Self harm and suicide risk for same-sex attracted young people: A family perspective
Rhonda Brown
Family Therapist, The Bouverie Centre, La Trobe University, Flemington VIC
PP: 009 - 019
Abstract
This paper presents an overview of the risks of self-harm and suicide and in particular the importance of family in mental health outcomes for same-sex attracted young people (SSAY).
Young people who are same-sex attracted (SSA) experience victimisation, harassment and abuse because of their sexual identity. Those who are open about their sexuality frequently experience abuse and rejection by family and friends. Consequently they do not feel safe about 'coming-out' instead prefer to keep their feelings hidden. This silence can lead to self-harming behaviours including substance abuse, indiscriminate and unsafe sexual practices, running away and even suicide.
Community ignorance, prejudice and discrimination are key contributing factors to the ongoing invisibility and isolation of SSAY. Families also struggle with prejudice and discrimination and are not always equipped to support a young person questioning their sexuality. Aware and sensitive mental health workers can assist families gain confidence in dealing with the news that a young person is same-sex attracted. Implications for mental health practitioners and a model for affirmative and sensitive practice are presented.
Article Text
Same-sex attracted young people (SSAY) are at greater risk of family conflict; rejection by family and friends particularly after 'coming-out'; attempted and successful suicide; mental illness; substance use and abuse; homelessness; victimisation at school; truanting and not completing school (Brown 1999; Emslie 1996; Harbeck 1992; Hillier et al, 1998; Hillier & Walsh, 1999; Pilkington & D'Augelli 1996; Smith et al, 1999).
The dynamics of family relationships often make it difficult for young people to feel safe about 'coming out' instead preferring to keep their feelings hidden which can result in suicide ideation and attempted suicide. Mental health workers are continually engaging with families and the community and are therefore ideally positioned to take a lead role in improving outcomes for SSAY. By improving responsiveness to families using an affirmative and sensitive approach mental health workers can assist families gain confidence in dealing with same-sex attraction.
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