LGBTQ lecture

Question 1

risk factors for suicide among LGBTQ pts

Answer 1

• active suicidal ideation
• previous suicide attempt history
• Trans ppl = 9x incr likely to attempt suicide

-lack of protective factors (such as a supportive family or healthcare)

Question 2

office environment that can help put an LGBTQ+ pt at ease within healthcare facility

Answer 2

• waiting room/reception: have at least one unisex restroom, LGBT-specific media, visible non-discrimination statement, posters showing racially and ethnically diverse same-sex couples or posters from nonprofit HIV/AIDS or LGBT organizations, brochures about LGBTQ health concerns
• make sure intake form has gender inclusive options (transgender, other w/ space for pt to fill in); also includes sexual orientation identity and option for other for most categories
• provider interaction (perusing intake forms, asking pronouns, rainbow pin on white jacket, disclosure if appropriate)

Question 3

compare and contrast language/behaviors of healthcare professionals that can either alienate or welcome an LGBTQ+ pt to practice

Answer 3

Welcoming LGBTQ pt: ask about their experiences/open ended Qs, acknowledge risk factors, set welcoming stage for deeper discussions; use appropriate intake form, be honest about knowledge, need to assess what is present; normalize conversation

Alienating: judgmental, approaching subjects in a wrong way; premature outing = BAD; dont open the door to coming out before they’re ready

Question 4

social and personal barriers that prevent open discussions of gender and sexuality bw physicians and LGBTQ+ pts

Answer 4

-assess where patient is first before opening the door to coming out (make sure THEY are ready); create safe and welcoming environment

Question 5

suicide risk in LGBTQ

Answer 5

Trans»person questioning where they are&raquo_space;Bisexual»gay men» lesbian