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The U.S  Surgeon General :
Will He Do Something to Help ? 
NO ? !  - Yes?!
New Sections: GLBT Org. Involvement / Most at Risk Youth /
The NYAC Ignored GLBT youth Suicide Problem
At Risk GLBT Adolescents have had Few Friends

See: The National Strategy for Suicide Prevention released in 2001 Web Page.
Sexual Orientation noted, but...


The October 15-18, 1998 Consensus Development Conference, Advancing the National Strategy for Suicide Prevention: Linking Research and Practice.

The Conference was organized by SPAN (Suicide Prevention and Advocacy Network) and cosponsored by CDC (Center for Disease Control), as the first major collaborative effort by government and the private sector. Related Information.

One Paper on GLBT Suicide Problems was Presented at the Conference.

Suicide among Gay, Lesbian, Bisexual and Transgender Persons  was written by J. Stephen McDaniel, M.D., Emory University School of Medicine and David W. Purcell, JD., Ph.D., Centers for Disease Control (CDC).
Coming soon! (Now Available!) - The gay / bisexual boys who  have sex with men, their problems (including suicidality, high risk for contracting HIV, etc.) and the related scandalous "silence" about this reality by most researchers and gay community leaders. As a rule, this "Silence Kills!" situation was maintained throughout the AIDS epidemic. This new page is being written to inform the Surgeon General about an important "at risk" group of boys that he should be concerned about.

The U.S. Surgeon General David Satcher comments on the gay and lesbian suicide Problems at the end of the conference.

From the Associated Press article (Oct. 21, 1998), Surgeon General announces suicide-prevention strategy: "Prevention efforts should also focus on other groups that have a high suicide rate, including American Indians, gays and lesbians, the elderly and the mentally and physically ill, Satcher said."  This may have happened as the result of the above noted paper, but most articles encountered on the subject are silent on this issue.

At the SPAN  web site, a summary of The National Strategy for Prevention of Suicide is available as a PDF file - a draft dated August 2000 - http://www.spanusa.org/IMAGES/NSPS%20Draft.pdf . (If these URLs do not work for access, access the documents via the - SPAN Home page.) At the Surgeon General's web site - http://www.surgeongeneral.gov/library/calltoaction/strategyintro.htm -  the following is stated: "Thank you for your interest in the National Suicide Prevention Strategy.  The final strategy document will be released in May 2001. A period of public comment on the Draft Goals and Objectives for the National Strategy, including four public hearings across the Nation, concluded November 9, 2000." Gay and lesbian youth issues, however, are not mentioned in the draft of the strategy, but this may happen in the final document which should be more comprehensive.

Gay and lesbian youth had been mentioned in an official conference document which then permitted the Surgeon General to mention the Issue in October, 1998. This is The Preamble to The National Strategy for Prevention of Suicide (Highlights of Preamble in point form.) that the SPAN authorities thought better to not make available at their site. Evidence exists indicating that a decision maker such as "Jerry Weyrauch @ SPAN" (spanusa@mindspring.com) would not approved of referencing GLB suicide research information at the site and it includes not referencing the Trevor Hotline, nor refencing anything related to GLB suicide issues in their "Resources" at - http://www.spanusa.org/HTML/resources.html - or available via the - SPAN Home Page - if link is not working. Mr. Weyrauch apparently also approves of the American Foundation for Suicide Prevention position on gay and lesbian suicide issues as heavily influenced by a great enemy of the concept: David Shaffer. At the AFSP site, the following is said under the title of "Sexual Orientation" in the - Youth Suicide Risk Factors  - section (may also be accessed via the the AFSP Home page): "Male homosexuality may increase risk for suicide attempts, but not for completed suicide." This conclusion, however, is based on his seriously flawed research as outlined by Tremblay (1995) (Alternate Links: 1, 2) and the Shaffer et al. (1995) research results were published in such a way that important caveats were "omitted" even though they had been listed at a related 1994 Workshop. More on this story has also vcome to light and will be referenced in time. (Note 3: A positive Y2K Development at SPANUSA with respect to GLBT suicide issues! It was not, however, to last.)

