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Preferences in Information Processing, Marginalized Identity, and Non-Monogamy: Understanding Factors in Suicide-Related Behavior among Members of the Alternative Sexuality Community

Author

Listed:
  • Robert J. Cramer

    (Department of Public Health Sciences, UNC Charlotte, Charlotte, NC 28233 USA)

  • Jennifer Langhinrichsen-Rohling

    (Department of Psychological Sciences, UNC Charlotte, Charlotte, NC 28233, USA)

  • Andrea R. Kaniuka

    (Department of Public Health Sciences, UNC Charlotte, Charlotte, NC 28233 USA)

  • Corrine N. Wilsey

    (Department of Public Health Sciences, UNC Charlotte, Charlotte, NC 28233 USA)

  • Annelise Mennicke

    (School of Social Work, UNC Charlotte, Charlotte, NC 28233, USA)

  • Susan Wright

    (National Coalition for Sexual Freedom, Baltimore, MD 21202, USA)

  • Erika Montanaro

    (Department of Psychological Sciences, UNC Charlotte, Charlotte, NC 28233, USA)

  • Jessamyn Bowling

    (Department of Public Health Sciences, UNC Charlotte, Charlotte, NC 28233 USA)

  • Kristin E. Heron

    (Department of Psychology, Old Dominion University, Norfolk, VA 23529, USA)

Abstract
Suicide-related behavior (SRB) is a mental health disparity experienced by the alternative sexuality community. We assessed mental health, relationship orientation, marginalized identities (i.e., sexual orientation minority, gender minority, racial minority, ethnic minority, and lower education), and preferences in information processing (PIP) as factors differentiating lifetime SRB groups. An online cross-sectional survey study was conducted in 2018. Members of the National Coalition for Sexual Freedom (NCSF; n = 334) took part. Bivariate analyses identified the following SRB risk factors: female and transgender/gender non-binary identity, sexual orientation minority identity, lower education, suicide attempt/death exposure, Need for Affect (NFA) Avoidance, depression, and anxiety. Monogamous relationship orientation was a protective factor. Multi-nomial regression revealed the following: (1) monogamous relationship orientation was a protective factor for suicidal ideation and attempt; (2) lower education was a risk factor for suicide attempt; (3) anxiety was a risk factor for suicide attempt; and (4) depression was a risk factor for suicidal ideation. A two-way interaction showed that elevated NFA Approach buffered the negative impacts of depression. Relationship orientation, several marginalized identities (i.e., based on gender, sexual orientation, and educational level), and PIP all contributed uniquely to SRB. Further study is necessary to understand the role of relationship orientation with suicide. Health education and suicide prevention efforts with NCSF should be tailored to account for marginalized identity, mental health, and NFA factors.

Suggested Citation

  • Robert J. Cramer & Jennifer Langhinrichsen-Rohling & Andrea R. Kaniuka & Corrine N. Wilsey & Annelise Mennicke & Susan Wright & Erika Montanaro & Jessamyn Bowling & Kristin E. Heron, 2020. "Preferences in Information Processing, Marginalized Identity, and Non-Monogamy: Understanding Factors in Suicide-Related Behavior among Members of the Alternative Sexuality Community," IJERPH, MDPI, vol. 17(9), pages 1-17, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:9:p:3233-:d:354534
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    References listed on IDEAS

    as
    1. Hatzenbuehler, M.L. & Phelan, J.C. & Link, B.G., 2013. "Stigma as a fundamental cause of population health inequalities," American Journal of Public Health, American Public Health Association, vol. 103(5), pages 813-821.
    2. Smith, J.C. & Mercy, J.A. & Conn, J.M., 1988. "Marital status and the risk of suicide," American Journal of Public Health, American Public Health Association, vol. 78(1), pages 78-80.
    3. Brodie Fraser & Nevil Pierse & Elinor Chisholm & Hera Cook, 2019. "LGBTIQ+ Homelessness: A Review of the Literature," IJERPH, MDPI, vol. 16(15), pages 1-13, July.
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    Cited by:

    1. Robert J. Cramer & Raymond Tucker, 2021. "Improving the Field’s Understanding of Suicide Protective Factors and Translational Suicide Prevention Initiatives," IJERPH, MDPI, vol. 18(3), pages 1-3, January.

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