LGBTQIA+ and suicide risk

LGBTQIA+ is an umbrella term that includes a range of sexual orientations, gender identities, and gender expressions.

It stands for lesbian, gay, bisexual, transgender, queer, intersex and asexual. The plus symbol is used to express identities not explicity covered by the acronym such as pansexual and non-binary.

People from the LGBTQIA+ community are more likely to experience discrimination, prejudice, social stigma, rejection from family or peers, and experience lack of support or understanding from society.

These experiences can increase the likelihood of developing mental health issues, including suicidal thoughts and behaviours. Research shows that LGBTQIA+ communities are at higher risk of suicidal thoughts, suicide attempts, and self-harm.

Lesbian, gay and bisexual people are more than twice as likely as their straight peers to experience suicidal thoughts or self-harming behaviours.

Not everyone who identifies as LGBTQIA+ is at risk of suicide but some of the challenges that can contribute to suicide risk include:

Discrimination and stigma - discrimination and stigma can affect various aspects of our lives, including employment, housing, healthcare, and education. This can contribute to feelings of shame, low self-esteem, and isolation, which are risk factors for mental health issues and suicide.

Rejection - experiencing rejection from friends and family or condemnation from religious or cultural communities that uphold traditional views on sexuality and gender after coming out can have devastating effects on mental health and contribute to feelings of loneliness, depression, and hopelessness.

Bullying and harassment - at a higher risk of being bullied or harassed, both in person and online. This can lead to psychological distress and increase the likelihood of suicidal thoughts and behaviours.

Self-stigma - internalising negative societal attitudes towards their sexual orientation or gender identity can contribute to feelings of shame, guilt, or self-hatred.

Difficult accessing support –finding supportive communities or resources, especially in areas where acceptance and visibility are limited, can be more difficult. It can also be challenging to find services that are inclusive and affirming of identities. These things can contribute to feelings of isolation and despair.

Education, training and conversation to understand and raise awareness of the challenges faced by LGBTQIA+ communities can support inclusion and acceptance.  We can help create supportive environments, reduce stigma and increase resilience.

Supporting someone from the LGBTQIA+ community who is experiencing suicidal thoughts requires empathy, understanding, and a commitment to providing a safe and supportive environment.

Listen without judgement - Allow them to express their feelings and concerns without judgment. Create a safe space for them to share their thoughts and emotions. Make sure you use their chosen name, pronouns and respect their identity without invalidating it.

Express concern and empathy - Let the know you care about them and that you are there to support them. Reassure them that they are not alone.

Be patient – allow them to share at their own pace and respect their boundaries. Be willing to listen.

Encourage peer support - online communities like forums or LGBTQIA+ groups can help build connection and reduce isolation.

Stay connected - Stay connected with them regularly and check in on how they're doing. Sometimes people withdraw socially and isolate themselves when they’re struggling. Try to respect their need for space but let them know you care and are there for them.

Encourage self-care – remind them of the importance of self-care through things like exercise, regular sleep and staying hydrated. Perhaps suggest something you can do together such as going for a walk.

If someone expresses suicidal thoughts it should always be taken seriously. Try to avoid minimising or dismissing the person's feelings.

Other things you can do

Demonstrate your support for LGBTQIA+ communities - advocate for legal protections, challenge stigma and discrimination and be active in supporting initiatives and campaigns.

Find out about different help, support and resources in our support directory.