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Ideas for Edits
Suicide among LGBT youth

Adding to sections "institutionalized and internalized Homophobia" with personal experience from individuals in the article cited below. Many of these individuals have faced barriers within health care institutions due to this systemic homophobia.

Likely will focus in on health care or finding an experience within the cited article related to the effects of bullying leading to even more struggle within these institutions, almost feeling "bullied" beyond what they have struggled with non systemically.

"An absence of services for particular age groups within the LGBT community was identified by participants. Younger participants cited a dearth of programming for transitional age youth, whereas older participants showed concern for the declining number of services for aging members of the community, especially those who have lived with long-term HIV." Showing some of the concerns expressed by participants in this study.

Barriers within Health Care: Inflaming Suicidal Ideation.
While life can offer a number of struggles in general, facing barriers within Health care can make these struggles even more difficult and stressful. With Suicide being such a prevalent issue, the struggle of finding proper and effective health care that does not discriminate can potentially drive suicidal idea to new highs. Systemic discrimination of LGBTQ individuals within health care has consequences that range beyond physical impacts, as facing Health crises can exasperate feelings of Hopelessness and drive Suicidal Ideation within individuals. These barriers faced can differ between individuals and regions yet these center around similar issues such as : Availability of tailored services, Affordability of Tailored services, and Acceptability of tailored care. These 3 major are core causes and defining factors of how Health discrimination takes place.

The Availability of Services, or lack thereof, is a problem created by the limited or non-existence of LGBTQ. In our current healthcare system we have a wide variety of healthcare professionals that specialize in a unique field, however there is a lack of Specialists for LGBTQ Individuals. According to Individual and Systemic Barriers to Health Care: Perspectives of Lesbian, Gay, Bisexual, and Transgender Adults written by Romanelli, Meghan and  Hudson, Kimberly D: "Participants also noted the lack of specific types of services for the community, including mental health care and preventive care. Among transgender participants, there was not only a need to develop both of these types of services, but for health and mental health care to become integrated and centralized." (pg.720)

What this is describing is a want for inclusive and effective health care for LGBTQ individuals that could ultimately reduce the mental struggles of living with health problems or feelings of hopelessness from not finding health care professionals that suit the needs of these people.

The affordability of tailored services creates yet another disparity due to the large number of homeless People that are LGBTQ as well as the high cost of most treatments for LGBTQ individuals (Especially those who are trans). According to the National Institute of Mental health, 2 of the Major factors in suicidal ideation are Financial strain and medical Illness. With this in mind, considering that Medical treatments for an already at risk group creating heavy financial stress can be extremely problematic. One of the Participant In the studies explored in Individual and Systemic Barriers to Health Care: Perspectives of Lesbian, Gay, Bisexual, and Transgender Adults Explained how these financial barriers could build stress. They state, “If you’re transgender, you may need to have surgery for something and your insurance will not cover it, so where does that leave you? You got a procedure done but now they do not wanna cover the other half, where does that leave you? That alone, to me is stress. (Participant 26)” (Pg. 720).

Finally, Acceptance of tailored care is an issue created less by systemic Barriers, but more by social barriers due to The lack of Nondiscriminatory care within our current healthcare systems. Individuals may be unaware of patient rights that they have, or they may have fear of stigma that is paired with specific health care treatments such as HIV testing. One participant in Individual and Systemic Barriers to Health Care: Perspectives of Lesbian, Gay, Bisexual, and Transgender Adults Suggests; “ HIV stigma contributed to forgone testing, and offered a solution to challenge issues with HIV testing’s acceptability, saying ‘I think if people went into places like clubs and things like that, and didn’t make HIV such a disgusting thing, kids would be more willing to get tested.’ ”. (Pg 719). With this effect of stigma pair with medical illness, Suicidal Ideation is certainly affected through these barriers. However, with the development of more inclusive, affordable, and effective healthcare, we can potentially lower the rates of suicide.

Possible citations.
Perron, Tracy, et al. “LGBTQ Part 2: Examining the Health Disparities and Psychological Struggles Experienced by LGBTQ Youth.” NASN School Nurse, vol. 32, no. 2, Mar. 2017, pp. 116–121, doi:10.1177/1942602X16689263.

Romanelli, Meghan, and Hudson, Kimberly D. "Individual and Systemic Barriers to Health Care: Perspectives of Lesbian, Gay, Bisexual, and Transgender Adults." American Journal of Orthopsychiatry 87.6 (2017): 714-28. Web

Sutter, Megan, and Perrin, Paul B. "Discrimination, Mental Health, and Suicidal Ideation Among LGBTQ People of Color." Journal of Counseling Psychology 63.1 (2016): 98-105. Web.