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2 results

  • Chapter 3 - Black Same-Gender-Loving Male Couples’ Health within an Afrocentric Psychological Paradigm: The Influences of Spirituality and Religion

  • from Part I - Race, Racism, and Identity
  • Edited by Yamonte Cooper, El Camino College, Torrance, California, Erica Holmes, Antioch University, Los Angeles
  • Book:
    Black Couples Therapy
    Published online:
    27 July 2023
    Print publication:
    10 August 2023, pp 58-82

  • Summary

    This chapter explores the ways in which religion, spirituality, and romance intersect in Black American same-gender-loving (SGL) men’s lives. Specifically, the author reviewed published scholarly literature on these topics. This review is followed by a critical analysis of the links between religion, spirituality, and romantic relationships and sexual experiences. This author explored the ways in which religion and spirituality influence the development, maintenance, dynamics, and quality of Black American SGL men’s romantic and sexual relationships. Then the author describes strategies, based on the reviewed literature and Afrocentric psychology theory, to help clinicians better assess the interplay of religion, spirituality, and romance. Clinical methods to treat sexual and psychological problems related to these factors are also explored. The chapter culminates with recommendations for future clinical research in this area.

  • Associations of adverse and protective childhood experiences with thwarted belongingness, perceived burdensomeness, and suicide risk among sexual minority men

  • Raymond L. Moody, Joseph A. Carter, Ali Talan, K. Marie Sizemore, Stephen T. Russell, H. Jonathon Rendina
  • Journal:
    Psychological Medicine / Volume 53 / Issue 12 / September 2023
    Published online by Cambridge University Press:
    19 September 2022, pp. 5615-5624
    • Article
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      • Open access
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  • Background

    Sexual minority men (SMM) experience higher suicidal ideation and suicide attempts than the general population. We examined the associations of adverse childhood experiences (ACES) and protective and compensatory childhood experiences (PACES) with suicidal ideation and suicide attempts in adulthood via thwarted belongingness and perceived burdensomeness among SMM.

    Methods

    Data are from the UNITE study, a national longitudinal cohort study of HIV-negative SMM from the 50 U.S. states and Puerto Rico. Between 2017 and 2019, participants (N = 6303) completed web-based assessments at baseline and 12-month follow-up. ACES and PACES occurring before the age of 18, and current symptoms of thwarted belongingness and perceived burdensomeness were assessed at baseline. Past-week suicidal ideation and past-year suicide attempt were assessed at follow-up.

    Results

    424 (6.7%) participants reported past-week suicidal ideation and 123 (2.0%) reported a past-year suicide attempt. The results of our multivariate model suggest that each additional adverse childhood experience was prospectively associated with 14% higher odds of past-week suicidal ideation (AOR = 1.14, 95% CI 1.09–1.19) and 19% higher odds of past-year suicide attempt (AOR = 1.19, 95% CI 1.11–1.29). Each additional protective childhood experience was prospectively associated with 15% lower odds of past-week suicidal ideation (AOR = 0.85, 95% CI 0.81–0.90) and 11% lower odds of past-year suicide attempt (AOR = 0.89, 95% CI 0.82–0.98). Perceived burdensomeness partially mediated these prospective associations.

    Conclusion

    To reduce suicide, screening and treating perceived burdensomeness among SMM with high ACES may be warranted. PACES may decrease perceived burdensomeness and associated suicide risk.