Risks and predicting factors of suicidal ideation in lesbian, gay, bisexual and transgender communities

Background/Aims: Lesbian, gay, bisexual and transgender people are at an increased risk of suicidal ideation and suicide, compared to the overall population. This article provides an insight into the identifiable risk factors and protective determinants that can impact on these increased risks. The aim of this study was to ascertain the protective determinants of suicide ideation in the lesbian, gay, bisexual and transgender population based on the extant published evidence base surrounding this issue in the context of health care generally and mental health nursing practice, specifically. Methods: A systematic review of five articles pertaining to suicidal ideation in the lesbian, gay, bisexual and transgender community was undertaken, in accordance with the 2009 Preferred Reporting Items for Systematic Reviews and Meta-Analyses Implementation Framework Guidelines. Results: Datasets were synthesised using an inductive thematic analysis. Five core themes emerged from the data: (1) resilience (2) specific personality traits (3) mindfulness and self-esteem (4) social support and positive role modelling and (5) the need for culturally competent healthcare provision, of which mental health nurses are an integral part. Conclusions: The findings of the systematic review revealed the need for mental health nurses and adjunct healthcare staff to reflect on their interactions with the lesbian, gay, bisexual and transgender population, particularly where suicidal ideation or tendency is either directly articulated or suspected. Helping and supporting vulnerable members of society could potentially be driven by increasing awareness of these specific vulnerabilities in clinical practice.