"Suicidal ideation" or suicidal thoughts are the precursors of suicide, which is the leading cause of death among youth. [1] Ideation or suicidal thoughts are categorized as: considering, seriously considering, planning, or attempting suicide [2] and youth is typically categorized as individuals below the age of 25. Various research studies show an increased likelihood of suicide ideation in youth in the LGBT community. [3]
Factors involved in this propensity are peer victimization, parental disapproval, and bullying, [4] [5] as well as overall sentiments of undesirability due to LGBT identity. [3] South Korea has the 10th highest rate of suicide in the world and the second in the OECD. Within these rates, suicide is the primary cause of death for South Korean youth, ages 10–19. [6] While these rates are elevated, suicide ideation additionally increases with the introduction of LGBT identity. [7]
Stigmatization of LGBT identities results in negative self-feelings for the individual and increases their risk for self-harm and substance abuse. [8] Studies done to measure the tolerance of homosexuality among South Korean University students found that of approximately 800 students surveyed, "68% would not be comfortable with having LGBT family members", "26.5% disagreed homosexuals could be good people", and "17.3% agreed homosexuality was shameful". The indicators of a disapproving or even repulsive opinion of LGBT individuals was gender, with men being more prone to disapprove than women. A second indicator of negative feelings towards LGBT individuals is religion, primarily in the realms of recognizing or approving of LGBT marriages. [9]
According to Rainbow Action, a South Korean Organization aimed at improving LGBT rights in South Korea, 80% of LGBT youth reported being the subjects of homophobic slurs from their peers and also approximate 80% reported hearing slurs from teachers. [10] The harassment suffered by LGBT youth extends beyond merely verbal abuse. Studies show that there is a strong link between experience of violence for youth who have same-sex attraction, specifically in women who sleep with both men and women. [2] Some studies suggest the main reason for suicidal ideation in youth is their exposure to violence in school. [11]
According to Joiner's Interpersonal Theory, feelings of isolation and perceived burdensomeness contribute greatly to an individual's propensity toward suicide ideation. Studies have found that in gay and lesbian South Korean youth, these two main factors are present at higher rates than in their heterosexual counterparts. Isolation is in reference to the continuous exposure to anti-LGBT rhetoric which creates a hostile atmosphere to navigate. [7]
Similarly, the hostility decreases the likelihood of other LGBT people being available for connection, which increases the feelings of alienation. Perceived burdensomeness is in reference to feeling like an individual is a burden to their friends and/or family. These factors combined create feelings of hopelessness which then lead to suicide ideation. [7]
According to one study, the analysis of cross-sectional data from 146,621 students aged 12–17 years for the years 2012 and 2013 showed that the prevalence of suicidal ideation was higher among youths with same-sex intercourse experience (45.9% for females, 33.7% for males) than among youths with opposite-sex intercourse experience (42.2% for females, 23.8% for males) and those with no experience in intercourse (21.0% for females, 12.7% for males). [2] The study defined lesbian, gay, or bisexual youth as youths who engaged in a type of sexual intercourse, same-sex or both-sex intercourse.
Other study conducted with 105 adolescent LB youth found that: [11]
Most publications suggest an introduction of strict anti-discrimination policies would greatly alleviate the distress of the youth. These policies would be aimed at decreasing and eventually stopping school violence towards LGBT youth. Implementation of supportive policies and strategies enacted by schools and their personal and staff would create environments wherein the youth would feel more comfortable since "recent research has shown that higher levels of protectiveness and supportive school climates for LGB youths reduced suicidal thoughts". [2]
General:
Transphobia consists of negative attitudes, feelings, or actions towards transgender people or transness in general. Transphobia can include fear, aversion, hatred, violence or anger towards people who do not conform to social gender roles. Transphobia is a type of prejudice and discrimination, similar to racism, sexism, or ableism, and it is closely associated with homophobia. People of color who are transgender experience discrimination above and beyond that which can be explained as a simple combination of transphobia and racism.
The LGBT community is a loosely defined grouping of lesbian, gay, bisexual, and transgender individuals united by a common culture and social movements. These communities generally celebrate pride, diversity, individuality, and sexuality. LGBT activists and sociologists see LGBT community-building as a counterweight to heterosexism, homophobia, biphobia, transphobia, sexualism, and conformist pressures that exist in the larger society. The term pride or sometimes gay pride expresses the LGBT community's identity and collective strength; pride parades provide both a prime example of the use and a demonstration of the general meaning of the term. The LGBT community is diverse in political affiliation. Not all people who are lesbian, gay, bisexual, or transgender consider themselves part of the LGBT community.
Biphobia is aversion toward bisexuality or people who are identified or perceived as being bisexual. Similarly to homophobia, it refers to hatred and prejudice specifically against those identified or perceived as being in the bisexual community. It can take the form of denial that bisexuality is a genuine sexual orientation, or of negative stereotypes about people who are bisexual. Other forms of biphobia include bisexual erasure.
The field of psychology has extensively studied homosexuality as a human sexual orientation. The American Psychiatric Association listed homosexuality in the DSM-I in 1952 as a "sociopathic personality disturbance," but that classification came under scrutiny in research funded by the National Institute of Mental Health. That research and subsequent studies consistently failed to produce any empirical or scientific basis for regarding homosexuality as anything other than a natural and normal sexual orientation that is a healthy and positive expression of human sexuality. As a result of this scientific research, the American Psychiatric Association removed homosexuality from the DSM-II in 1973. Upon a thorough review of the scientific data, the American Psychological Association followed in 1975 and also called on all mental health professionals to take the lead in "removing the stigma of mental illness that has long been associated" with homosexuality. In 1993, the National Association of Social Workers adopted the same position as the American Psychiatric Association and the American Psychological Association, in recognition of scientific evidence. The World Health Organization, which listed homosexuality in the ICD-9 in 1977, removed homosexuality from the ICD-10 which was endorsed by the 43rd World Health Assembly on 17 May 1990.
