual successful suicide. A literature study was conducted with regard to this phenomenon.

All cases of attempted suicide referred to the Department of Psychiatry at the University of Pretoria were studied over a period of a year. This investigation included a psychiatric evaluation and a study of details relating to each case of suicidal behaviour. In addition, suicide intent and risk were measured. The patient's stressors were also recorded.

A total of 307 patients, 86 of whom were male and 221 female, were evaluated. After 5 years as many respondents of the initial investigation as possible were traced, with the main object of obtaining information about subsequent suicidal behaviour. 205 respondents were traced, 59 of whom were male and 205 female.

Acute risk factors for repeated suicide attempts for men were: never married, unemployed and the loss of a job. Many were not living with someone with whom they had an intimate relationship. The most common chronic conditions were Alcohol- and Drug-related as well as Homosexuality and Epilepsy. The most commonly observed personality traits were Antisocial, Dependent and Inadequate traits.

Most of the women were married and belonged to a higher socio-economic class than the males, and many were housewives. Female students and adolescents were also well represented. Chronic conditions found were Alcohol- and Drug-related, as was the case with the males. Mood disorders, including Recurrent Brief Depression and Epilepsy, were prominent in the females. Histrionic, Dependent and Inadequate personality traits were frequently observed.

Suggestions for future research mainly concerned epidemiological investigations aimed at homogeneous groups as far as suicidal behaviour is concerned. Primary prevention of this problem entails identification and counselling of high-risk groups and the provision of resources to them. It is also necessary to counsel health care workers and the public with regard to the problem of attempted suicide. Secondary prevention calls for adequate treatment of these patients.

NOTE: Related information may (or may not) have been published as: Pretorius HW, Roos LL (1995). Chronic and acute stressors in non‑fatal suicide behaviour. In: Suicidal behaviour 3: proceedings of the Third Southern African Conference on Suicidology, ed. L Schlebusch, Department of Medically Applied Psychology, Faculty of Medicine, University of Natal, Durban. Citation given in: Smythe D, Artz L, Combrinck H, Doolan K, Martin LJ (2008). Caught between policy and practice: health and justice responses to gender-based violence. In: Van Niekerk A, Suffla S, Seedat M, editor. Crime, Violence and Injury Prevention in South Africa: Data to Action. Tygerberg: MRC-UNISA Crime, Violence & Injury Lead Programme; 2008. pp. 150–172. PDF.

Publication No.  0572552

Rutter PA (1998). Adolescent suicidal behavior across sexual orientation: an assessment of suicidal ideation, risk, and history of attempts. Ph.d. Thesis, Temple University, DAI Vol. 59:10B, p. 5587, 75 pages.

Abstract by author: The purpose of this study was to examine adolescent suicidal behavior across sexual orientation. One-hundred 17-19 year-olds were included in this sample (comprised of 50 heterosexual and 50 homosexual/bisexual/questioning youth). This study predicted the following: (a) Questioning youth are at higher risk for suicidal behavior than their peers. (b) Self-identified homosexual males and heterosexual males exhibit similar levels of suicidal behavior. (c) The level of support youth report receiving will relate to their level of suicide risk. The results of this study included the following: (a) Questioning and bisexual youth were not at higher risk for suicidal behavior than their peers. (b) Self-identified homosexual males and heterosexual males exhibited similar levels of suicidal behavior. (c) Levels of support did relate to suicidal behavior, though not significantly. Additional results suggested a relationship between age and suicidal risk. A trend was discovered suggesting that as age increases, suicide risk decreases. Grade level related significantly to suicidal behavior, i.e., higher grade level related significantly to lower suicidal behavior. This was a thorough assessment of suicidal behavior including surveys which explored suicidal ideation, plans and lethality of attempts. The suicidal risk (Beck's Hopelessness Scale; BHS, Suicide Probability Scale; SPS) surveys correlated significantly with each other, as well as relating significantly to the new surveys (levels of support and lethality of attempts). The reliability and comprehensive nature of this assessment promotes its use in future youth suicidal risk studies. In consideration of the results of this study and the underlying constructs of suicidology, this researcher is proposing a new concept for understanding suicidal risk. Moving away from the current conceptualization in which demographic characteristics suggest higher suicidal risk, this researcher offers a construct-oriented approach. By assessing youths' levels of hopelessness, negative self concept, hostility and isolation psychologists can focus upon these areas in their intervention. Treatment can then be directed to ameliorating deficits in any or all of these constructs. In this way, clinicians can intervene before a young adult's suicidal thoughts progress to suicidal attempts.

