Suicide among LGBTQIA+ youth: A review of the treatment literature

Russon, Jody; Washington, Regina; Machado, Aryane Flauzino; Smithee, Lauren; Dellinger, Jamie

doi:10.1016/j.avb.2021.101578

Cited by 7 publications

(9 citation statements)

References 130 publications

(189 reference statements)

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“…Refining the approach continued as we worked with families in the pilot; therefore, our approach shifted with new information gained. These refinements are complex and further explored in another paper (Russon, Smithee et al, 2021a; Russon, Washington et al, 2021b). A 16-week model may not clinically address the complex needs of TGD families.…”

Section: Discussionmentioning

confidence: 99%

“…Many adolescents/young adults negotiated physical, social, and/or legal transition within potentially stigmatizing social systems, and 60% experienced chronic gender dysphoria. We attended to these challenges and proposed manual adaptations for conducting ABFT with TGD youth and their caregivers (Russon, Smithee et al, 2021a; Russon, Washington et al, 2021b). Adaptations were not delivered to all families participating in this trial, and not all required these modifications.…”

Section: Discussionmentioning

confidence: 99%

“…Until recently, transgender and gender diverse (TGD) adolescents and young adults have been absent from suicide treatment research, yet they are at even greater risk for suicidality than LGBQ young people (Grossman & D'Augelli, 2007). Unfortunately, suicide intervention research for LGBTQ+ populations remains limited (Austin & Craig, 2015; Russon, Smithee et al, 2021a; Russon, Washington et al, 2021b).…”

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confidence: 99%

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Implementing Attachment-Based Family Therapy for Depressed and Suicidal Adolescents and Young Adults in LGBTQ+ Services

Russon

Morrissey

Dellinger

et al. 2022

Crisis

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Abstract. Background: Suicide is a serious public health problem for LGBTQ+ adolescents and young adults. Attachment-based family therapy (ABFT) is one of the few suicide treatment models that has been tested with this population. The challenge remains in how to implement ABFT into the ecology of LGBTQ+ service settings. Aims: In this study, we tested the feasibility, acceptability, and preliminary effectiveness of ABFT in LGBTQ+ community settings. Method: Ten participants were enrolled in 16 weeks of ABFT across three LGBTQ+ organizations. Feasibility (treatment completion) and acceptability (Working Alliance Inventory [WAI]; opinions about treatment [OAT]) were measured for youth and caregivers. Depression and suicide outcomes were assessed for nine participants. Results: ABFT was demonstrated to be both feasible and acceptable. All participants completed treatment, and there were no dropouts. Adolescents/young adults and their caregivers reported high WAI and adequate OAT scores throughout treatment. There was a significant decrease in suicidal ideation (β = −12.16, t(10) = −3.14, p < .01). Decreases in depression, however, were not significant (β = −1.83, t(9.11) = −0.88, p = .40). Limitations: The small sample limits our ability to estimate treatment effectiveness. A larger effectiveness trial is warranted. Conclusion: ABFT is a promising treatment for LGBTQ+ service settings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Implementing Attachment-Based Family Therapy for Depressed and Suicidal Adolescents and Young Adults in LGBTQ+ Services

Russon

Morrissey

Dellinger

et al. 2022

Crisis

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“…The differences we observed within mono‐/biracial NA and BL youth demonstrate the importance of this issue. This call for intersectional research also applies to assessing diverse gender and sexual identities, especially since non‐binary, transgender, and bisexual individuals are particularly at risk for death by suicide (Haas et al, 2010; Russon et al, 2021). There is much to be done to further understand how gender and sexual identities intersect with other identities to impact suicide risk and inform interventions.…”

Section: Discussionmentioning

confidence: 99%

Understanding suicide risk for youth who are both Black and Native American: The role of intersectionality and multiple marginalization

Wiglesworth

Clement

Wingate

et al. 2022

Suicide & Life Threat Behav

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Introduction: Native American and multiracial youth experience elevated risk for suicide ideation (SI) and suicide attempts (SA); however, intersectional identities are often unexamined in suicide research. Method:We examined the prevalence of SI and SA, and the impact of intersectional identities (sex, sexual minority identity, and economic insecurity) on these rates, in 496 biracial Black-Native American, 2,804 Native American, 14,220 Black, 5,569 biracial Native American-White, 4,076 biracial Black-White, and 118,816 White youth who participated in the Minnesota Student Survey.Results: Black-Native American youth reports of SI and SA resembled other Native American youth and were significantly higher than those reported by Black, White, and Black-White (SA only) youth. While sexual minority youth reported higher rates of SI and SA than heterosexual youth, this difference between sexual minority and heterosexual Black-Native American youth was smaller as compared to their peers. Conclusion:Though they largely resemble their mono/biracial Native American peers, Black-Native American youth show some distinct patterns of SA when accounting for their intersectional identities. Despite presumed similarities in systemic risk factors, Black and Black-Native American youth differ considerably in reported suicidality. The experiences of Black-Native American teens warrant further examination. K E Y W O R D Sadolescence, biracial youth, Black populations, intersectionality, Native American populations, suicide 1 Throughout this manuscript, authors have used terms such as "Native American," "Latinx," "Hispanic," "Minority," "Minoritized," and "Marginalized." We recognize that individuals within these groups are not monolithic and may not identify with these terms. We acknowledge that discussions surrounding racial and ethnic identity are fluid and evolving.

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“…Organizations should intentionally move away from research and practice that focuses on the experiences of White individuals (Marraccini et al, 2022). There is a need for more evidence-based culturally sensitive prevention, intervention, and postvention programs, including those specifically tailored for the nonhomogenous groups unified under the LGBTQIA+ umbrella (Russon et al, 2022).…”

Section: Principle #6: Cultural Historical and Gender Issuesmentioning

confidence: 99%

Integrating trauma-informed principles into suicide prevention, intervention, and postvention.

Mirick¹,

McCauley²,

Bridger³

2023

Practice Innovations

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There are elevated rates of trauma in individuals with suicidal thoughts and behaviors, and individuals with suicidality or bereaved by suicide have an increased risk of trauma. Due to this relationship between trauma and suicide, there is a consensus from experts that suicide prevention work must be trauma-informed. Currently, there is a dearth of research on trauma-informed programs and interventions for those thinking of suicide or supports for individuals bereaved by suicide, leaving service providers without guidance on trauma-informed practices with suicide, and individuals with co-occurring traumatic stress and suicidal thoughts and behaviors without access to trauma-informed services. This article uses the framework of Substance Abuse and Mental Health Services Administration's trauma-informed principles to provide guidance to organizations on the application of trauma-informed practices in their work in suicide prevention, with individuals experiencing suicidal thoughts and behaviors and with suicide loss survivors. Systemic barriers and concerns are also discussed.

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Suicide among LGBTQIA+ youth: A review of the treatment literature

Cited by 7 publications

References 130 publications

Implementing Attachment-Based Family Therapy for Depressed and Suicidal Adolescents and Young Adults in LGBTQ+ Services

Implementing Attachment-Based Family Therapy for Depressed and Suicidal Adolescents and Young Adults in LGBTQ+ Services

Understanding suicide risk for youth who are both Black and Native American: The role of intersectionality and multiple marginalization

Integrating trauma-informed principles into suicide prevention, intervention, and postvention.

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