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Suicide Prevention Current Trends – Study of Family Support of LGBT Mormon Youth

FAMILY ACCEPTANCE PROJECT RELEASES FAMILY EDUCATION MATERIALS TO HELP MORMON FAMILIES SUPPORT THEIR LGBT CHILDREN

1st “BEST PRACTICE” RESOURCES FOR SUICIDE PREVENTION FOR LGBT MORMONS 

SAN FRANCISCO – June 14, 2012 – For more than a decade, the Family Acceptance Project (FAP) at SF State University has been studying the impact of family acceptance and rejection on the health, mental health and well-being of lesbian, gay, bisexual and transgender (LGBT) young people and developing research-based tools, resources and interventions to help diverse families support their LGBT children. This includes developing culturally and linguistically appropriate resources to prevent serious negative outcomes like suicide, HIV and homelessness and to promote well-being, and helping families balance deeply held values and beliefs with love for their LGBT children. The first of these faith-based family education resources — Supportive Families, Healthy Children: Helping Latter-day Saint Families with Lesbian, Gay, Bisexual & Transgender Children – was published today by the Family Acceptance Project.

One of the most challenging issues for many families is learning how to support their LGBT children in the context of religious and cultural values. The Family Acceptance Project has been working with families from a wide range of cultural and religious backgrounds to develop a series of family education materials based on FAP’s groundbreaking research which shows that family accepting and rejecting behaviors are linked with both serious health and mental health problems and well-being in young adulthood.

Written by FAP Director Dr. Caitlin Ryan, a clinical social worker with nearly 40 years of research and practice experience on LGBT health and mental health, and Dr. Bob Rees, a former Mormon Bishop who teaches Mormon Studies at Graduate Theological Union, this is the first research-based educational resource to help Mormon families support their LGBT children. As with other family education booklets from the Family Acceptance Project, Supportive Families, Healthy Children has been designated as the 1st “Best Practice” resource for suicide prevention for LGBT people by the national Best Practices Registry for Suicide Prevention and is the only such resource for Latter-day Saint (Mormon) families. The Best Practices Registry, coordinated by the Suicide Prevention Resource Center (SPRC) and the American Foundation for Suicide Prevention (AFSP), maintains an expert-reviewed compendium of approved “best practices” to prevent suicide that address specific aims of the national suicide prevention plan and have met objective review criteria.

Dr. Caitlin Ryan, Director of the Family Acceptance Project at San Francisco State University

Said, Dr. Caitlin Ryan, Director of the Family Acceptance Project:  “Many parents and families think they have to choose between a gay child and their deeply held beliefs – a choice no parent should ever have to make. We wrote this booklet to show Mormon families what our compelling research has found — how families react to their LGBT children really matters. This booklet provides critical, specific information on how to support LGBT children and youth, how to build their self-esteem and well-being, reduce their risk for suicide, substance abuse, HIV and homelessness and keep their faith. Our hope is that every Mormon parent, bishop, and religious leader reads it and uses it.”

Dr. Robert Rees, co-author and educator and former Mormon bishop, noted: “Supportive Families, Healthy Children will save lives, keep families together and give Church leaders a resource for helping families support their LGBT sons, daughters and other family members. This booklet and the research that supports it mark the dawning of a brighter day for Latter-day Saint families and congregations.”

The newly-released version of Supportive Families, Healthy Children for Latter-day Saint families is available for download on the FAP website at: http://familyproject.sfsu.edu/publications  Printed copies are available for distribution from the Family Acceptance Project in orders of any size. FAP provides guidance and training on using these materials and FAP’s research-based supportive family intervention model and other resources and tools. Contact fap@sfsu.edu to obtain printed versions and for information on consultation and training.

Information on Supportive Families, Healthy Children’s “Best Practice” designation for suicide prevention is available on the Best Practices Registry’s webpage hosted by the Suicide Prevention Resource Center at www.sprc.org .

About the Family Acceptance Project
The Family Acceptance Project is a research, intervention, education and policy initiative that is designed to: 1) improve the health, mental health, and well-being of LGBT children and adolescents; 2) strengthen and help ethnically and religiously diverse families to support their LGBT children; 3) help LGBT youth stay in their homes to prevent homelessness and the need for custodial care in the foster care and juvenile justice systems; 4) inform public policy and family policy; and 5) develop a new evidence-based, family model of wellness, prevention, and care to promote well-being and decrease risk for LGBT youth. For more information, please visit:   http://familyproject.sfsu.edu/


Media Coverage

All media requests for interviews should be directed to Cathy Renna, Renna Communications: cathy@rennacommunications.com

Op-ed: A Way Out of Danger for Mormon Youth.  The Advocate.com

SFSU Pamphlet Aims To Create Harmony For LGBT Youth, Mormon Church.  CBS News San Francisco

Booklet helps Mormon parents communicate with gay children.  KSL TV, Utah.