"Male homosexuality may increase risk for suicide attempts, but not for completed suicide." [No other references to gay and lesbian youth suicide problems are made.]

What will the U.S. Surgeon General specifically do to have GLBT issue addressed in youth suicide prevention programs, and especially with respect to adolescent GLBT suicide problems? (An October, 1998, Question.)

The July 1999 "Gay-Deadly" News From 
The U.S. Surgeon General
Dr. David Satcher

At the Web Site for Office of the U.S. Surgeon General, (New Web Site at: http://www.surgeongeneral.gov/ ), from the "reports section, a page related to the call to action is available. It contains a link to the July 28, 1999 release of the The Surgeon General's Call To Action To Prevent Suicide. Also available are links to a "text" and "pdf" version of:

The Surgeon General's Call To Action
To Prevent Suicide - 1999.
(Alternate Link)

In it, there is silence (Note 1) about the "at risk" status of  gay and bisexual male youth for experiencing suicide problems. When an "at risk" group of adolescents is ignored, the minimum predictable result will be "the maintenance of their at risk status," with a likelihood that their problems will be exacerbated.

Update: Soon after a section titled "At a Glance: Suicide Among Special Populations" was available - but this part is not present in the official "Surgeon General's Call to Action to Prevent Suicide" available either in HTML or PDF Format. The meaning of this is yet to be determined. Nonetheless, in the section, the following is written:

It has been widely reported that gay and lesbian youth are two to three times more likely to commit suicide than other youth and that 30 percent of all attempted or completed youth suicides are related to issues of sexual identity. There are no empirical data on completed suicides to support such assertions, but there is growing concern about an association between suicide risk and bisexuality or homosexuality for youth, particularly males. Increased attention has been focused on the need for empirically based and culturally competent research on the topic of gay, lesbian and bisexual suicide.
To Note: The "change" is only noted with respect to a "growing concern," but the fact that the stated "association" dates back to the 1970's is not mentioned. Also omitted is why, up to now, have mainstream suicidologists been so "unconcerned" about the "association between suicide risk and bisexuality or homosexuality for youth" so well rendered by the Bell and Weinberg (1978) data.

The Silence - in the Official Document - Exists in Spite of the Following Research Results:

Minnesota's 1987 Sample of Grades 7-12 Students in Public Schools: Lifetime Suicide Attempt Incidence for gay and bisexual male adolescents compared to heterosexual counterparts: 28.1% versus 4.2%. Therefore gay and bisexual male adolescents are 7-times more likely to be suicide attempters than their heterosexual counterparts. In the age range of 15 to 18-years-old, however, the lifetime incidence for suicide attempts has become almost 33% for both gay and bisexual adolescent males and lesbian and bisexual females. NOTE: This is a replication of the "average" - 30.5% - incidence for lifetime suicide attempts reported in 12 community-based studies of G(L)B youth. A summary of results of +30 studies is available at - http://www.youth-suicide.com/gay-bisexual/ .

Massachusetts' 1995 Youth Risk Behavior Study of Adolescents in schools. From the Massachusetts Education Web Site, 4.4% of homosexually oriented adolescents (defined on the basis of self-identification or having had same-gender sexual experiences) has a suicide attempt rate (for the past 12 months) of 36.0% vs 8.9% for heterosexual adolescents. Garofalo et al. (1999) report that GB males were 6.5-times more likely to be suicide attempters than their heterosexual counterparts. Gay and Bisexual males in the study also accounted for almost 25% of males attempting suicide in a one-year period.

IMPORTANT: The above result are from samples having average ages ranging from 15 to 16-years-old, meaning that many GLB adolescents in these samples have not yet attempted suicide, but they will. So what will the lifetime situation look like for a random sample of young adult males and for whom a definition of suicide attempt is in the "serious" category, as opposed to being a form of "self-harm" without lethal intent. Bagley and Tremblay (1997) reported that homosexually oriented young adult males (age = 18 to 27 years, and defined on the basis of self-identification as homosexual or bisexual and/or being currently homosexually active) accounted for 62.5% of the serious suicide attempters. Homosexually oriented males were 14-times more likely to be suicide attempters than their heterosexual counterparts.

