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First, we hypothesized that although lifetime prevalence rates of mood and substance use disorders are lower among Black and Latino LGB adults than they were among White LGB adults, the opposite pattern would be observed among youths (i.e., higher rates among Black and Latino youths than among White youths). We tested 2 hypotheses in an effort to explain this unexpected finding. 1, 2 The reason is unclear why Blacks and Latinos in the LGB population might have a higher prevalence of suicide attempts than Whites given their typically lower lifetime prevalence of mental disorders. 3– 5 These disorders are consistently reported as the most robust risk factors for suicide. 22 Second, in both the LGB population and the general population, the lifetime prevalence of mood and substance use disorders is lower among Blacks and Latinos than among Whites. 5, 6 This finding is perplexing for 2 reasons.įirst, this pattern is the inverse of the pattern in the general population, in which the rate of suicide among Whites is more than double that among Blacks and Latinos. 6, 20, 21 Within this literature, however, evidence suggests that Black and Latino LGB individuals are at increased risk for suicide attempts relative to White LGB individuals. Research evaluating racial/ethnic differences among LGB subpopulations is limited, 5, 6, 15, 19– 21 and much of the work that has been done has involved samples of men 6, 19– 21 or samples in which more than 70% of the respondents are White. 17 Researchers-primarily looking within LGB samples-have described additional risk factors related to minority stress, prejudice, stigma, and discrimination, including gender-atypical behavior, 14, 18 family rejection, 15 and early age of self-labeling. Explanations for disparities in suicide rates between the LGB and heterosexual populations often cite the increased prevalence of such problems, including depression and substance abuse. 5, 6 Lifetime suicide attempt rates in the LGB population range from 10% to 40%, 7– 15 compared with 0.4% to 5.1% 2 in the heterosexual population.Īccording to the minority stress model, 16 the excess prejudice, stigma, and discrimination encountered by sexual minority individuals lead to increased mental health problems in this population and a resulting increased risk of suicide. 1, 2 Members of racial/ethnic minority groups have a lower lifetime risk for mental disorders than do Whites, 3– 5 but, paradoxically, lesbian, gay, and bisexual (LGB) individuals of racial/ethnic minority backgrounds may be at an increased risk for suicide attempts relative to Whites. Mood and substance use disorders are known risks for suicide.