Booklet teaches Mormon parents how to help their gay children. Loving parents can help children avoid suicidal thoughts, booklet says. Salt Lake Tribune

Mormons reconciling gay rights and faith.  The Last Word Blog, MSNBC

Why — And How — We Accept Our Gay Son As Devout Mormon Parents. The Huffington Post

New booklet seeks to reconcile Mormon faith with gay youth. Yahoo News / Reuters

Acceptance heals LGBT stess, anxiety. Visalia Times Delta

 New booklet targets LDS families of homosexual youth. Deseret News (Salt Lake City)

Suicide Prevention Current Trends – “Best Practice” Resources for LGBT Youth Suicide Prevention

FAMILY ACCEPTANCE PROJECT’S FAMILY EDUCATION MATERIALS DESIGNATED 1st “BEST PRACTICE” RESOURCES FOR SUICIDE PREVENTION FOR GAY & TRANSGENDER YOUTH BY NATIONAL REGISTRY

SAN FRANCISCO – May 16, 2012 – With media reports of suicide among lesbian, gay, bisexual and transgender (LGBT) youth becoming increasingly common, communities are grappling with the urgent need to identify interventions to prevent suicide and suicidal behavior among LGBT youth. However, until today, no “Best Practices” have been identified or designated to help reduce vulnerability and risk among LGBT children, youth or adults.

Although recent media attention has focused primarily on the impact of bullying on self-harm behavior. suicide is typically the result of many interacting factors including depression, substance use and despair, in addition to environmental stressors. These complex interactions underscore the need for comprehensive suicide prevention strategies and interventions to change the environment at the systems level. For LGBT youth, family systems are especially important.

For the past decade, the Family Acceptance Project (FAP) at SF State University, under the direction of Dr. Caitlin Ryan, has been studying the impact of family acceptance and rejection on suicide risk among LGBT youth. Published findings from these studies point to the critical role of families in both contributing to and protecting against suicidal behavior and risk among LGBT young people. FAP’s multi-disciplinary team has been developing resources, interventions and strategies to help diverse families reduce risk and to promote their LGBT children’s well-being.

The first of these resources – a multi-lingual, multi-cultural series of family education booklets – Supportive Families, Healthy Children: Helping Families Support their LGBT Children – have been designated as the first “Best Practice” resources for suicide prevention for LGBT youth and young adults by the national Best Practices Registry for Suicide Prevention.

Coordinated by the Suicide Prevention Resource Center (SPRC) and the American Foundation for Suicide Prevention (AFSP) and known as the “SPRC/AFSP Best Practices Registry for Suicide Prevention,” the registry designates and maintains an expert-reviewed compendium of approved “best practices” to prevent suicide, all of which address specific aims of the national suicide prevention plan and have met objective criteria based on accuracy, safety, likelihood of meeting suicide prevention objectives, and adherence to prevention guidelines.

Available in specific cultural versions in English, Spanish and Chinese, Supportive Families, Healthy Children education booklets were developed based on extensive research and direct feedback from families, LGBT youth and the providers who serve them. The booklets help ethnically and religiously diverse families understand how specific reactions to their children’s LGBT identity both contribute to and protect against risk for suicide and related health problems. Research-based guidance for families is depicted non-judgmentally using personal stories, lists of behaviors that both protect against and are related to high risk for suicide and other serious health problems, and approaches to decrease family conflict and to increase support. FAP’s core research and family education materials were supported by The California Endowment, a health foundation dedicated to expanding access to affordable, quality health care for underserved individuals and communities.

Said, Dr. Caitlin Ryan, Director of the Family Acceptance Project:  “Our work is grounded in rigorous research and rooted in the cultural experiences and values of scores of diverse LGBT youth and families. So these family education booklets resonate for very diverse families and help them decrease rejecting behaviors which our research shows — though motivated by care and concern – instead contribute to serious health risks for LGBT young people. For example, our research shows that common rejecting behaviors such as trying to prevent LGBT youth from learning about their identity, not allowing them to have gay friends or not letting them participate in an LGBT youth group are related to a 9-times greater likelihood of attempted suicide.”