TRUE? A document on Suicide Prevention which ignores "homosexuality" - which is likely associated with the majority of male youth at the greatest risk for suicide - is a document with high potential lethality for the majority of "at risk" male youth. Given that male youth account for about 80% of all youth committing suicide, the silence about "homosexuality" in the Surgeon General's Report may also be so counterproductive that no significant reduction in the American youth suicide rate can be expected. Therefore, The Killer of Gay Youth 'Award' may someday be given to:

The Surgeon General's Call To Action
To Prevent Suicide - 1999.

The repeated focus of the Surgeon General's Call to Action Report was on "mental disorders" and "substance abuse disorders," as if suicide was 'really' caused by these factors. This focus, however, possibly reflects a highjacking of the issue by a select group of highly placed mainstream suicidologists who probably did not like the remarkably different consensus reached - as reflected in The Preamble to  The National Strategy for Suicide Prevention.


Note 1: A number of news wire reports were scanned to see if gay and lesbian youth may have been mentioned. The CNN report (http://www.cnn.com/HEALTH/9907/28/suicide.prevention/), a Reuters article (available at - http://www.allhealth.com/conditions/mental/news/0,4800,6368_127854,00.html)did not mention GLB issues. A Reuters article, however, related to Tipper Gore's "anti-suicide efforts" (http://dailynews.yahoo.com/headlines/hl/story.html?s=v/nm/19990729/ts/health_gore_2.html) did mention the issue, but only with respect to Mrs. Gore having noted it: "Gay and lesbian youth are at greater risk than other young people of committing suicide, Mrs. Gore said."

A most interesting event, however, did occur at the Associated Press. On July 28, Laura Meckler filed the first story on the subject which was published in many newspapers. The article did not mention GLB youth issues. The next day, another article was made available by Meckler and it did mention the issue, although it seems that the article was 'quoting' (but not really quoting him this time) the Surgeon General from the October, 1998, end-of-conference event. (See quotation on this page from a related news story.) The reference is: "Older Americans, particularly men, are most likely to take their own lives. Also at heightened risk are American Indians and gay and lesbian youth." Some newspapers printed this article such as the Seattle Times (http://www.seattletimes.com/news/nation-world/html98/suic_19990729.html) and the Dallas Morning News (http://www.dallasnews.com:80/national/0729nat10000suicide.htm), the result being a deception related to the released report. This error, was also accented in Salon Magazine's rendition which involved re-headlining the article with: "Surgeon General focuses on suicide - Older people, particularly men, American Indians and gay and lesbian youth are most likely to take their own lives." The Salon magazine replication of the article (http://www.salon.com/people/wire/1999/07/29/surgeon/index.html) (Alternate Link) followed, beginning with "BY LAURA MECKLER ASSOCIATED PRESS." Not a word about GLB youth is to be found in the Surgeon General's report, and he seems to have been silent about the issue in the related press event.

Note 2: Highlights of Preamble in point form as sent to be by an individual who was at the - October 15-18, 1998 Consensus Development Conference, Advancing the National Strategy for Suicide Prevention: Linking Research and Practice.

Here is  the original from the Oct. 98 conference in Reno (Also reproduced in the SPANUSA Newsletter, Issue 7, February, 1999):

Points to be included in the preamble to The National Strategy for Suicide Prevention

1.  Suicide prevention must recognize and affirm the value, dignity and importance of each person.

2.  Suicide is not solely the result of illness or inner conditions, and the feelings of hopelessness that contribute to suicide can stem from societal conditions and attitudes.  Therefore, everyone concerned with suicide prevention shares a responsibility to help change attitudes and eliminate the conditions of oppression, racism, homophobia, discrimination and prejudice.

3.  The groups we have categorized as diverse populations are disproportionately affected by these societal conditions and some are at greater risk for suicide.  These groups include:  Asian/Pacific Islanders, American Indians/Alaskan Natives, African-Americans, Latinos, Gay, Lesbian, Bisexual and Transgender populations.

4.  Individuals, communities, organizations and leaders at all levels should collaborate in the promotion of suicide prevention.

