School of Nursing
Allyson D. Abrams
adolescents, LGBTQ+, suicidality, emergency care, psychological safety
Purpose: Suicide is a leading cause of death in children; youth who identify as LGBTQ+ are at an exponentially higher risk of suicide. The purpose of this study was to explore the lived experiences of young adults who identify as LGBTQ+ and sought emergency care for suicidality when they were adolescents.
Methods: Heideggerian hermeneutics phenomenology is the research method used in this study. Youth, ages 18-25 years, who identify as LGBTQ+ and sought emergency treatment for suicidality when they were adolescents (13-17 years) were recruited to participate;fifteen youth enrolled. Individuals ranged in age from 20 to 25 years. Participants described their ethnicity as: African American/Black, Hispanic/Latino, Pacific Isander and Hispanic, and Other. Individuals described their gender identity as male, female, non-binary, transgender female, and their sexual orientation as: female, demisexual, bisexual, gay, homosexual, lesbian, queer, asexual, and transgender.
Results: This study establishes that youth who identify as LGBTQ+ seeking emergency care for suicidality value these shared meanings: 1) coping and control, 2) acceptance from others and self, 3) communicating with me about me, and 4) moving beyond danger and distress. Lack of psychological safety—from the emic perspective of individuals—emerged as a critical finding.
Conclusion: The outcome of this research has strong implications for clinical practice, policy, and research. Future research must seek to understand ways in which psychological safety is assessed in the healthcare setting if we are to more deeply understand and effectively address the impact on health equity and health disparities.
Schultz, T. (2022). Emergency Care for Youth Who Experience Suicidality and Identify as Lesbian Gay Bisexual Transgender Queer/Questioning (LGBTQ+): An Interpretive Phenomenology (Doctoral dissertation, Duquesne University). Retrieved from https://dsc.duq.edu/etd/2180
Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons, Behavioral Disciplines and Activities Commons, Clinical and Medical Social Work Commons, Community Health Commons, Community Health and Preventive Medicine Commons, Counseling Psychology Commons, Counselor Education Commons, Developmental Psychology Commons, Education Policy Commons, Family Practice Nursing Commons, Health Communication Commons, Health Policy Commons, Health Psychology Commons, Health Services Administration Commons, Health Services Research Commons, Marriage and Family Therapy and Counseling Commons, Maternal and Child Health Commons, Other Psychiatry and Psychology Commons, Other Public Affairs, Public Policy and Public Administration Commons, Other Public Health Commons, Patient Safety Commons, Pediatric Nursing Commons, Policy Design, Analysis, and Evaluation Commons, Psychiatric and Mental Health Commons, Psychiatric and Mental Health Nursing Commons, Public Health and Community Nursing Commons, Public Health Education and Promotion Commons, Public Policy Commons, School Psychology Commons, Social Influence and Political Communication Commons, Social Justice Commons, Social Policy Commons, Social Psychology Commons, Social Welfare Commons, Translational Medical Research Commons