In discussing the importance of FAP’s family education materials, Dr. Ann Haas, Director of Prevention Projects for the American Foundation for Suicide Prevention, noted:  “For the past decade, Dr. Ryan and her team have undertaken foundational research on the role of families and related social institutions in contributing to protective factors and risk for suicidal behavior among LGBT young people. They have turned that research into powerful prevention tools for diverse families. Used in programs across the country, these tools will save lives.”

More than 100,000 copies of the family education booklets have been disseminated across the U.S. and other countries for use in schools, primary care and behavioral health programs, foster care and juvenile justice services, family service agencies, suicide prevention programs, and in pastoral counseling and faith-based organizations. Additionally, the booklets are used in colleges, universities and professional training programs and by government agencies.

Agencies and community groups that use the Family Acceptance Project’s “Best Practice” materials and family intervention approach report substantial positive changes in prevention and practice:

  • Jerry Peterson, coordinator for a Contra Costa County, CA mental health support initiative for LGBT youth said:  “FAP’s research is the cornerstone of our work in Contra Costa County.  These booklets are a critical education and prevention tool that not only help prevent depression and suicide, but also help prevent substance abuse, sexual health risks and expulsion and removal from the home. FAP’s inherently respectful approach strengthens families and helps build a gay or transgender child’s sense of self-worth – in the context of their families. This is especially important for LGBT youth of color.”
  • Greater Boston PFLAG President, Stan Griffith, whose chapters have worked with the Massachusetts Department of Public Health and other groups since 2007 to disseminate FAP’s family intervention approach and materials across the state noted: “The Family Acceptance Project’s research and family support strategies that show the crucial role of family acceptance have caused us to totally rethink the way we approach our work. We now know that it’s essential for every parent – and every prospective parent — to have this information. Supportive Families, Healthy Children is an indispensable part of every individual or group conversation with parents and caregivers and with professionals who provide counseling, health and other services to children, youth and families.”
  • Theresa Nolan, Division Director of Green Chimneys NYC, said:  “The Family Acceptance Project has pioneered a culturally grounded approach to help diverse families support their LGBT children. In NYC, FAP’s research-based strategies, family education booklets and other tools are helping us implement one of the first family intervention programs for LGBT homeless youth. Suicide prevention is just one aspect of the support that these life-saving tools help us provide.”

Supportive Families, Healthy Children is available for download on the FAP website at: http://familyproject.sfsu.edu/publications   Printed copies are available for distribution from the Family Acceptance Project in orders of any size. Lower literacy and faith-based versions are in development. FAP provides on-site training on using these materials and FAP’s research-based supportive family intervention model and other resources and tools. Contact fap@sfsu.edu to obtain printed versions and for information on consultation and training.

Information on Supportive Families, Healthy Children’s “Best Practice” designation is available on the Best Practices Registry’s webpage hosted by the Suicide Prevention Resource Center at www.sprc.org .

About the Family Acceptance Project
The Family Acceptance Project is a research, intervention, education and policy initiative that is designed to: 1) improve the health, mental health, and well-being of LGBT children and adolescents; 2) strengthen and help ethnically and religiously diverse families to support their LGBT children; 3) help LGBT youth stay in their homes to prevent homelessness and the need for custodial care in the foster care and juvenile justice systems; 4) inform public policy and family policy; and 5) develop a new evidence-based, family model of wellness, prevention, and care to promote well-being and decrease risk for LGBT youth. For more information, please visit:   http://familyproject.sfsu.edu/

 

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Dr. Caitlin Ryan and The Family Acceptance Projects’ Studies of LGBT Youth

Dr. Caitlin Ryan, Director of the Family Acceptance Project at San Francisco State University

School Bullying, Violence Against Lesbian, Gay, Bisexual & Transgender Youth Linked With Risk for Suicide, HIV and STDs in Young Adulthood

MAY 16, 2011 – Critical new research has found that lesbian, gay, bisexual, and transgender (LGBT) youth who experience high levels of school victimization in middle and high school report impaired health and mental health in young adulthood, including depression, suicide attempts that require medical care, sexually transmitted diseases (STDs) and risk for HIV. This is the first known study to examine the relationship between school victimization during adolescence – specifically related to sexual orientation and gender identity – with multiple dimensions of young adult health and adjustment. The study demonstrates the importance of addressing and preventing anti-LGBT victimization at the structural or school level to reduce health disparities among LGBT young people.   The study is published in the Journal of School Health, the journal of the American School Health Association.

