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Sexual Orientation and Gender Identity and Expression Change Efforts and Suicidality: Evidence, Challenges, and
Trevor Goodyear1,2, J Andrés Delgado-Ron2,3, Florence Ashley4
1School of Nursing, University of British Columbia, Vancouver, Canada.
LGBT Health
|March 13, 2023
Summary
Sexual orientation and gender identity and expression change efforts (SOGIECE) are harmful practices that contribute to suicidality. This article defends the evidence linking SOGIECE to suicide attempts and proposes improved research methods.
Area of Science:
- Psychology
- Public Health
- Sociology
Background:
- Sexual orientation and gender identity and expression change efforts (SOGIECE), including conversion practices, aim to alter non-heterosexual and transgender identities.
- Despite legislative bans and professional denouncements, SOGIECE remain prevalent and controversial.
- Recent critiques have questioned the validity of studies linking SOGIECE to suicidal ideation and attempts.
Purpose of the Study:
- To address critiques of epidemiological studies on SOGIECE and suicidality.
- To argue that the evidence supports a link between SOGIECE and increased suicidality.
- To propose methodological improvements for future research, considering structural factors.
Main Methods:
- This is a perspective article, synthesizing existing evidence and critiques.
- It addresses methodological challenges in studying the effects of SOGIECE.
- Proposes incorporating structural context and multifactorial explanations into research designs.
Main Results:
- The balance of evidence indicates that SOGIECE contribute to suicidality.
- Critiques questioning the link between SOGIECE and suicidality are addressed.
- Methodological approaches are proposed to better understand the complex relationship.
Conclusions:
- SOGIECE are associated with increased risk of suicidal thoughts and behaviors.
- Future research should account for structural contexts and confounding factors.
- Continued efforts are needed to understand and prevent the harms of SOGIECE.
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