5.  The success of this strategy ultimately rests with the individuals and communities across the United States.

Note 3: In early February,  2000, I was contacted by a major American GLB organization which had been approached by the Weyrauch's so that pressure would be applied to have me change what I had written about SPANUSA. After it was realized that my statements were correct and that they had been listed, the organization applied pressure on the Weyrauch's so that they would at least reference two sexual minority services at the SPANUSA web site. This had now happened, but this event should let GLBT people know that real friends are maybe still not to be found at SPANUSA. Remarkably, within a year, these links had been removed.

Related Discussion:

Director, Outreach and Advocacy for Youth Services for this GLBT organization stated:

"I am in constant contact with Dr David Litts, special advisor to the US Surgeon General on Suicide Prevention.  After personally speaking with Dr Satcher, I feel very confident that he believes GLBT youth suicide to be of high priority, and it was not his choice to exclude it from the  A Call to Action.  Apparently, the decision was made elsewhere." (Feb. 02, 2000)

My Response:

"As for the Surgeon General. Well he may believe whatever but I have learned one rule in this deadly 'game'. If it is not in writing, as in school policies which specify "GLB" in anti-discrimination policies, may as well forget anything being done for GLB kids. Ditto for federal documents of any kind, including a national suicide strategy. So,  until I see something "in writing" which is "official", then I think what was  written on the page  applies. Happy to hear, however, that he believes that GLB youth suicide problems should be addressed."

The Director of GLBT Organization:

As sad as I am to say it, but you have my total agreement in that, if it isn't in writing.... we're screwed as soon as a new administration comes about.

I praise your site as the most comprehensive entity existing on the web covering GLB suicide.  AAS [American Association of Suicidology] does not sit well in my mind on this issue, and it has taken everything I have not to call the president and chew him out...

I have several calls into HRC and NGLTF to begin strategy sessions on lobbying efforts to have Dr Satcher put something in writing.  But we do have a small victory in that his next report, on mental health has a short section on suicide and GLBT youth..... now, we need that section reprinted in the A Call To Action.  Right now, the Surgeon General's office is playing  the game "there isn't enough research".

Both you and I know that the research is unbelievably convincing in  results and numbers of.  Dr Litts is in agreement here and top notch officials at the CDC are turning 180 degrees on the issue. The only problem is that I have no clout with anyone of these individuals, and am waiting for HRC and NGLTF to give me a hand...... looking doubtful. (Feb. 4, 2000)

A Very Important Important Fact:

To the GLB organization in question, I also highlighted the fact that the most "at risk" GB adolescent males would be the ones who are having sex with significantly older males, often in the form of prostitution. As a rule, however, GLB organizations tend to ignore the most "at risk" adolescents and only care to use their "at risk" statistics to make gains for GLB people who are at lesser risk, or are not at risk with respect to having suicide problems. I saw this happen in Calgary's GB community when I began advocacy work, especially after I began writing about certain gay-identified men who liked their boys, and liked them young. I have yet to read any study about how gay adolescent males become 'integrated' in gay communities, but the phenomenon is apparently not supposed to be mentioned.

My comments to the Director in this respect was:

"SPAN is also not all that innocent when it comes to what now bears the name of the Surgeon General and, damn it, the A&E special on youth suicide about two months ago essentially replicated that document  - with not a word being mentioned about GLB youth suicide issues. But then,  I must say that gay  communities and their organizations have also generally been quite silent about GLB youth suicide problems. Why?

There are many sites about AIDS, no? About a third of GB male youth will contract HIV! About the same percentage of GB male youth will attempt suicide, but where are the web sites focused on this problem??? I know, however, of some  gay males who are not at all pleased with my work. Why? Because if one ever begins to effectively address the underlying problems, it will mean an end to the wholesale delivery of vulnerable GB teenagers to their bedrooms (the youngest community "meat" available); this is related to dropping out of school, being throwaways and runaways, etc." (Feb. 4, 2000)

NOTE: In his response, the Director deleted this section as a way to not even recognize that it had been read. In my response I restored the section and added:

"Gay communities have failed miserably here, all because of the 'face' they are attempting to present to society. Yet, these are the GB kids who are contracting HIV at the youngest age and, from where I live ethically, consider this to be one of OUR greatest crimes - which  totally undermines / subverts our integrity even if it is only OURSELVES who know this. Also, they also happen to be the GB males who are most at risk for suicide attempts. But then gay community 'leaders' are not to officially recognize what any gay male who has been around the block a few times knows all too well."

