TY - JOUR PY - 2024// TI - Development of best practice guidelines for clinical and community service providers to prevent suicide in LGBTQA+ young people: a Delphi expert consensus study JO - Australian and New Zealand journal of psychiatry A1 - Strauss, Penelope A1 - Marion, Larissa A1 - Hill, Nicole Tm A1 - Gilbey, Dylan A1 - Waters, Zoe A1 - Moore, Julia K. A1 - Costanza, Marco A1 - Lamblin, Michelle A1 - Robinson, Jo A1 - Lin, Ashleigh A1 - Perry, Yael SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: The aim of this study was to develop best practice guidelines for preventing suicide and reducing suicidal thoughts and behaviours in LGBTQA+ young people (lesbian, gay, bisexual, trans, queer/questioning, asexual, and those of other diverse sexualities and genders) within clinical and community service settings in Australia.

METHODS: We conducted a Delphi expert consensus study. A systematic literature search and interviews with key informants informed an initial 270-item questionnaire. Two expert panels completed the questionnaire, delivered over two rounds: (1) Australian professionals with expertise in LGBTQA+ mental health/suicide prevention and (2) Australian LGBTQA+ young people aged 14-25 with lived experience of suicidal thoughts and/or behaviours. Items endorsed as 'essential' or 'important' by >80% of both expert panels were included in the guidelines.

RESULTS: A total of 115 people participated in the Delphi process; n = 52 professionals completed Round 1, and n = 42 completed Round 2; n = 63 LGBTQA+ young people completed Round 1, and n = 50 completed Round 2. A total of 290 items were included in the guidelines and grouped into: (1) general principles for creating an affirming and inclusive environment for LGBTQA+ young people; (2) assessing suicide risk and working with suicidal LGBTQA+ young people; (3) considerations for specific LGBTQA+ populations; and (4) advocating for LGBTQA+ young people.

CONCLUSION: These guidelines are the first of their kind in Australia. They provide practical support to service providers regardless of prior training in LGBTQ+ identities or mental health, with the aim of reducing suicidal thoughts and behaviours, and preventing suicide, in LGBTQA+ young people.

Language: en

LA - en SN - 0004-8674 UR - http://dx.doi.org/10.1177/00048674231223697 ID - ref1 ER -