Analyzing data from the Family Acceptance Project's young adult survey, the authors examined experiences related to school victimization during adolescence based on known or perceived LGBT identity among 245 LGBT young adults, ages 21 to 25. They found that LGBT young adults who were victimized in school because of their LGBT identity reported much higher health and adjustment problems, while students with low levels of school victimization had higher self-esteem and life satisfaction as young adults.

Key Research Findings:

  • LGBT young adults who reported high levels of LGBT school victimization during adolescence were 5.6 times more likely to report having attempted suicide, 5.6 times more likely to report a suicide attempt that required medical care, 2.6 times more likely to report clinical levels of depression, 2.5 times more likely to have been diagnosed with a sexually transmitted disease, and nearly 4 times more likely to report risk for HIV infection, compared with peers who reported low levels of school victimization.
  • Gay and bisexual males and transgender young adults reported higher levels of LGBT school victimization than lesbian and bisexual young women.
  • LGBT young adults who reported lower levels of school victimization reported higher levels of self-esteem, life satisfaction and social integration compared with peers with higher levels of school victimization during adolescence.

To book an interview with the authors or for a copy of the full paper, please contact cathy@rennacommunications.com

December 13, 2010 – NASW Member Dr. Caitlin Ryan, Director of the San Francisco based Family Acceptance  Project,  has released a study that found that accepting parental and caregiver behaviors — such as welcoming their children's openly LGBT friends or supporting their gender expression — protect their LGBT children against depression, substance abuse, suicidal thoughts and suicide attempts in early adulthood. In addition, LGBT youth with highly accepting families have significantly higher levels of self-esteem, social support and better overall health in young adulthood.

The study was published in the November 2010 issue of the international Journal of Child and Adolescent Psychiatric Nursing. This follows Dr. Ryan's study published in Developmental Psychology  in the same month which shows that LGBT young adults who do not conform to socially proscribed gender behavior as adolescents report higher levels of anti-LGBT victimization, and higher levels of depression and impaired life satisfaction in adulthood.   Dr. Ryan's research has generated a substantial  level of consumer media coverage.

  • To read the press release from Renna Communications, click here.
  • To read the study, click here.
  • To learn more about the Family Acceptance Project, click here.  

Dr. Ryan is a member of the Institute of Medicine committee that created a landmark publication released on March 31, 2011,  on LGBT health.   Click here to learn more about the study


Media Coverage  

Ladies Home Journal.com
1.8 million unique visitors per month
Gay Teens Versus Traditional Family

TIME.com
7.6 million unique visitors per month
The Protective Effect of Family Acceptance for Gay Teens

Businessweek.com
5.2 million unique visitors per month
Parents' acceptance may help protect gay teens

Science Daily
1.1 million unique visitors per month
Family Acceptance of Lesbian, Gay, Bisexual and Transgender Youth Protects Against Depression, Substance Abuse, Suicide, Study Suggests

Salt Lake Tribune
639,549 unique visitors per month
Guidance for LDS families with LBGT children – Op-Ed

Advocate.com
187,791 unique visitors per month
All in the Family – Commentary  by Judy Shepard, mother of the late Matthew Shepard

ABC News  .com
9.4 million unique visitors per month
Family Support for Gay Teens Saves Lives

LiveScience.com
1.1 million unique visitors per month
Accepting Parents Boost Mental Health of LGBT Teens

WEbMD.com
12.5 million unique visitors per month
Lesbian/Gay/Bi Teens Punished More

Change.org

Family Acceptance Key to LGBT Youth Well-Being

CNN.com
25 million unique visitors per month
For LGBT teens, acceptance is critical

Edge Gay Media Network
123,183 unique visitors per month
Study Details How Family’s Acceptance Protects LGBT Youth

Mombian.com
What Helps LGBT Youth? Family Acceptance

ColorLines:   News for Action
Circulation: 30,000
Parenting Queer Youth and Saving Their Lives

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Early Childhood Development – Your Options – How Do I Know If My Child Is Transgender?

What Is transgender?
Can a Child Be Transgender?
What Makes a Child Transgender?
Why Can’t My Child Be “Normal”?
How Should I Respond?
How Can I know If It’s a Phase?
Where Do I Get Help, Support, and More Information?
Resources for Families & Providers
What Is Transgender?