Soon after I wrote this, a Street Outreach Specialist for a American Street Outreach Program wrote this email which I forwarded to the Director of the above mentioned GLBT organization:

"I'm currently researching the issues affecting GLBTs  in order to create a  group curriculum for a series of rap groups for clients ages 23 and under. I just wanted to thank you for your excellent web page. I searched and your page  truly shines." (Feb. 7, 2000)


I made two documents available to the Director of the GLBT Organization: the one related to McDaniel and Purcell (noted above), and a new one I had worked on at the request of a State Coordinator of a Youth Suicide Prevention Program. As of February 20, 2000, the Director of the GLBT organization had not replied.

The part of the not yet released document which deals with "at risk" boys desiring men, or being involved with men, follows:

Boys recognizing they are gay end up in varying life situations, as was the case for Robbie Kirkland (39) who had recognized he was gay by the age of 10 years but also continued to be at odds with his desires until he died, possibly for reasons related to how his "God" factored into his homosexual desires.

Two days after his fourteenth birthday (February 26, 1996), Robbie Kirkland had attempted suicide for the first time with the thought that he would surely die, thus causing him to write a note rendering a lie: "Whatever you find, I'm not gay." If he had died from the attempt, the note would have been discovered and the investigation would have revealed that Robbie had been abused by his peers because his gender nonconformity led them to assume he was gay. Unfortunately, the investigators would not have been able to determine a fact known only to Robbie and to possibly an individual he was speaking to honestly about his problems. Two days later, he had written a letter expressing his dilemma likely related to a man he had met on the Internet and his "God's" apparent opposition to what he most desired. One month later, he had run away to meet a man with whom he had been communicating on the Internet.

The meeting did not occur, and Robbie returned to the environment that had been 'killing' him, only to then finally commit suicide 9 months later, soon after a psychiatrist recommended treating this adult-identified male as a two-year-old. Had the meeting occurred, however, possibly leading to a living arrangement which may have involved sexual abuse, Robbie could later have been dumped by the man, thus ending up on the streets and maybe into prostitution where boys sometimes talk about their desire to eventually meet "the man of their dreams." Had Robbie then become available for study, he would have been representative of a significant percentage of the gay and bisexual boys studied by Remafedi et al. (1991 - 30). The study data reveals that the ones at the highest risk for reporting suicide attempts (52% incidence) were the 17% of the sample reporting having engaged in prostitution. The research results are summarized by Bagley and Tremblay (1997 - 4):

In the Remafedi et al. (1991) sample of 137 males, 40 percent had been runaways, 39 percent had been sexually abused, 35 percent had been arrested, 23 percent were classified gender nonconformable (feminine), and 17 percent had engaged in prostitution. The associated [lifetime] attempted suicide rates for males having these (often overlapping) attributes are 36, 46, 44, 47, and 52 percent; the average for the sample is 30 percent.
Gay and bisexual adolescent males who most desire men are common and their stories are varied, although the phenomenon is rarely talked about publicly in gay communities for fear of social disapproval of this well known historical gay community fact of life as illustrated in a recent Village Voice article by a 19-year-old gay youth reporting on his adolescence and the adolescence of other gay / bisexual males he has known: The Queer Issue: "Lay Off Me! I'm a Boy, Not Your Toy, and I Want To Be With Another Boy. I Hate Older Men." Related information was presented by Tremblay and Ramsay (2000) who summarize the situation and report on the Mutchler (2000) study. The Seal et. al. (2000) study reveals that GB male youth problems are multidimensional in nature and helping these youth will require a multidimensional approach.

