There are some wonderful prevention programs, classes, workshops, materials and more out there.  If you know of any we have missed, please share with us so that we can help get the word out.

The Suicide Prevention Resource Center Best Practices Registry is a great place to start.  Content is added to regularly, check back often for new listings: http://www.sprc.org/bpr

The Suicide Prevention Resource Center (SPRC) has a weekly newsletter and a wealth of information, webinars, workshops and more.  Definitely worth checking out:  http://www.sprc.org
In particular, though dated (2008) the SPRC document Suicide Risk and Prevention for Lesbian, Gay, Bisexual and Transgender Youth is worth reading:  http://www.sprc.org/sites/sprc.org/files/library/SPRC_LGBT_Youth.pdf

Also from the Best Practices Registry, some resources we especially recommend for LGBTQ youth prevention:

Supportive Families, Healthy Children: Helping Families with Lesbian, Gay, Bisexual & Transgender (LGBT) ChildrenAwareness/Outreach, Family Acceptance Project, San Francisco State University  

Trevor Lifeguard WorkshopEducation & Training, The Trevor Project

Saving Our Lives: Transgender Suicide Myths, Reality and HelpAwareness/Outreach, Massachusetts Department of Public Health

Suicide Prevention among LGBT Youth: A Workshop for Professionals Who Serve Youth; Education & Training, Suicide Prevention Resource Center

Some other great resources:

Talking About Suicide & LGBT PopulationsThis guide, co-authored by GLSEN, the American Foundation for Suicide Prevention, GLAAD, the Johnson Family Foundation, the Movement Advancement Project and The Trevor Project, provides ways to talk about suicide more safely, while advancing vital public discussions about preventing suicide, helping increase acceptance of LGBT people, and supporting their well-being.

 

 

American Foundation for Suicide Prevention: LGBT Initiative 
This initiative works on suicide prevention among the LGBT population in a number of ways, including producing a conference, funding research grants, working to improve how the media covers anti-gay bullying, helping its chapter volunteers bring understanding of suicide into their local LGBT communities, and creating LGBT mental health educational resources and training tools.

Model School District Policy on Suicide Prevention 

 

The Centers of Disease Control has an interesting publication, The Relationship Between Bullying and Suicide: What We Know and What it Means for Schools


National Strategy for Suicide Prevention
http://www.surgeongeneral.gov/library/reports/national-strategy-suicide-prevention/
An important except from that plan, by THE LGBTQ youth suicide expert, Ann Haas, beginning page 121:

Lesbian, Gay, Bisexual, and Transgender Populations

Studies over the last four decades suggest that LGBT individuals may have an elevated risk for suicide ideation and attempts. Attention to this disparity has been limited, in part because neither the U.S. death certificate nor the NVDRS identify decedents’ sexual orientation or gender identity. Thus, it is not known whether LGBT people die by suicide at higher rates than comparable heterosexual people.

 

Across many different countries, a strong and consistent relationship between sexual orientation and nonfatal suicidal behavior has been observed. A meta-analysis of 25 international population-based studies found the lifetime prevalence of suicide attempts in gay and bisexual male adolescents and adults was four times that of comparable heterosexual males. Lifetime suicide attempt rates among lesbian and bisexual females were almost twice those of heterosexual females. 

 

Lesbian, gay, and bisexual (LGB) adolescents and adults were also found to be almost twice as likely as heterosexuals to report a suicide attempt in the past year. A later meta-analysis of adolescent studies concluded that LGB youth were three times more likely to report a lifetime suicide attempt than heterosexual youth, and four times as likely to make a medically serious attempt. Across studies, 12 to 19 percent of LGB adults report making a suicide attempt, compared with less than 5 percent of all U.S. adults; and at least 30 percent of LGB adolescents report attempts, compared with 8 to 10 percent of all adolescents. To date, population-based studies have not identified transgender participants, but numerous nonrandom surveys show high rates of suicidal behavior in that population, with 41 percent of adult respondents to the 2009 National Transgender Discrimination Survey reporting lifetime suicide attempts. 

Most studies have found suicide attempt rates to be higher in gay/bisexual males than in lesbian/bisexual women, which is the opposite of the gender pattern found in the general population. As in the overall population, there is some evidence that the frequency of suicide attempts may decrease as LGB adolescents move into adulthood, although patterns of suicide attempts across the lifespan of sexual minority people have not been conclusively studied. Within LGB samples, especially high suicide attempt rates have been reported among African American, Latino, Native American, and Asian American subgroups.

 

Suicidal behaviors in LGBT populations appear to be related to “minority stress,” which stems from the cultural and social prejudice attached to minority sexual orientation and gender identity. This stress includes individual experiences of prejudice or discrimination, such as family rejection, harassment, bullying, violence, and victimization. Increasingly recognized as an aspect of minority stress is “institutional discrimination” resulting from laws and public policies that create inequities or omit LGBT people from benefits and protections afforded others.

 

Individual and institutional discrimination have been found to be associated with social isolation, low self-esteem, negative sexual/gender identity, and depression, anxiety, and other mental disorders. These negative outcomes, rather than minority sexual orientation or gender identity per se, appear to be the key risk factors for LGBT suicidal ideation and behavior.  An additional risk factor is contagion resulting from media coverage of LGBT suicide deaths that presents suicidal behavior as a normal, rational response to anti-LGBT bullying or other experiences of discrimination. Further research is needed to explore the pathways to suicidal behaviors for transgender individuals, including the impact of prejudice and discrimination.

Factors that foster and promote resilience in LGBT people include family acceptance, connection to caring others and a sense of safety, positive sexual/gender identity, and the availability of quality, culturally appropriate mental health treatment. 

 

Strategies for preventing suicidal behaviors in LGBT populations include: 

Reducing sexual orientation and gender-related prejudice and associated stressors; 

Improving identification of depression, anxiety, substance abuse, and other mental disorders; Increasing availability and access to LGBT-affirming treatments and mental health services; Reducing bullying and other forms of victimization that contribute to vulnerability within families, schools, and workplaces; 

Enhancing factors that promote resilience, including family acceptance and school safety; Changing discriminatory laws and public policies; 

Reducing suicide contagion.

 

Collaboration between suicide prevention and LGBT organizations is needed to ensure the development of culturally appropriate suicide prevention programs, services, and materials, and to facilitate access to care for at-risk individuals. A promising example is the development of guidelines for media in talking about suicide in LGBT populations created by a coalition of AFSP and several national LGBT organizations. 

 

Another critical need is closing knowledge gaps through additional research and improved surveillance. Efforts are underway to expand the inclusion of sexual orientation and gender identity measures in federal health and mental health surveys, and to develop and test procedures for postmortem identification of LGBT people in NVDRS.

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