title: Factors Related to Suicide in LGBT Populations.
abstract: BACKGROUND
  There is evidence of heightened vulnerability to nonfatal suicidal behaviors among LGBT populations yet a paucity of studies into fatal behaviors.
  
  
  OBJECTIVE
  The specific aim of this article was to identify factors related to suicide in LGBT individuals in Australia.
  
  
  METHODS
  The psychological autopsy (PA) method with a matched case-control study design was used. PA interviews were conducted with 27 next-of-kin of an LGBT person that had died by suicide. Three living LGBT controls per suicide case, matched by age and gender, were also interviewed.
  
  
  RESULTS
  The key factors relating to suicide in LGBT people were a lack of acceptance by family and self (reflected in higher internalized homophobia and shame), negative feelings about own sexuality/gender, and dissatisfaction with appearance. LGBT people who died by suicide also tended to go through coming out milestones 2 years earlier than controls. There was a higher prevalence of aggressive behaviors and a more predominant history of physical and sexual abuse. Additionally, there was greater incidence of depression and anxiety and alcohol and substance use disorders.
  
  
  CONCLUSIONS
  Specific predictive factors for suicide in LGBT populations in Australia were identified, including significantly poorer mental health outcomes and more violence across an array of measures.
authors.affiliation: 1 Australian Institute for Suicide Research and Prevention (AISRAP), National Centre of Excellence in Suicide Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Mt Gravatt, QLD, Australia.
authors.forename: Delaney Michael
authors.initials: DM
authors.lastname: Skerrett
authors.affiliation: 1 Australian Institute for Suicide Research and Prevention (AISRAP), National Centre of Excellence in Suicide Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Mt Gravatt, QLD, Australia.
authors.forename: Kairi
authors.initials: K
authors.lastname: Kõlves
authors.affiliation: 1 Australian Institute for Suicide Research and Prevention (AISRAP), National Centre of Excellence in Suicide Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Mt Gravatt, QLD, Australia.
authors.forename: Diego
authors.initials: D
authors.lastname: De Leo
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D003865:Major Depressive Disorder / Q000453:epidemiology* / Q000523:psychology; D004651:Employment / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D000072339:Sexual and Gender Minorities / Q000523:psychology / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology / Q000706:statistics & numerical data*; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
keywords: LGBT; psychological autopsy; risk factors; suicide