SALT LAKE CITY - Members of Utah's Lesbian, Gay, Bisexual, Transgender, and Queer or Questioning community are at a much greater suicide risk than any other identifiable group. Using a 2019 Utah study on health issues - which for the first time included gender identity and sexual orientation - the Utah Suicide Prevention Coalition has developed an LGBTQ Strategic Suicide Prevention Plan.
The coalition found that gay, lesbian and bisexual Utahns have higher rates of mental-health concerns, due in part to discrimination and a lack of acceptance by some. Ray Bailey, who co-chairs the coalition's work group, said it was clear the group needed special attention.
"We saw a gap in suicide prevention and thought there were ways that we could apply the state plan," said Bailey. "And really get at some of the reasons why the LGBTQ community has higher risk of suicide than others in the state."
Bailey said while the overall suicide rate in Utah is among the highest in the country, studies show that LGBTQ adults are twice as likely than the general population to attempt suicide.
According to Bailey, the plan focuses on better messaging to and about the LGBTQ community, access to specialized mental health care, teaching coping and problem-solving skills, helping individuals reconnect with families and community, and reducing access to lethal means of taking a life.
"We wanted to create a plan that offered some really actionable items and ways to address where there might be gaps in the services provided to LGBTQ folks," said Bailey.
Bailey added the coalition is also developing programs to support the survivors of suicide loss.
"There are limited services for LGBTQ people in Utah," said Bailey. "So, I think if we can have a more comprehensive plan and show what we're doing, then we can get more attention and support for the work that we're doing."
Bailey hopes the plan will be used by Utah social service agencies to develop their own programs, and by elected officials in crafting policy initiatives to better serve this population.
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In a few months, North Dakota lawmakers will reconvene. LGBTQ advocates are still unpacking the fallout from the 2023 legislative session, when many controversial laws were adopted. That session saw the passage of nearly a dozen laws deemed hostile towards LGBTQ people, namely students. One high-profile policy allows teachers to ignore the preferred pronoun of a student.
Faye Seidler, a suicide prevention advocate for queer and transgender populations in North Dakota, suggested that it can be tricky measuring the harm based on the intent behind some of these laws, but added it's pretty clear they have amplified the perception that these youth feel unwelcome.
"That then translates into a suicide contagion where a lot of folks feel more dread, feel more scared, have heightened risk factors and are more susceptible to suicidal ideation," Seidler said.
She pointed to national data from the Trevor Project that show elevated demand for mental health crisis lines amid a wave of these laws pursued by conservative legislatures. Seidler said the inconsistent application of restrictive policies in school settings remains an underlying issue. The North Dakota Department of Public Instruction declined to comment.
Seidler said uneven approaches among school districts make it harder for educators and students to handle gender identity matters, potentially creating the risk of parents being notified when the child might not want that to happen.
"So, what ends up happening is a lot of these kids who aren't safe at home no longer are safe at school and mostly just have to sit with a lot of trauma," Seidler continued.
Despite the ripple effects, Seidler said there is more community-level support, including in rural areas, for LGBTQ youth than some might think - it's just a matter of creating awareness. She noted there was an increase in Pride events around North Dakota over the past year, even with the new laws. Survey data from the Trevor Project show that LGBTQ young people who reported living in accepting communities attempted suicide at lower rates than those living in unaccepting communities.
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As the new school year starts, Nebraska teachers will again be focusing on their students' emotional well-being and safety as well as academic success.
For some students who identify as LGBTQ+, it will be especially important. On the Centers for Disease Control and Prevention's's 2023 Youth Risk Behavior Survey, the highest incidence of bullying, both at school and online, was reported by LGBTQ+ students.
Isabella Manhart, a member of the LGBTQ+ community and a teacher education student at the University of Nebraska-Omaha, who is researching the school experiences of transgender and nonbinary students, stressed the important role the classroom environment plays.
"Are there 'safe space' stickers? Are there ways for students to recognize that this is a place where they can feel safe and included?" Manhart asked. "Those things we can often overlook, because they feel very small, but they are really important for students to feel like they are safe in the classroom space."
Manhart emphasized schools also need to ensure mental health resources are available and accessible to students. Beginning last school year, Legislative Bill 852 requires every Nebraska school to have one or more "behavioral points of contact" familiar with community behavioral health resources available for students and families.
Manhart urged Nebraska teachers to be sensitive to the way state, local and district policies may be affecting their LGBTQ+ students and knowledgeable about the students' rights.
"Regarding privacy, regarding using their preferred name and pronouns, accessing bathrooms, dress codes, all those things," Manhart outlined. "Students have rights at schools that sometimes principals and district officials don't know."
The National Education Association encourages using correct names and pronouns, saying it increases trust
and feelings of belonging.
Grant Friedman, legal fellow at the ACLU of Nebraska, agreed. He said schools should use a student's chosen name and pronouns wherever possible, such as on student IDs, class attendance rosters and yearbooks.
"A person's legal name should really only appear in their official file, and schools should be doing everything they can to support students," Friedman urged. "That includes using their chosen name and pronouns. But there is no law that requires a school to use a student's legal name."
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The battle between social conservatives and Michigan libraries to remove certain books from the shelves is becoming increasingly political as the November elections draw near.
A Michigan Library Association poll shows more than three-quarters of Michiganders oppose censorship of library books but the public filed 47 complaints in 2023.
Debbie Mikula, executive director of the association, said in most cases, such bans would violate the First Amendment.
"When there's an effort to try to prohibit accessing information or a book because some individuals don't like the ideas contained in the book, the United States Supreme Court has held that's unconstitutional," Mikula pointed out.
One recent incident involved the Alpena County Library, where county commissioners removed the entire library board for "failing to act" on community members' demands to remove certain books. The community members vowed, but failed, to vote down the library's "millage" or operating fund.
A 2023 Michigan Library Association poll showed 71% of Michiganders have a positive opinion of the state's libraries. Two-thirds said books about sex, gender identity or sexual orientation should not be banned, while 30% said it is appropriate "sometimes" or "always."
Jay Kaplan, staff attorney for the ACLU of Michigan, said many wanting books removed are influenced by groups like Moms for Liberty or others who circulate book lists and demand their removal.
"Most of the books that they want to have removed usually deal with LGBTQ characters or situations," Kaplan noted. "Some of the book deal with racism. But for the most part, they're usually, it's usually LGBTQ subject matter."
Kaplan argued removing a book not meeting a library's published standards is possible but only when everything is done out in the open.
"As long as there's a very transparent process where a book is reviewed and is determined that this book is inappropriate for the library, that's one thing," Kaplan stressed. "But the idea when you try to remove a book because you don't like the ideas contained in the book, that raises constitutional issues."
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