This general "silence" situation, however, has been a 'god'-send for all men who may also wish to abuse these boys, thus producing a subset of GB male youth population probably at the highest risk not only for attempting suicide, but also for succeeding in ending their lives. When these deaths occur, however, it is unlikely that investigators such as Shaffer et. al. (1995- 28) would have discovered the facts related to their homosexual lives, and especially nothing about their likely devastated hopes for the love of an older male. As a rule, the surviving boys will not reveal the situations in which they find themselves, except maybe long after the fact, and it is almost certain that the men who used and abused these boys would never report their knowledge of the situation to an investigator, unless the individual was street-wise and knowledgeable, and therefore able to acquire the needed information.

Many scenarios are possible for this group of "exceptionally at risk" gay and bisexual male adolescents and young adults, and one of the scenarios was reported for a group of homosexually oriented boys in Sidney, Australia (40):

Although Casey reckons he "always knew" he was gay, he became one of the kids who was "forced into doing it". After moving to Sydney, Casey was drawn into a string of abusive "relationships".

Because of his low self-esteem borne of the silence, Casey says he was easy pickings for deeply-closeted homosexual "sick tickets" who found more pleasure in hearing screams for mercy as they held knives to the throats of other parents' sons than in real and open love.

Starved of real love and left with little hope, Casey, like many young gays, turned to chemical "friends" to fill the void. His only human friends became the other youngsters traded by the "sick tickets".

"Of the thirteen of us, I'm one of only three that's still alive today," Casey says. "Most of my friends blew their heads off, some of them OD'd and some of them have died from AIDS. They were all bright kids with talents and promising futures."

It has been my experience that, if a male youth suicide occurs and the individual was homosexually oriented, someone somewhere either knows that the individual was homosexually oriented or they have significant information which would have permitted the likelihood of a homosexual orientation to have been determined...


4. Bagley and Tremblay (1997). Suicidal Behaviors in Homosexual and Bisexual Males, Crisis, 18(1), 1997, 24-34. A "book" version of this paper is available online at - http://www.youth-suicide.com/gay-bisexual/suicide.htm . The online version corresponds to another version of the paper published as "Chapter 12" in C. Bagley & R. Ramsay, Eds. (1997) Suicidal Behaviours in adolescent and adults: taxonomy, understanding and prevention. Brookfield, Vermont: Avebury.

28. Shaffer D, Fisher P, Parides M, and Gould M (1995). Sexual orientation in adolescents who commit suicide. Suicide and Life-Threatening Behavior, Supplement 25, 64-71.  Summary of research results available as Appendix 3 located at - http://www.qrd.org./qrd/www/youth/tremblay/app-c.html - of - The Homosexuality Factor in the Youth Suicide Problem (1995) available at - http://www.qrd.org./qrd/www/youth/tremblay/ . Relevant information is also available at - http://www.qrd.org./qrd/www/youth/tremblay/maleyouth.html.

30. Remafedi G, Farrow JA, and Deisher BW (1991).Risk factors for attempted suicide in gay and bisexual youth. Pediatrics, 87(6), 869-875. Research Result Highlights are available at - http://www.youth-suicide.com/gay-bisexual/gbsuicide1.htm#11 .

39. Information related to Robbie Kirkland is available at - http://www.geocities.com/WestHollywood/1443/kirkland-suicide.html . The poem - "I'm Dying and no one cares" - in its entirety is available at the same web page. Additional information, including Robbie's poems,  is also a available at a web page created by his family available at - http://members.xoom.com/robkirkland/robbie.html .

40. The Information about a group if Sidney Street Youth is available in an article titled Silence is Where the Hate Grows (Silence = Death) available at - http://www.youth.org/loco/PERSONProject/Alerts/International/suicide3.html .

