title: [Factors associated with suicide attempts by sexual minorities: Results from the 2011 gay and lesbian survey].
abstract: BACKGROUND
  Since the 1990s, several studies have found higher rates of suicide attempts in homosexuals and bisexuals than in heterosexuals. The current challenge is to identify risk factors for targeting prevention. The aim of this paper was to determine, for the first time in France, the prevalence of suicide attempts over a 12-month period and associated factors in a population of men and women who self-identified as homosexuals or bisexuals.
  
  
  METHODS
  A convenience sample cross-sectional survey was conducted in 2011 using an anonymous self-administered questionnaire made available in the gay press, and Internet sites targeting the gay or lesbian community. Among the persons completing the questionnaire, 10,100 men and 2963 women residing in France answered the questions on suicide attempts. The factors associated with suicide attempts during the previous 12 months were identified by logistic regression.
  
  
  RESULTS
  Lifetime prevalence for suicide attempts was 16% in men and 18% in women; 12-month prevalence was 1.6% in men and 1.9% in women. Factors independently associated with suicide attempts in the past 12 months in men and women were lack of occupational activity, victim of sexual abuse, termination of a long-term relationship, excessive alcohol consumption in the past 12 months, depression, and in addition, in men, living in a small locality, victim of verbal or physical aggression and use of anxiolytics.
  
  
  CONCLUSIONS
  According to our results, the fight against homophobia is an important element for the prevention of suicide attempts among homosexual and bisexual men. Indeed, in addition to traditional risk factors for suicide attempt, a significant association was also found with homophobic aggression in the past year.
authors.affiliation: Département des maladies chroniques et traumatismes, institut de veille sanitaire, 12, rue du Val-d'Osne, 94415 Saint-Maurice, France. Electronic address: lm.paget@invs.sante.fr.
authors.forename: L-M
authors.initials: LM
authors.lastname: Paget
authors.affiliation: Département des maladies chroniques et traumatismes, institut de veille sanitaire, 12, rue du Val-d'Osne, 94415 Saint-Maurice, France.
authors.forename: C
authors.initials: C
authors.lastname: Chan Chee
authors.affiliation: Département des maladies infectieuses, institut de veille sanitaire, 12, rue du Val-d'Osne, 94415 Saint-Maurice, France.
authors.forename: C
authors.initials: C
authors.lastname: Sauvage
authors.affiliation: Département des maladies infectieuses, institut de veille sanitaire, 12, rue du Val-d'Osne, 94415 Saint-Maurice, France.
authors.forename: L
authors.initials: L
authors.lastname: Saboni
authors.affiliation: Département des maladies chroniques et traumatismes, institut de veille sanitaire, 12, rue du Val-d'Osne, 94415 Saint-Maurice, France.
authors.forename: N
authors.initials: N
authors.lastname: Beltzer
authors.affiliation: Département des maladies infectieuses, institut de veille sanitaire, 12, rue du Val-d'Osne, 94415 Saint-Maurice, France; Inserm, UVSQ, CESP, université Paris-Saclay, université Paris-Sud, 94276 Kremlin-Bicêtre, France.
authors.forename: A
authors.initials: A
authors.lastname: Velter
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001727:Bisexuality / Q000523:psychology / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D005602:France / Q000453:epidemiology; D018452:Homosexuality, Female / Q000523:psychology / Q000706:statistics & numerical data*; D018451:Homosexuality, Male / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D000072339:Sexual and Gender Minorities / Q000523:psychology / Q000706:statistics & numerical data*; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: France; Homo/bisexuality; Homo/bisexualité; Suicide attempts; Tentative de suicide