Most death investigators don't collect data on sexuality or gender identity, so no one knows how many gay and transgender people die by suicide each year in the U.S.
Most death investigators don’t collect data on sexuality or gender identity, so no one knows how many gay and transgender people die by suicide each year in the U.S.
Russo, who works in the Office of the Medical Examiner in Salt Lake City, is one of the relative few death investigators across the country who are routinely collecting such data, even though sexuality or gender identity can be relevant to the circumstances surrounding a person’s death. The absence of data is especially unfortunate now, they said, when assumptions about suicide rates among LGBTQ groups are frequently thrust into high-stakes political debates. Some LGBTQ advocates have warned that bans on gender-affirming care for transgender minors will lead to more suicides, for example, while some Republican lawmakers have claimed that deaths by suicide are rare.
Such data — which includes information on sexual relationships and gender, as well as housing, mental health, drug problems and social media use — can be used to help understand the complex array of factors that contributes to people’s decisions to end their lives, Staley said. He plans to release a report later this year describing interviews with the families of those who died by suicide in Utah over the last five years.
So far, Blosnich has trained investigators in Utah, Nevada, Colorado, New York and California, where a 2021 state law started a pilot program to collect data on sexual orientation and gender identity. In a recent study of 114 investigators in three states, Blosnich reported that only about 41% had directly asked about a deceased person’s sexual orientation, and just 25% had asked about gender identity, before going through the training.
But that approach has its limits. Patients may not feel comfortable disclosing that information to their doctors. And those who don’t interact with the health care system may be at especially high risk of suicide.
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