Publication No.9911058

Safren SA (1998). Depression, substance abuse, and suicidality in sexual minority adolescents. PH.D. Thesis, State University of New York at Albany, DAI Vol. 58-08B, p. 4470, 210 pages.

Abstract by author: The present study examined the incidence of and factors related to suicidality, depression, and substance abuse in gay, lesbian, and bisexual (sexual minority) adolescents compared to heterosexual adolescents. Sexual minority adolescents experienced greater suicidality, depression, and hopelessness than heterosexual adolescents, with approximately 30% of lesbian, gay, and bisexual adolescents reporting a past suicide attempt.

The sexual minority sample also reported less satisfaction with social support, fewer social supports, and fewer positive events than the heterosexual sample. When accounting for stress, satisfaction with social support, and coping through acceptance, however, there were no longer differences in depression and hopelessness between the heterosexual sample and the sexual minority sample.

For present suicidality, when accounting for depression, hopelessness, substance abuse, stress, social support, and coping, the effects of sexual orientation also became nonsignificant. For suicidality scores that included present and past suicidality, however, the effects of sexual orientation were reduced, but still significant, when accounting for the other predictor variables.

Almost all of the sexual minority youth reported the occurrence of stressful events in the past four months due to their sexual orientation. However, the effects of stress, social support, and coping specifically for issues related to one's sexual orientation was not predictive of distress over and above general stress, social support and coping, respectively.

Implications of these findings, which include continued intervention and prevention programs for sexual minority youth, are discussed, as well as limitations of the present study and suggestions for future research.

Publication No.  9806202

Schneider SG (1989). Suicidal ideation in gay and bisexual men as predicted by AIDS-related life stressors, social support and pre-existing chronic depression. PH.D. Thesis, University of California, Los Angeles, DAI, Vol. 50-08B, p. 3713, 276 pages.

Abstract by author: A high rate of completed suicide among men with AIDS raises concern that suicidal ideation may be prevalent as well among others in "high risk" groups. Of particular concern are gay and bisexual males, among whom a high prevalence of HIV infection has resulted in severely stressful life circumstances, including illness, death, and the threat of illness.

The present study investigated biologic indicators of AIDS risk, as well as AIDS-related death and illness events, among other factors, in predicting suicide intent among 798 gay and bisexual men participating in an ongoing AIDS risk study. None of those studied had an AIDS diagnosis; roughly half were seropositive. Analyses employed structural equations (Bentler, 1985). Suicidal ideation over the last six months was reported by 27% of the sample.

Among the suicidal subsample (n = 212), degree of suicide intent was directly predicted by AIDS-related life events, past depressive symptoms, and by loneliness- -which functioned as a central mediating pathway (Lazarus & Folkman, 1984) of the effects of both past and current confidant support. Those circumstances particularly associated with high intent suicidal ideation were having a partner with AIDS or ARC, or multiple close friends with AIDS, or having ARC. The buffering effect of confident support was not found, and biological indices of AIDS risk (including HIV status) were unrelated to suicide intent. Among the HIV positive subgroup, AIDS-related life events and AIDS risk appraisals were stronger predictors of suicide intent.

Consistent with Depue and Monroe (1986) different models explained suicide intent among those with and without past depressive symptoms. Suicide Intent among recent past depressives was a function of past isolation and loneliness, as well as AIDS risk appraisals that were more highly determined by both AIDS- and non-AIDS- related factors.

Among those not recently depressed, suicide intent was a direct function of current AIDS- related events and confidant support. In this largely asymptomatic sample, suicidal ideation in response to AIDS-related stressors may have been coping- as opposed to distress-related.

These results should not be generalized to those with AIDS or ARC, or to those with substantial AIDS-related physical symptoms.

Publication No.  9000980

Schoenfeld EM (1991). Suicidal ideation and behavior across the human immunodeficiency virus disease spectrum. PH.D Thesis.,California School of Professional Psychology, DAI, Vol. 52-09B, p. 4985, 101 pages.

