244643 Predictors of suicide ideation and HIV risk among LGBT Midlanders in Nebraska and western Iowa

Tuesday, November 1, 2011: 4:30 PM

Jay A. Irwin, PhD , Department of Sociology and Anthropology, University of Nebraska Omaha, Omaha, NE
Molly McCarthy , College of Public Health, University of Nebraska Medical Center, Omaha, NE
Jason D. Coleman, PhD, MSPH , School of Health, Physical Education, and Recreation, University of Nebraska Omaha, Omaha, NE
Christopher Fisher, PhD , Department of Health Promotion, Social & Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE
Background: Research finds determinants of high levels of suicide behaviors in lesbian, gay, bisexual, and transgender (LGBT) populations to be similar to those for HIV risk. The aim of this investigation is to outline possible predictors of considering suicide among LGBT individuals living in a Midwestern, low-resource predominantly rural state.

Method: An online survey was developed using a community-based participatory research approach. Participants (N=525) were recruited via advertisements, press releases, and e-mail. Demographics, psychosocial resources, and stressors were used to examine the likelihood of suicidal ideation. Descriptive statistics, correlations and hierarchical linear regression were run in PASW 18.0.

Results: Almost half (n=260, 49.6%) of participants had seriously considered suicide at some point in their lives. Women and transgender respondents were more likely to have seriously considered suicide (41% and 110%, respectively). Higher scores on the CES-Depression scale also predicted suicidal ideation. Individuals with greater levels of perceived discrimination were more likely to experience suicidal ideation. Having an income <$5,000 and low levels of being out about their sexual orientation/gender identity were also predictors of suicidal ideation, but no longer significant after the inclusion of resource and stress variables.

Conclusions: Suicide ideation is a serious concern for the health of LGBT populations in the Midwest. Known correlates between depression, suicide, and HIV testing, diagnosis, and risk taking behaviors makes this issue of great importance among LGBT populations. Public health practitioners who engage in HIV or suicide outreach programs may want to consider joint efforts for LGBT populations.

Learning Areas:
Diversity and culture
Planning of health education strategies, interventions, and programs
Program planning
Public health or related public policy
Public health or related research
Social and behavioral sciences

Learning Objectives:
Demonstrate the variables important for suicide ideation among LGBT Midlanders Explain the similarities between determinants for suicide ideation and HIV risk

Keywords: Suicide, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I was the co-investigator on the study being presented.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: HIV/AIDS & Mental Health
See more of: HIV/AIDS