Understanding the role of self-stigma and shame in suicidality and self-harm among lesbian, gay, bisexual and transgender young people: a mixed method

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Key research questions1. What are the levels of self-stigma and shame in LGB and T young people who have engaged in suicidal behaviours and/or self-harm?2. How does self-stigma and shame about one's sexual and gender identity could lead to suicidality and self-harm in LGBT youth?3. What is the role of perceptions of defeat and entrapment in LGBT youth suicidality and self-harm?4. Are there differences between LGB and T young people in how they experience self-stigma and shame and how these experiences could be associated with recent or past suicidal behaviour/self-harm?Methodology and techniques to be employedA sequential exploratory mixed methods design will be adopted:Phase 1: A qualitative study using semi-structured interviews with LGBT young people exploring how they experience self-stigma and shame associated with their sexual and gender identity; and, how these experiences are/have been implicated in suicidality and self-harm. Qualitative data will be analysed thematically. Findings from Phase 1 will guide the quantitative component of the study (Phase 2). Phase 2: A prospective study investigating daily experiences of self-stigma, internal and external shame, perceptions of defeat and entrapment, mood, suicidality and self-harm will be carried out with a representative group of LGBT young people aged 14-25 years old. Methods could include online daily diaries or ecological momentary assessments (EMA). A series of stakeholder consultations with an LGBT youth advisory group will take place to co-produce the study and seek advice on usability and acceptability of specific methods. Recruitment: LGBT young people will be recruited from various sources including the Nottingham Centre for Transgender Health; national organisations such as Gendered Intelligence; LGBT youth groups in East and West Midlands; social media advertising. Phase 3: Findings from the qualitative interviews and the prospective study will be synthesized and reviewed in relation to the extant literature to inform the development of a novel theoretical model of suicidality and self-harm in LGBT young people.