LGBT culture is a culture shared by lesbian, gay, bisexual, transgender, and queer individuals. It is sometimes referred to as queer culture, while the term gay culture may be used to mean either "LGBT culture" or homosexual culture specifically.
A sexual minority is a demographic whose sexual identity, orientation or practices differ from the majority of the surrounding society. Primarily used to refer to lesbian, gay, bisexual, or non-heterosexual individuals, it can also refer to transgender, non-binary or intersex individuals.
Suicidal ideation, or suicidal thoughts, is the thought process of having ideas, or ruminations about the possibility of completing suicide. It is not a diagnosis but is a symptom of some mental disorders, use of certain psychoactive drugs, and can also occur in response to adverse life events without the presence of a mental disorder.
Homosexuality is sexual attraction, romantic attraction, or sexual behavior between members of the same sex or gender. As a sexual orientation, homosexuality is "an enduring pattern of emotional, romantic, and/or sexual attractions" exclusively to people of the same sex or gender. It "also refers to a person's sense of identity based on those attractions, related behaviors, and membership in a community of others who share those attractions."
The questioning of one's sexual orientation, sexual identity, gender, or all three is a process of exploration by people who may be unsure, still exploring, or concerned about applying a social label to themselves for various reasons. The letter "Q" is sometimes added to the end of the acronym LGBT ; the "Q" can refer to either queer or questioning.
Various issues in medicine relate to lesbian, gay, bisexual, and transgender people. According to the US Gay and Lesbian Medical Association (GLMA), besides HIV/AIDS, issues related to LGBT health include breast and cervical cancer, hepatitis, mental health, substance use disorders, alcohol use, tobacco use, depression, access to care for transgender persons, issues surrounding marriage and family recognition, conversion therapy, refusal clause legislation, and laws that are intended to "immunize health care professionals from liability for discriminating against persons of whom they disapprove."
Research has found that attempted suicide rates and suicidal ideation among lesbian, gay, bisexual, and transgender (LGBT) youth are significantly higher than among the general population.
LGBT sex education is a sex education program within a school, university, or community center that addresses the sexual health needs of LGBT people.
Transgender youth are children or adolescents who do not identify with the sex they were assigned at birth. Because transgender youth are usually dependent on their parents for care, shelter, financial support, and other needs, they face different challenges compared to adults. According to the World Professional Association for Transgender Health, the American Psychological Association, and the American Academy of Pediatrics, appropriate care for transgender youth may include supportive mental health care, social transition, and/or puberty blockers, which delay puberty and the development of secondary sex characteristics to allow children more time to explore their gender identity.
Bullying suicide are considered together when the cause of suicide is attributable to the victim having been bullied, either in person or via social media. Writers Neil Marr and Tim Field wrote about it in their 2001 book Bullycide: Death at Playtime.
The modern South Korean LGBT rights movement arose in the 1990s, with several small organizations seeking to combat sexual orientation and gender identity discrimination.
In society at large, LGBT individuals, especially youth, are at a higher risk of depression, anxiety, and suicide. Though causes of mental health risk are complex, one often cited reason for these higher risks is minority stress stemming from societal anti-LGBT biases and stigma, rejection, and internalized homophobia.
LGBT psychology is a field of psychology of surrounding the lives of LGBTQ+ individuals, in the particular the diverse range of psychological perspectives and experiences of these individuals. It covers different aspects such as identity development including the coming out process, parenting and family practices and support for LGBTQ+ individuals, as well as issues of prejudice and discrimination involving the LGBT community.
Due to the increased vulnerability that lesbian, gay, bisexual, and transgender (LGBT) youth face compared to their non-LGBT peers, there are notable differences in the mental and physical health risks tied to the social interactions of LGBT youth compared to the social interactions of heterosexual youth. Youth of the LGBT community experience greater encounters with not only health risks, but also violence and bullying, due to their sexual orientation, self-identification, and lack of support from institutions in society.
The health access and health vulnerabilities experienced by the lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual (LGBTQIA) community in South Korea are influenced by the state's continuous failure to pass anti-discrimination laws that prohibit discrimination based on sexual orientation and gender identity. The construction and reinforcement of the South Korean national subject, "kungmin," and the basis of Confucianism and Christian churches perpetuates heteronormativity, homophobia, discrimination, and harassment towards the LGBTQI community. The minority stress model can be used to explain the consequences of daily social stressors, like prejudice and discrimination, that sexual minorities face that result in a hostile social environment. Exposure to a hostile environment can lead to health disparities within the LGBTQI community, like higher rates of depression, suicide, suicide ideation, and health risk behavior. Korean public opinion and acceptance of the LGBTQI community have improved over the past two decades, but change has been slow, considering the increased opposition from Christian activist groups. In South Korea, obstacles to LGBTQI healthcare are characterized by discrimination, a lack of medical professionals and medical facilities trained to care for LGBTQI individuals, a lack of legal protection and regulation from governmental entities, and the lack of medical care coverage to provide for the health care needs of LGBTQI individuals. The presence of Korean LGBTQI organizations is a response to the lack of access to healthcare and human rights protection in South Korea. It is also important to note that research that focuses on Korean LGBTQI health access and vulnerabilities is limited in quantity and quality as pushback from the public and government continues.
People who are LGBT are significantly more likely than those who are not to experience depression, PTSD, and generalized anxiety disorder.