Notes from a yet unpublished web page related to the National Youth Advocacy Coalition and their indifference to GLB youth suicide problems:

 It is also possible that the CDC has been training individuals and sending them out into the Gay and Lesbian Youth World to become a new breed of much more deceitful "killers of gay kids" - by also pretending to be "caring and concerned" as Muehrer and colleagues manifest above. As I recently learned thanks to an informant1, one such graduate of the DASH division of the CDC is Rea Cary,  Executive Director of the National Youth Advocacy Coalition located in Washington, D.C.; their web site is at: http://www.nyacyouth.org/  . Although I knew about the web site, I had not yet received the knowledge needed to better understand why such a group - apparently concerned about the welfare of GLB youth - would totally avoid any mention of the "epidemic level" suicide problems affecting these youth. At the NYAC site (at least up to July 1, 1999), only one reference to suicide issues - the 1995 book, A prayer for Bobby -  was listed in the Resource Bibliography Section, [If direct link does not work, access via home page, then to "Bibliography" section of "Resources"] and there was no mention of the problem in the listings of other resources made available to apparently educate(?) others about sexual minority youth and their problems. {Feb. 2000 Note: Situation remains the same in year 2000.]

In a May 21, 1999 email, the informant1 reported: .

Rea Carey, the present executive director of NYAC, used to work for DASH and over the past ten years, I dare say that DASH has markedly improved its efforts; ..., what is missing right now is a comprehensive networking of all resources for gay youth and those who advise them. Your own homepage serves as such a resource, to be sure, but does not have the "cdc.gov" address that's a bookmark on most professional's web-browsers.
I was essentially being reprimanded for not referencing the CDC at my site by someone obviously not aware that the CDC site was essentially devoid of information about GLB suicide problems. Furthermore, the site also inherently did not advocate that information related to sexual orientation be solicited when adolescents studied by anyone using the CDC's Youth Risk Behavior Survey.

In a June 1, 1999 email, the same  informant1 reported: .

Your comments once again are quite interesting to me, and I DO see your points regarding the CDC and their lackluster performance in responding to AIDS in the 1980s and to suicidality (at least in respect to gay youth) in the 1990s. But the CDC is the perfect example of a large organisation that has to fight for every dollar of funding it gets and has an awesome mandate to fill in terms of both scope and depth of its research, monitoring, and prevention programmes. I feel that what DASH has been doing (or at least trying to do) over the past few years is impressive. Rea Carey, a former DASH programme asst. director and now the executive director of the National Youth Advocacy Coalition, has told me in a rather candid way how DASH has fought from the inside to concern itself with AIDS, suicide, and other issues affecting adolescent health that may be somewhat sensitive to the general public. This work is not easy, and there's much still to do, but it's a start.
It is most interesting that the informant1, given his mandate to inform the GLB community about such issues, basically serves as one who excuses the CDC great indifference with respect to gay and bisexual male adolescents, but a 'good' reason apparently exists for doing this, as again stated in the June 1, 1999 email:
,,,the CDC has been very slow in responding to what is an endemic condition in the gay male community. But the CDC and NIH in general are not the sort of organisations that take outside critiques to heart very quickly, and it is only to our advantage to try to stay somewhat on their good side, methinks.
Given the CDC/NIMH record with respect to having gay and bisexual male suicide problems addressed, it is evident that any GLB community attempting "to stay on their good side," given that no evidence for such a "good side" seems to exist - and that a malignant side seems to apply - is therefore equivalent to becoming a CDC/NIMH ally, thus helping the CDC/NIHM to maintain its status quo with respect to its manifestation of concern for the well being of gay and bisexual male adolescents. This indifference applies as much to their high risk for contracting HIV as it does to their greater risk for having suicide problems and other related problems.


1. The individual in question, as I soon learned, was a representative of a reasonably well known GLB youth magazine. However, he had contacted me while posing as an individual with a doctorate degree and also using a medical site - Medscape - from which to send such emails. A series of emails - all copies sent to two other individuals known to me - soon resulted in unmasking the individual. This event also reminded me of a most common gay youth pet peeve rendered soon after they had ventured in the core sector of Calgary's gay community: "Why does almost everyone lie so much all the time?" Although this individual did misrepresent himself, he was quite repentant, and it did not appear that he was lying about the information he used to challenge what I thought about CDC. Given his proposed ongoing association with the GLB youth magazine, I thought it best to not reveal his name nor the magazine's name - even if doing this would illustrate some of the reasons why GLB communities have done so very little to have GLB youth suicide problems addressed.

Email:   Pierre Tremblay: ----- pierre@youth-suicide.com ----- (403) 245-8827
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