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

关键研究问题1.有自杀行为和/或自我伤害的男女同性恋和变性青年的自我污名和羞耻程度如何？2.对自己的性和性别认同的自我羞辱和羞耻如何导致LGBT青年的自杀和自我伤害？3.失败感和陷阱感在LGBT青少年自杀和自残中的作用是什么？4. LGB和T年轻人在如何体验自我羞辱和羞耻以及如何将这些经历与最近或过去的自杀行为/自我伤害联系起来方面是否存在差异？方法和技术将采用顺序探索性混合方法设计：第一阶段：定性研究使用半结构化的采访LGBT年轻人探索他们如何体验自我羞辱和羞耻与他们的性和性别认同;以及，这些经验是如何/已经牵连到自杀和自我伤害。定性数据将按主题进行分析。第1阶段的结果将指导研究的定量部分（第2阶段）。第二阶段：一项前瞻性研究将对14-25岁的LGBT青年代表性群体进行调查，研究自我耻辱、内部和外部羞耻、失败和诱捕的感知、情绪、自杀和自我伤害的日常经历。方法可以包括在线每日日记或生态瞬时评估（EMA）。将与一个男女同性恋、双性恋和变性者青年咨询小组进行一系列利益攸关方协商，共同编写研究报告，并就具体方法的可用性和可接受性征求意见。招聘职位：LGBT年轻人将从各种来源招募，包括诺丁汉跨性别健康中心;性别情报等国家组织;东米德兰兹郡和西米德兰兹郡的LGBT青年团体;社交媒体广告。第三阶段：定性访谈和前瞻性研究的结果将被合成和审查有关现存的文献，告知LGBT年轻人自杀和自我伤害的新理论模型的发展。

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.