Conclusion and Further Research
Besides more qualitative and case-control research, we need prospective studies as these are most likely to reveal the mechanisms involved. Although, in this review we identified four cohorts[15,18,33,34] only one collected prospective data on suicidal risk in lesbian, gay and bisexual people. Prospective studies, however, are difficult to undertake as many people cannot or will not identify themselves as LGB until late adolescence or even young adulthood when the emotional damage may already have occurred. Nevertheless, a cohort of young LGB people who are followed through as they complete education and career training and start relationships and families, would begin to address this difficult issue. We also need to address the complexities of defining sexual orientation. Most modern conceptions of sexual orientation consider personal identification, sexual behaviour and sexual fantasy. Thus, we chose these parameters as the most pragmatic and commonly used definitions for this review. However, we need more detailed study of the development of sexuality across the spectrum of partner preference, its stability over time and its relationship to other preferences and behaviour.
We thank Rosalind Lai M Lib, Medical Librarian, for constructing the search strategy.Funding information
The study was funded by a grant from the National Institute for Mental Health England.
Key: * Longitudinal studies; 2 suggests higher quality and than 1
BMC Psychiatry © 2008 King et al; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The funder had no involvement in the conduct of the research.
Cite this: A Systematic Review of Mental Disorder, Suicide, and Deliberate Self Harm in Lesbian, Gay and Bisexual People - Medscape - Aug 18, 2008.