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      Sexual and Gender Minorities' Readiness and Interest in Supporting Peers Experiencing Suicide-Related Behaviors

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          Abstract

          Abstract. Background: Gatekeeper training is a widely recommended suicide prevention intervention that encourages the development of knowledge and the identification and support of those at risk of suicide. Yet, this strategy has not been implemented among sexual and gender minorities (SGM), a group at high risk of suicide. Aim: The aim of this study was to describe the readiness and interest of SGM in supporting peers experiencing suicide-related behaviors. Method: We analyzed data from an online cross-sectional survey of Canadian SGM ( n = 2778). Results: In total, 90% of participants had ≥1 SGM peer with depression, and 73% had ≥1 SGM peer who had previously attempted suicide; 74% said they knew what to do to support a peer experiencing suicide risk, and 77% indicated they knew where to refer them. Furthermore, 94% were interested in learning how to recognize signs of suicidality, while 95% were interested in learning skills to support a peer struggling with suicidality and 81% of those indicated a preference to learn these skills online. Limitations: The study used a nonprobability sample and cross-sectional design. Conclusion: SGM are largely interested in learning suicide prevention skills and, as such, more resources are needed to implement and scale up evidence-based approaches for gatekeeper training among SGM.

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          Most cited references26

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          Suicide and Suicide Risk in Lesbian, Gay, Bisexual, and Transgender Populations: Review and Recommendations

          Despite strong indications of elevated risk of suicidal behavior in lesbian, gay, bisexual, and transgender people, limited attention has been given to research, interventions or suicide prevention programs targeting these populations. This article is a culmination of a three-year effort by an expert panel to address the need for better understanding of suicidal behavior and suicide risk in sexual minority populations, and stimulate the development of needed prevention strategies, interventions and policy changes. This article summarizes existing research findings, and makes recommendations for addressing knowledge gaps and applying current knowledge to relevant areas of suicide prevention practice.
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            Lifetime Prevalence of Suicide Attempts Among Sexual Minority Adults by Study Sampling Strategies: A Systematic Review and Meta-Analysis

            Previous reviews have demonstrated a higher risk of suicide attempts for lesbian, gay, and bisexual (LGB) persons (sexual minorities), compared with heterosexual groups, but these were restricted to general population studies, thereby excluding individuals sampled through LGB community venues. Each sampling strategy, however, has particular methodological strengths and limitations. For instance, general population probability studies have defined sampling frames but are prone to information bias associated with underreporting of LGB identities. By contrast, LGB community surveys may support disclosure of sexuality but overrepresent individuals with strong LGB community attachment.
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              Gatekeeper training as a preventative intervention for suicide: a systematic review.

              Suicide prevention remains a challenge across communities in North America and abroad. We examine a suicide prevention effort that is widely used, termed gatekeeper training. There are 2 aims: review the state of the evidence on gatekeeper training for suicide prevention, and propose directions for further research. Studies were identified by searching MEDLINE (PubMed) and PsycINFO from inception to the present for the key words suicide, suicide prevention, and gatekeeper. In addition, a manual scan of relevant articles' bibliographies was undertaken. Gatekeeper training has been implemented and studied in many populations, including military personnel, public school staff, peer helpers, clinicians, and Aboriginal people. This type of training has been shown to positively affect the knowledge, skills, and attitudes of trainees regarding suicide prevention. Large-scale cohort studies in military personnel and physicians have reported promising results with a significant reduction in suicidal ideation, suicide attempts, and deaths by suicide. Gatekeeper training is successful at imparting knowledge, building skills, and molding the attitudes of trainees; however, more work needs to be done on longevity of these traits and referral patterns of gatekeepers. There is a need for randomized controlled trials. In addition, the unique effect of gatekeeper training on suicide rates needs to be fully elucidated.
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                Author and article information

                Contributors
                Journal
                cri
                Crisis
                Hogrefe Publishing
                0227-5910
                2151-2396
                October 28, 2019
                2020
                : 41
                : 4
                : 273-279
                Affiliations
                [ 1 ]Department of Social and Preventative Medicine, School of Public Health, University of Montreal, QC, Canada
                [ 2 ]British Columbia Centre for Disease Control, Vancouver, BC, Canada
                [ 3 ]Centre for Gender and Sexual Health Equity, Vancouver, BC, Canada
                [ 4 ]School of Nursing, University of British Columbia, Vancouver, BC, Canada
                [ 5 ]School of Health Sciences, University of Melbourne, VIC, Australia
                [ 6 ]School of Social Work, University of British Columbia, Vancouver, BC, Canada
                [ 7 ]Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia
                [ 8 ]Centre for Youth Mental Health, The University of Melbourne, VIC, Australia
                [ 9 ]British Columbia Centre on Substance Use, Vancouver, BC, Canada
                [ 10 ]Institute for Gender, Race, Sexuality and Social Justice, University of British Columbia, Vancouver, BC, Canada
                [ 11 ]Department of Medicine, University of British Columbia, Vancouver, BC, Canada
                [ 12 ]Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
                Author notes
                Olivier Ferlatte, Department of Social and Preventative Medicine, School of Public Health, University of Montreal, C.P. 6128, succursale Centre-Ville, Montreal, QC, H3J 3J7, Canada, olivier.ferlatte@ 123456umontreal.ca
                Author information
                https://orcid.org/0000-0003-2721-4757
                Article
                cri_41_4_273
                10.1027/0227-5910/a000632
                e21c13de-5cc4-4fa3-bca7-732b828db619
                Copyright @ 2019
                History
                : February 12, 2019
                : July 22, 2019
                : July 28, 2019
                Funding
                Funding: The authors are extremely grateful to the thousands of SGM who participated in the survey. This work was supported by an Internal Research Grant from the School of Nursing at the University of British Columbia (UBC) and the Men's Health Research program at UBC. The postdoctoral funding for the first author was provided by Movember Canada (Grant #11R18296), the Canadian Institutes for Health Research (Grant #11R06913) and the Michael Smith Foundation for Health Research (Grant #17945).
                Categories
                Research Trends

                Emergency medicine & Trauma,Psychology,Health & Social care,Clinical Psychology & Psychiatry,Public health
                community-based interventions,sexuality,suicide,gender,prevention

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