Abstract by author: This study examined the level and differences in suicidal ideation and attempts among gay adults who were HIV-seronegative, asymptomatic HIV-seropositive, had AIDS Related Complex, or AIDS.

Subjects were 49 gay adult males who sought psychotherapeutic, social, or instrumental support from seven gay or HIV-focused agencies located throughout the San Francisco Bay Area. The instrument used in this study, a three-part self- report questionnaire, consisted of a HIV-related Symptom Checklist, The Suicide Probability Scale, and a lifestyle questionnaire. The lifestyle section was designed to assess suicide risk in five areas; family and social support, interpersonal loss associated with HIV and other illness, interpersonal suicide history, personal suicide history, and demographics.

Results of this study did not reveal differences among the diagnostic groups in level of suicidal ideation. Due to the insufficient amount of data collected from HIV seronegatives, this group was not examined. All three HIV-seropositive groups were found to think about suicide significantly more than would be expected from the general population. Additional analyses found a significant relationship between the perception of the insufficient social support and suicidal ideation.

Three subjects attempted suicide after receiving an HIV-seropositive status notification or an ARC or AIDS diagnosis. HIV-related suicide attempts, appeared to be associated with a previous history of suicide attempting, having some physical symptoms, and reporting a moderate level of alcohol consumption or drug-use within the past year.

The results of this study suggest that at no one time period along the course of HIV disease is an individual more likely than at others to think about, or act on, suicidal impulses. Clinicians should periodically assess suicidal ideation, the availability and usefulness of social support systems, and the level of alcohol and drug-use.

Publication No.  9132151

Sweet MJ (1993). Gay, lesbian, and bisexual young adults: satisfaction with counseling experiences. PH.D. Thesis, The University of Wisconsin - Madison, DAI Vol. 54-08B, p. 4410, 216 pages.

Abstract by author: The satisfaction of gay male, lesbian, and bisexual college students, ages 18-26, with present and past counseling experiences was investigated, by examining the possible impact of factors such as the subjects' presenting problems and counseling preferences, counselor gender and sexual preference, the type of agency or program providing the counseling, and perceived obstacles to obtaining or remaining in counseling.

A questionnaire, the Gay/Bisexual Counseling Satisfaction Survey (GCSS), was developed and utilized in this study. Demographic variables and the incidence of depressive symptomatology on the Beck Depression Inventory (BDI) were also investigated in relation to counseling satisfaction.

The sample of 31 research participants was drawn principally from peer support groups for gay male, lesbian, and bisexual college students. Results of the questionnaires showed a high degree of satisfaction with current peer support group counseling, and a preference for this type of counseling and for openly gay male, lesbian, and bisexual counselors or group leaders.

Sexual orientation issues and loneliness were the most frequent reasons given for seeking counseling; having had these presenting problems was positively associated with counseling satisfaction, as was receiving help at a gay/lesbian targeted program or agency. A quarter of the respondents reported perceived barriers to getting or staying in counseling, and this was also associated with higher current counseling satisfaction. There was, also, a statistical trend toward greater satisfaction with current versus previous counseling. Living outside a college residence was negatively associated with current counseling satisfaction.

Scores on the BDI were lower than in comparable general samples, and reported suicidal ideation was high. It was concluded that the population studied had a strong preference for support groups and other services targeted at gay male, lesbian, and bisexual young people.

Publication No.  9322558

Tao G (1995). Modifying high-risk sexual behaviors among gay and bisexual adolescents: evaluation of an intervention program. PH.D. Thesis, Thesis, University of Minnesota, DAI, Vol. 56-08B, p. 4273, 202 pages.

Abstract by author: This study tries to identify historical trends and predictors of high-risk behaviors in gay and bisexual youth, using Social Learning Theory as a conceptual framework, and to evaluate the Youth and AIDS Project, using cost benefit/effectiveness analysis.

Five-hundred and one male Volunteers, 13-21 years of age, self-identified as gay/bisexual or having sex with men, were recruited into the initial interview in Minnesota during June 1, 1989 to May 31, 1994. Three hundred and seventy-six of them participated in the 3-month follow-up interview.

The written instruments used in the interviews include measures of sexual behaviors, motivation, self-efficacy, knowledge about HIV/AIDS transmission, and psychosocial and demographical information. Loglinear regression in trends study, covariance structure models in HIV risk reduction study, and a model of HIV transmission in the evaluation of the Youth and AIDS Project are mainly used in this study.

