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42
Appendix 1. Provisional Inventory of Suicide Risk Factors for Same-sex Attracted
Youth
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Appendix 2: Possible outcomes of homophobia
Internal
HOMOPHOBIA
Interpersonal
Institutional
Self hatred
Heterosexism
Fear of difference
Invisibility
Exclusion
Exclusion
Shame
Isolation:
geographic,
social, personal
Lack of access to
support
Fear
Same-sex attracted young people:
Risk factors for suicide and deliberate self harm
Fear
Gender & sexuality
Non-traditional gender
roles
Confused/ uncertain
Early awareness
Early sexual experience
Multiple sexual
experiences
Aware but not disclosed
Gender identity issues
Depression
Social
Low self esteem
Victim of bullying
Using substances to
excess
Alienated from family
Giving away treasured
possessions
Stressful life events
School difficulties
Lack of impulse control
Emotional
Depression
Self mutilation or self
harm
Prior suicide attempts
Feelings of
helplessness and
hopelessness
Lack of skills or energy
Mental/ psychiatric
illness
Despair
Shame
Verbal clues
‘Life isn’t worth living’
‘You/ they would be
better off without me’
‘I won’t be around to
deal with that’
‘I won’t be in your way
much longer’
‘I’d be better off dead’.
Isolation:
geographic,
personal, social
Lack of access
to support
Escape from unbearable situations
SELF-HARMING AND SUICIDAL BEHAVIOURS
Deliberate self-harm
Self destructive behaviour
Single vehicle
accidents
Eating disorders
Sharing needles
Drug overdose
Unsafe sex
Cutting, poisoning,
hanging, shooting
Suicide
INTENT
OUTCOME
HANDLED
AT HOME
Not hospitalised
ATTEND
A&E
Treated
COMPLETED
Referred
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