ArticleSSM. Qualitative research in health2022
How do sexual and gender minority people acquire the capability for suicide? Voices from survivors of near-fatal suicide attempts.
Article in SSM. Qualitative research in health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Why do adolescents attempt suicide? Insights from leading ideation-to-action suicide theories: a systematic review.Translational psychiatry · 2024Pooled it
- The lived experience of persons who attempt suicide: a bottom-up review co-designed, co-produced and co-written by experts by experience and academics.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Risk factors for suicide attempt among adolescents reporting suicidal ideation by sexual and gender minority status: Evidence from the 2022 Minnesota Student Survey.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026Article
- Exposure to Suicidal Behavior by Sexual and Gender Minority Status Among Adolescents in the Southeastern United States.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- Sexual Orientation and Exposure to Close Others' Self-Injurious Thoughts and Behaviors.JAMA network open · 2025Article
- Suicide Scripts Among Sexual and/or Gender Minority Adults.Suicide & life-threatening behavior · 2025Article
- A Syndemic Clustering of Adversities on Suicide Risk among YMSM Living with HIV in Bangkok: A Causal Latent Class Analysis.AIDS and behavior · 2025Article
- A scoping review of empirical research on firearms and firearm violence among sexual and gender minority populations in the United States.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- Social-Ecological Determinants of Suicidal Ideation Among Sexual and Gender Minority Adults: A Cross-Sectional Study in the United States.Healthcare (Basel, Switzerland) · 2024Article
- The Interpersonal Theory of Suicide: State of the Science.Behavior therapy · 2024Review
- (Re)conceptualizing structural stigma: Insights from a qualitative study of sexual minority men in a longitudinal, population-based cohort.Stigma and health · 2024Article
- Out of the Closet, but Not Out of the Woods: The Longitudinal Associations Between Identity Disclosure, Discrimination, and Nonsuicidal Self-Injury Among Sexual Minoritized Young Adults.Psychology of sexual orientation and gender diversity · 2024Article
- Social network structure as a suicide prevention target.Social psychiatry and psychiatric epidemiology · 2024Article
- Previous mental health care and help-seeking experiences: Perspectives from sexual and gender minority survivors of near-fatal suicide attempts.Psychological services · 2024Article
- "Bulletin of applied transgender studies · 2024Article
- Sexual Orientation and Disclosure of Suicidal Thoughts Before Suicide Mortality.American journal of preventive medicine · 2023Article
- Ecological Momentary Assessment and Machine Learning for Predicting Suicidal Ideation Among Sexual and Gender Minority Individuals.JAMA network open · 2023Article
- Mental Health Among Sexual and Gender Minority Youth Incarcerated in Juvenile Corrections.Pediatrics · 2022Article
- Moderating Effect of Community and Individual Resilience on Structural Stigma and Suicidal Ideation among Sexual and Gender Minority Adults in the United States.International journal of environmental research and public health · 2022Article
- Sexuality-Based Stigma, Other Painful and Provocative Events, and Suicide Attempt Among Cisgender Sexually Minoritized Men in the United States.Archives of suicide research : official journal of the International Academy for Suicide ResearchArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Despite well-documented disparities by sexual and gender minority (SGM) status in suicide attempt and mortality rates, few studies have investigated the lived experiences that contribute to SGM people's disproportionate risk of suicide. Having a history of at least one near-fatal (or medically serious) suicide attempt serves as a proxy for suicide mortality, but no known study has involved SGM people who have made such an attempt. Ideation-to-action theories of suicide posit that individuals acquire the capability for suicide through repeated exposure to painful and provocative events - namely, traumatic, threatening, and risky experiences - that can diminish the pain and fear of death. Yet whether identity-specific features of acquired capability for suicide contribute to SGM people's disproportionate risk of suicide remains unknown. Drawing upon interviews with 22 SGM people who experienced a recent near-fatal suicide attempt, the current study sought to identify specific determinants of how SGM individuals acquire the capability to kill themselves, a potentially powerful, and modifiable, pathway to suicide. Results identified three SGM-specific contributors to the acquired capability for suicide: (1) identity invalidation during developmentally sensitive periods of childhood and adolescence that left participants feeling erased, invisible, and, in some cases, non-existent; (2) normalization of suicide within SGM social networks that increased acceptability and reduced the fear of suicide; and (3) structural stigma and SGM community trauma as habituating sources of pain that engendered feelings of exhaustion and positioned suicide as a reprieve from pervasive anti-SGM norms. This study demonstrates that dominant suicidology theories might need to be refined to account for the stigma-related determinants of SGM suicide. Further, this study reinforces the importance of qualitative methods for understanding the lived experience of suicide and calls for SGM-specific suicide prevention efforts to respond to stigma to support those SGM people who contemplate suicide.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.