Minority Sexual Orientation, Gender Identity Status and Suicidal Behavior: Serial Indirect Effects of Hope, Hopelessness and Depressive Symptoms
Death by suicide, and suicidal behaviors, are a significant public mental health problem, and individuals who are lesbian, gay, bisexual, transgendered and questioning (LGBTQ), may be at increased risk. Potential underlying mechanisms of this association are unknown, but may involve the impact of LG...
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| Veröffentlicht in: | International journal of mental health and addiction 2017-04, Vol.15 (2), p.260-270 |
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| container_title | International journal of mental health and addiction |
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| creator | Hirsch, Jameson K. Cohn, Tracy J. Rowe, Catherine A. Rimmer, Sarah E. |
| description | Death by suicide, and suicidal behaviors, are a significant public mental health problem, and individuals who are lesbian, gay, bisexual, transgendered and questioning (LGBTQ), may be at increased risk. Potential underlying mechanisms of this association are unknown, but may involve the impact of LGBTQ status on future orientation and mood. Our purpose was to determine the influence of sexual identity, sequentially, on cognitive and emotional functioning, and consequent relation to suicidal behavior. In a sample of 349 college students, we used serial mediation models to investigate the relation between self-identification as LGBTQ and suicidal behavior, with hope and hopelessness as first-order mediators and depression as a second order mediator. Supporting hypotheses, we found that LGBTQ status was related to less hope and greater hopelessness and, in serial fashion, to depressive symptoms and consequent suicidal behavior. Our findings may have clinical implications. Resolution of hopelessness and depression, and promotion of hopefulness, perhaps via Motivational Interviewing and Cognitive Behavioral Therapy strategies, such as goal-setting, may reduce suicidal risk in LGBTQ young adults. |
| doi_str_mv | 10.1007/s11469-016-9723-x |
| format | Article |
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Potential underlying mechanisms of this association are unknown, but may involve the impact of LGBTQ status on future orientation and mood. Our purpose was to determine the influence of sexual identity, sequentially, on cognitive and emotional functioning, and consequent relation to suicidal behavior. In a sample of 349 college students, we used serial mediation models to investigate the relation between self-identification as LGBTQ and suicidal behavior, with hope and hopelessness as first-order mediators and depression as a second order mediator. Supporting hypotheses, we found that LGBTQ status was related to less hope and greater hopelessness and, in serial fashion, to depressive symptoms and consequent suicidal behavior. Our findings may have clinical implications. 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Potential underlying mechanisms of this association are unknown, but may involve the impact of LGBTQ status on future orientation and mood. Our purpose was to determine the influence of sexual identity, sequentially, on cognitive and emotional functioning, and consequent relation to suicidal behavior. In a sample of 349 college students, we used serial mediation models to investigate the relation between self-identification as LGBTQ and suicidal behavior, with hope and hopelessness as first-order mediators and depression as a second order mediator. Supporting hypotheses, we found that LGBTQ status was related to less hope and greater hopelessness and, in serial fashion, to depressive symptoms and consequent suicidal behavior. Our findings may have clinical implications. Resolution of hopelessness and depression, and promotion of hopefulness, perhaps via Motivational Interviewing and Cognitive Behavioral Therapy strategies, such as goal-setting, may reduce suicidal risk in LGBTQ young adults.</description><subject>Community and Environmental Psychology</subject><subject>Disease control</subject><subject>Gays & lesbians</subject><subject>Gender identity</subject><subject>Health Psychology</subject><subject>Heterosexuality</subject><subject>Likert scale</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Original Article</subject><subject>Psychiatry</subject><subject>Psychology</subject><subject>Public Health</subject><subject>Quantitative psychology</subject><subject>Rehabilitation</subject><subject>Sexual orientation</subject><subject>Suicidal behavior</subject><subject>Suicides & suicide attempts</subject><subject>Transgender persons</subject><issn>1557-1874</issn><issn>1557-1882</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1UE1PAjEQ3RhNRPQHeGvildV-7Zc3RQUSDAf03JTtVEugXdtdA__Cn2wBoycPM_My896b5CXJJcHXBOPiJhDC8yrFJE-rgrJ0c5T0SJYVKSlLevyLC36anIWwxJhznpNe8vVsrPOm3aI5bDq5QjNvwLayNc4O0AisAo8mKq72nHjoApJWoXlnaqOi4B7e5adx_jY6eBMXE6uMh7pFj1rHEZDTaOwaGOz7CkKwsfYmD9D4iM0noPl23bRuHc6TEy1XAS5-Zj95fXp8GY7T6Ww0Gd5N05qRvE2LWvKCyjpbKEqgUlWdU7aoqNRQKlYzDFxnmvBCaww4KxXXkpcMMNcLkIqyfnJ18G28--ggtGLpOm_jS0FLzHHFGMGRRQ6s2rsQPGjReLOWfisIFrvgxSF4EYMXu-DFJmroQRMi176B_3P-X_QNTC6Jvw</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Hirsch, Jameson K.</creator><creator>Cohn, Tracy J.</creator><creator>Rowe, Catherine A.</creator><creator>Rimmer, Sarah E.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20170401</creationdate><title>Minority Sexual Orientation, Gender Identity Status and Suicidal Behavior: Serial Indirect Effects of Hope, Hopelessness and Depressive Symptoms</title><author>Hirsch, Jameson K. ; 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Potential underlying mechanisms of this association are unknown, but may involve the impact of LGBTQ status on future orientation and mood. Our purpose was to determine the influence of sexual identity, sequentially, on cognitive and emotional functioning, and consequent relation to suicidal behavior. In a sample of 349 college students, we used serial mediation models to investigate the relation between self-identification as LGBTQ and suicidal behavior, with hope and hopelessness as first-order mediators and depression as a second order mediator. Supporting hypotheses, we found that LGBTQ status was related to less hope and greater hopelessness and, in serial fashion, to depressive symptoms and consequent suicidal behavior. Our findings may have clinical implications. 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| subjects | Community and Environmental Psychology Disease control Gays & lesbians Gender identity Health Psychology Heterosexuality Likert scale Medicine Medicine & Public Health Mental depression Mental health Original Article Psychiatry Psychology Public Health Quantitative psychology Rehabilitation Sexual orientation Suicidal behavior Suicides & suicide attempts Transgender persons |
| title | Minority Sexual Orientation, Gender Identity Status and Suicidal Behavior: Serial Indirect Effects of Hope, Hopelessness and Depressive Symptoms |
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