The findings indicate that with the increase of social supports, participants have an increase in their AIDS knowledge, but that good AIDS knowledge does not guarantee that participants change their high-risk sexual behaviors. High-risk sexual behaviors are correlated with participants' motivation, drug and alcohol use, parental relationship, AIDS knowledge, suicide attempts, and peer support. HIV risk reduction is predicted by past sexual experience, drug and alcohol use, and parental relationship.

The intervention program could limit HIV prevalence to under 8% at year 2000 if all risky gay and bisexual adolescents were recruited to program participation and educated to modify their sexual behaviors. Without the intervention, HIV prevalence is predicted to be approximately 22% at year 2000. The cost-benefit ratio of the intervention program is approximately 1:18.7.

The federal government should increase expenditures for AIDS prevention programs such as the Youth and AIDS Projects since the return to society from investment in these programs clearly exceeds their costs. Effective HIV prevention should be carried out at group or individual levels for gay and bisexual adolescents. Targeting of programmatic efforts at those who practice high-risk sex, those who have been involved in drug and alcohol use, or those whose parents have divorced would yield the greatest benefits.

Publication No.  9541367

Tuttle GE (1997). Sexual orientation, caretaker abuse and borderline personality disorder. PH.D. Thesis, Boston University, DAI Vol. 57-08B, p. 5347, 308 pages.

Abstract by author: This study examined associations between sexual orientation, history of childhood physical and sexual abuse by full-time caretakers and Borderline Personality Disorder (BPD). Because developmental pathways of homosexuality appear to be different for males and females, sex was included as a study variable. The first question was whether or not sex, sexual orientation and abuse history were associated with BPD.

165 BPD inpatients were compared with 131 controls who had a non- BPD personality disorder. Diagnoses were made using the Diagnostic Interview for Borderlines-Revised, the Diagnostic Interview for Personality Disorders and the Structured Clinical Interview for DSM-III and DSM-III-R. Sexual orientation was assessed by direct inquiry, chart review and clinician report. The Childhood Experiences Questionnaire was administered to assess abuse.

The second question was whether or not sex and sexual orientation were associated with abuse history. Subjects were divided into groups with and without history of abuse. A third question was whether or not sex, sexual orientation and abuse history were associated with specific borderline features among BPD patients.

In two hierarchical logistic regression models, it was revealed that female sex, history of physical abuse and history of any abuse were significantly related to BPD. However, sexual orientation and history of sexual abuse were not.

Female sex was significantly related to histories of physical, sexual and any abuse. Homosexual orientation was related to history of sexual abuse; homosexual males were 9.7 times more likely than their heterosexual counterparts to have been sexually abused and the analogous risk for homosexual females was 2.8. In all models of abuse, there were no significant interaction effects.

Among BPD patients, male sex was associated with substance abuse, physical abuse was associated with quasipsychotic thought, sexual abuse was associated with treatment regressions and substance use and any abuse was associated with self-mutilation and manipulative suicidal efforts. Sexual orientation was not associated with specific borderline features.

Previous findings identifying female sex and history of abuse as risk factors for BPD were replicated. Data supported a central hypothesis that homosexuals may be at greater risk for developing BPD due to high rates of abuse.

Publication No.  9702142



Information now located in its own web page at: - http://www.youth-suicide.com/gay-bisexual/news/seattle.htm .


The development of this GBLT information web-pages was made possible through the collaboration of Richard Ramsay (Professor, Faculty of Social Work, University of Calgary) and Pierre Tremblay (independent researcher, writer, and GLBT children/youth advocate) who both recognize that often needed social changes occur as the result of knowledge availability and dissemination.

Graphics are compliments of Websight West. The Synergy Centre donated computer/Internet time to facilitate the construction of this GLBT information site.

Computer time was also supplied by Rick Reist, especially for the use of Word Perfect 7 program. Some of its time-saving functions are not yet available in Microsoft word writing programs.


The information made available on this web-page does not represent all the relevant information available on the Internet, nor in professional journals and in other publications. Nonetheless, a wealth of information on GLB suicide problems has been made available.

This web-page was constructed to supply a spectrum of information to individuals who may be seeking to understand one or more of the many gay, lesbian, bisexual, and transgender issues.

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