Trans and Gender‐Diverse peoples’ experiences of crisis helpline services

Lim, Gene; Waling, Andrea; Lyons, Anthony; Pepping, Christopher A.; Brooks, Anna; Bourne, Adam

doi:10.1111/hsc.13333

Cited by 16 publications

(6 citation statements)

References 71 publications

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“…Improving trans affirmative practice in health services is also important for reducing suicide risk. Previous studies have identified that structural stigma and a subsequent lack of education regarding trans health and gender affirmation among medical professionals, allied health, and nursing staff have led to a limited number of health providers and crisis support providers, including telephone support lines, who are competent in providing appropriate trans healthcare in Australia (Dolan et al, 2020;Lim et al, 2021;Poteat et al, 2013). This may result in potential pathologizing of trans individuals seeking care, leading to a delay in seeking medical treatment and increasing distress (Cruz, 2014) may present with different experiences and needs.…”

Section: Discussionmentioning

confidence: 99%

Demographic and psychosocial factors associated with recent suicidal ideation and suicide attempts among trans and gender diverse people in Australia

Hill

Cook

McNair

et al. 2023

Suicide & Life Threat Behav

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Introduction Correlates of suicidal ideation and suicide attempts among a large cross‐section of trans and gender diverse populations in Australia were examined. Methods A national survey was conducted that included 1466 trans and gender diverse participants aged 18+ years. Multivariable regressions identified factors associated with recent suicidal ideation and suicide attempts. Results Overall, 62.4% reported suicidal ideation and 9.5% suicide attempt in the past 12 months. The likelihood of suicidal ideation was higher for younger participants or those who felt treated unfairly or socially excluded due to their gender identity in the past 12 months. It was lower for those with a postgraduate degree, who felt accepted by family or work, or who felt their gender identity was respected when accessing a mainstream medical clinic in the past 12 months. The likelihood of suicide attempts was greater for those aged younger or who had recently experienced sexual harassment based on their sexual orientation or gender identity, and lower for those who were non‐binary. Conclusion Urgent attention for suicide prevention is necessary for trans and gender diverse communities. These findings point to a range of risk and protective factors, which may help inform the targeting and design of suicide prevention strategies.

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Section: Discussionmentioning

confidence: 99%

Demographic and psychosocial factors associated with recent suicidal ideation and suicide attempts among trans and gender diverse people in Australia

Hill

Cook

McNair

et al. 2023

Suicide & Life Threat Behav

Self Cite

View full text Add to dashboard Cite

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“…Even with evidence of elevated rates of mental distress among LGBTQ populations, many queer community members in high-income countries find it difficult to access adequate mental health services (Higgins et al, 2021 ; Lim et al, 2021a , b ). LGB individuals in Australia report minority-related stress, finances and time constraints as barriers to accessing help (Cronin et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

The Nature and Impact of Informal Mental Health Support in an LGBTQ Context: Exploring Peer Roles and Their Challenges

et al. 2022

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Background Research shows that LGBTQ communities experience high levels of suicidality and mental ill health. They also face significant barriers to accessing adequate mental health treatment in service settings. In response to these factors, it is likely that LGBTQ community members turn to their peers for informal mental health-related support. Such support, however, is largely undefined, the extent of it poorly understood and its impacts on those who perform it underexplored. Methods We explored the nature and impact of informal mental health-related support provided by peers in LGBTQ communities in Melbourne, Australia. Drawing on semi-structured in-depth interviews with 25 LGBTQ adults in 2020, we explored how and why peers provided mental health support to friends, partners, housemates and even strangers and the impact this had on them. Results We found that participants performed support roles as extensions of their existing relationships. We demonstrate that the support roles of the safe friend, housemate and partner, among others, represent everyday relationships stretched—even to breaking point—to incorporate informal mental health support. Each of these support roles is distinct, but they can all potentially result in similar impacts on those performing them. One of the more significant of these is burnout. Conclusions LGBTQ community members face a diverse range of challenges when they support peers with their mental health. Informal peer-support roles are a significant responsibility for those performing them. LGBTQ community members stepping up to support others should be better supported to help manage their roles and the impacts of performing them. Policy Implications Findings can contribute to policy that not only addresses high levels of mental ill health in LGBTQ communities, but also seeks to help peers in support roles to prevent them from being negatively impacted.

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“…In this sense, expanding demographic reporting to be inclusive of nonbinary gender is essential. A recent study (Lim et al, 2021) of the experiences of gender fluid callers to a crisis hotline in Australia found that these callers preferred to avoid the hotline, citing that responders were not appropriately able to recognize or support the specific mental health needs of gender minorities. This is a call for crisis services to adapt to better understand and address the concerns of gender-diverse individuals; part of this task is to broaden the scope of understanding of gender.…”

Section: Discussionmentioning

confidence: 99%

“…A small number of the reviewed studies reported on the outcomes of calls to crisis hotlines, with some indicating gender differences in these outcomes. The majority of studies that assessed call outcome focused on reporting suicide mortality rates (Chan et al , 2018; Hanneman et al ,2021; Ramsey et al , 2019; Shaw and Chiang, 2019). Other studies reported on the decrease in suicidal intent or absence of a suicide event following a call (Gould et al , 2007, 2016; Mishara et al , 2007, 2016; Witte et al , 2010).…”

Section: Outcomes Of Crisis Calls By Gendermentioning

confidence: 99%

Gender differences in use of suicide crisis hotlines: a scoping review of current literature

Krishnamurti

Monteith

McCoy

et al. 2022

JPMH

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Purpose Little is known about the gender profile of callers to crisis hotlines, despite distinct gender differences in suicide risk and behavior. The authors assessed current knowledge of the role of caller gender in the use of crisis hotlines for suicide, specifically whether there are differences in frequency, reason for call and caller outcomes by gender. Design/methodology/approach The authors conducted a scoping literature review of peer-reviewed studies published since 2000 in Medline, PubMed and PsychInfo, examining a total of 18 articles based on 16 studies. Findings Overall, women represent a higher percentage of calls to crisis hotlines worldwide, despite men having higher rates of suicide. Primary reasons for calling hotlines were the same for men and women, regardless of geography or culture. When gender differences in reason for call were reported, they were consistent with literature documenting gender differences in the prevalence of risk factors for suicide, including higher rates of substance use among men and higher instances of domestic violence/abuse among women. Research limitations/implications There was variability in the studies the authors examined. This review was limited to research on crisis telephone hotlines and did not include text or chat services. Due to data reporting, the findings are constrained to reporting on a male/female gender binary. Originality/value Findings on gender differences in crisis line use suggest a need for continued research in this area to determine how to best meet the needs of callers of all genders.

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Trans and Gender‐Diverse peoples’ experiences of crisis helpline services

Cited by 16 publications

References 71 publications

Demographic and psychosocial factors associated with recent suicidal ideation and suicide attempts among trans and gender diverse people in Australia

Demographic and psychosocial factors associated with recent suicidal ideation and suicide attempts among trans and gender diverse people in Australia

The Nature and Impact of Informal Mental Health Support in an LGBTQ Context: Exploring Peer Roles and Their Challenges

Gender differences in use of suicide crisis hotlines: a scoping review of current literature

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