Everyone has a gender identity. Gender identity is our internal sense of being male or female. For most people, our basic awareness that we are male or female matches our physical body. When we’re born, people decide if we’re male or female based on our genitals. But for children and adults who are transgender, their basic sense of being male or female – their gender identity – does not match their body. So a transgender person may have a male body, but feel inside that they are female. Or a transgender person may have a female body, but feel inside that they are truly male.

Can a Child Be Transgender?

Children and adolescents can be transgender, just like adults. In fact, a small percentage of all children are transgender. Children understand gender differences from a very early age. And transgender children strongly identify with the other gender, often from age two or three. Because we don’t talk about transgender people with children, adolescents or even adults, children who are transgender lack basic information about who they are, and struggle with feeling like they were born in the wrong body. And adults typically react as if there were something wrong with these children, as well.

In truth, there is nothing wrong with these children. But since very few people understand that it is natural for a small percentage of the population to be transgender, people don’t know that you can have male genitals and still be female or have female genitals and be male.

Transgender children who express their “real” gender identity can become extremely unhappy and depressed when adults try to prevent them being their true selves. Being transgender is not the cause of their distress. Instead, not being understood and feeling like there is something wrong with them causes them to suffer. And pressure to change their core sense of who they are causes emotional suffering, as well.

What Makes a Child Transgender?

Many parents are concerned that something they did made their child become transgender. This is not true. Nothing that a parent or anyone else does can change a child’s gender identity. Being transgender is not caused by divorce, neglect, wishing you had given birth to the other sex, using fertility drugs to conceive, encouraging your child to play sports too often or not enough, or other parental thoughts, behaviors or experiences. We don’t know exactly why some people are transgender. But science is showing that transgender children are most likely born that way, right from the start. Even before children can verbalize their sense of gender, they start to tell us who they are through their play and choices for clothing, hair styles, and toys. Once they are old enough to talk, transgender children strongly insist that they are “really” a boy, or “really” a girl.

Why Can’t My Child Be “Normal”?

Transgender children and adults have always existed throughout history in a wide range of cultures. In our society, until recently, few parents spoke openly about having children with gender identity “problems.”

In the past, parents with transgender children tried to force their children to conform with their expectations of what is “appropriate” behavior for males and females. From very early ages, these parents would try to make their children behave according to their child’s biological gender. Although these parents were trying to help their children fit in with their peers and with social norms, their transgender children were severely traumatized by being forced to deny and change their true nature.

Over time, medical and mental health providers have learned how best to support transgender children and their families. Parenting approaches have changed, and more parents and doctors understand how to support children with special needs. We now understand that all children need the love and support of their families and the adults in their lives to thrive.

How Should I Respond?

Research shows how parents and caregivers should respond to having a transgender child. The most important thing parents can do to promote their child’s well-being and to reduce their risk is to love and accept them. This means allowing them to live in ways that make them happy — just as you would with any child. For example, let your transgender child play with the toys they enjoy. Let your transgender child dress and wear their hair in the way that is most comfortable for them.

Supporting your child’s transgender behavior is not easy. But research shows that by loving and accepting your children as they are, you can help them lead happier, healthier lives – and literally save their lives.

In families where parents highly pressured their children to conform to gender expectations, young people were five times more likely to report symptoms of depression, nearly four times as likely to attempt suicide and to use illegal drugs, and twice as likely to be at high risk for HIV infection, compared with those who parents did not pressure them to conform.

How Can I know If It’s a Phase?

Most people have a sense of their gender identity between ages two and four. If your child expresses a transgender identity since early childhood, it is unlikely they will change their mind as they age. Their sense of themselves will only deepen. For example, a 12-year old child who has consistently stated that he is a girl since age three will most likely remain transgender throughout life.

Where Do I Get Help, Support, and More Information?

Parents and family members of transgender children need information and support to raise a child in a way that others don’t always understand. However, you are not alone. There are thousands of families doing the same thing and facing the same challenges as your family. Here are some resources to help you get started.

Resources for Families and Providers
  • Gender Spectrum Education and Training: Education, resources and training to create a more gender sensitive and supportive environment for all children.
  • Gender Odyssey Conference: National conference for families with gender variant and transgender children.
  • Family Acceptance Project: Research on LGBT adolescents and young adults and their families. Developing family education materials, and assessment and intervention materials for providers.

  • To see social worker Caitlin Ryan’s interview for the ABC Television News Program 20/20  story on transgender children broadcast in April 2007, click here.
  • To see the entire ABC News 20/20 story on transgender children entitled Facing Rejection, click here.

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