Orlando Heavy on My Heart

“Where were you when you heard?” In my life, that question has referred to so many terrible events. The earliest one I remember was the assassination of John F. Kennedy. I was in high school and was old enough to have vivid memories of walking down the corridor, not yet knowing what had happened but knowing it was something dreadful, the hushed voices, and most of all, the expression on the face of my favorite teacher as he told us the news. I recalled this while driving my younger daughter to her own high school and turning on the radio to hear, “The second tower is down!” To each generation, I thought. Columbine, Charleston, Virginia Tech, Sandy Hook, San Bernardino, the Oklahoma City bombing, the list goes on.

My older daughter and I were returning from our college reunion when we stopped for lunch and I glanced at the newspaper rack and saw the news about the Orlando shooting. That same sense of surreal horror swept over me. Both of us had the thought that the world, our world anyway, would never be the same. In trying to grapple with events like this one or the others mentioned above, I find myself looking for events in my own life. That’s a thing we primates do, we put things into personal context.

I am intimately familiar with my own journey through the brutal murder of my mother, but that is not a good analogy. Her death, as devastating as it was, was an individual, one-on-one act of violence. Nobody blamed her or in any way implied she was somehow responsible for what happened to her. Closer emotionally are the stories my father used to tell of his boyhood in a small village in the Ukraine just after the Russian Revolution, when Cossacks would ride into town, line up all the Jewish boys, and shoot them. Today we find such acts heinous; nobody says the Jews deserved what they got at Auschwitz.

Yet that is exactly what some public figures have been saying about the young men and women who were having a night of dancing off the stress of their lives at Pulse. That is one of the ways in which this shooting stands apart from the others.

I found that as the days roll past, my distress at the Orlando shooting increased rather than diminishing. I kept having the thought, Except for not knowing many folks who go to night clubs, that could have been someone I love. That same daughter I was traveling with is part of the LGBT community. So are my other daughter and her wife. So is my sister and her partner. So are so many people I love.

That could have been my child or my sister or my brother or my best friend. That could have been me.

Suicide Attempt Predictors Among Lesbian, Gay, Bisexual, and Transgender Youth (Article Review)

From Open Minded Health, reposted with permission:

LGBT youth are at elevated risk for suicide. Researchers have been looking into the risk factors for suicide in LGBT youth. Most of the studies so far have been cross-sectional; that means they only studied how things are once, at one point in time. Longitudinal studies, in contrast, measure at multiple points in time. Longitudinal studies are expensive, and risk losing track of participants, but they provide more information.

This year, the first longitudinal study of LGBT youth suicide risk factors was published. The participants were interviewed twice, a year apart. Both times, they were psychiatrically evaluated and asked about suicide attempts. They filled out questionnaires evaluating hopelessness, impulsivity, social support, gender non-conformity, age of same-sex attraction, and LGBT-related victimization.

In this sample, roughly 31.6% of the participants had attempted suicide. This is far higher than the 8% rate reported by the CDC. Seven variables were associated with previous suicide attempts: hopelessness, impulsivity, LGBT-related victimization, low family support, being younger when first feeling same-sex attraction (for LGB youth), and symptoms of either depression or conduct disorder. That is, the more hopeless or impulsive the youth, the more likely it is that they have previously made a suicide attempt. Gender non-conforming behavior and peer support did not seem to affect suicide risk. When it came to predicting future suicide attempts, the best predictor was previous suicide attempts. Youth who had previously attempted suicide had a 10 times greater risk of another attempt compared to those who hadn’t attempted suicide.

As always, these results should be accepted with caution