1. SUICIDE ANDLGBTTI YOUTHMathijs Lucassen PhDResearch Fellow - Werry Centre for Childand Adolescent Mental Health & Youth12Team, Department of Psychological Medicine & School of Nursing University of Auckland

2. OVERVIEW Definitions suicide and LGBTTI youngpeople Suicide and young people generally Suicide and LGBTTI young people Two specific interventions/research projects 3. DEFINITIONS - SUICIDE Suicidal ideation = Refers to thoughts of harming or killing oneself. Attempted suicide = Is a non-fatal, self- inflicted destructive act with explicit or inferred intent to die. Suicide = Is a fatal self-inflicted destructive act with explicit or inferred intent to die.(OCarroll et al., 1996) 4. DEFINITIONS LGBTTIYOUNG PEOPLEIs this young person.Bisexual? 5. SUICIDE ANDYOUNG PEOPLE GENERALLY 6. Trends in youth suicide rates per100 000 people 15-19 years1816 Italy14 UK OECD-3312 USA Australia10 NZ8Linear (Italy) Linear (OECD-33)6Linear (NZ)420 19851990199520002005 2010Source Dr Sonia Lewycka (Youth12 Team) 7. RISK FACTORS FOR YOUTH SUICIDE INCLUDE Age (Brent et al., 1999)Male sex (Fergusson, Woodward, & Horwood, 2000)Ethnicity (Beautrais, 2001; Borowsky, Resnick, Ireland, & Blum, 1999;Fortune et al., 2010)Severe and frequent suicidal ideation(Lewinsohn, Rohde, & Seeley, 1996)Previous suicide attempt (Brent et al., 1999)Lethality of suicide attempt (Brent et al., 1998) 8. RISK FACTORS FOR YOUTH SUICIDE INCLUDEInter-personal conflict or loss (Brent et al., 1999)Mental ill-health (Brent et al., 1998)Maltreatment (Brent et al., 1999)Exposure to suicide (Brent et al., 1989; Bridge, Goldstein &Brent, 2006) 9. PROTECTIVE FACTORS FOR YOUTHSUICIDE INCLUDE Sound mental and emotional wellbeing Good social skills Problem-solving abilities Positive engagement with school Family cohesiveness(Fortune et al., 2010) 10. SUICIDE AND LGBTTIYOUNG PEOPLE 11. LGBTTI YOUNG PEOPLE 12. YOUTH07REPRESENTATIVE NZ SAMPLE(Lucassen et al., 2011; Rossen, Lucassen, Denny, & Robinson, 2009) 13. YOUTH076% SEXUAL MINORITY YOUTH1% 3%2% 2% 92% Opposite-sex attracted Same-sex attracted Both-sex attracted Not sure Attracted to neither sex 14. Longitudinal Christchurch Healthand Development Study 2.8% LGB(Fergusson, Horwood & Beautrais, 1999) 15. YOUTH07 Mostof the sexual minority youth were not suicidal and did not have significant depressive symptomsBut 16. YOUTH07 - INCREASED RISKn (%)OR (95% CL)p v a lu eCu rre n t d e p re s s iv e