Salud Mental

0185-3325

Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

SM4597

10.17711/SM.0185-3325.2018.015

Original article

Associaton between violence and drug consumption with suicide in lesbians, gays, bisexuals, transvestites, and transsexuals: cross-sectional study

Grayce Alencar

Albuquerque

1 Francisco Winter

dos Santos Figueiredo

2 Laércio

da Silva Paiva

2 Márcio Flávio

Moura de Araújo

3 Erika

da Silva Maciel

4 Fernando

Adami

1 Universidade Regional e Cariri, Ceará, Brasil. 2 Faculdade de Medicina do ABC, Santo André, Brasil. 3 Universidade da Intergração Internacional da Lusofonia Afro-Brasileira, Redenção, Brasil. 4 Centro Universitario Lutherano de Palmas, Palmas, Brasil.

Correspondence: Márcio Flávio Moura de Araújo Instituto de Ciéncias da Saúde, Universidade da Integração Internacional da Lusofonia Afro-Brasileira. Rodovia CE 060 – Km 51, Zip Code: 62785-00, Acarape, CE, Brasil. Phone: + 55 (85) 3332 1414 Email: marciofma@yahoo.com.br marciofma@yahoo.com.br

06 2018

41 3 131 138 30 10 2017 04 05 2018 24 06 2018

2018

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial (by-nc) Spain 3.0 License.

Introduction. Lesbian, gay, bisexual, transvestite, and transgender (LGBT) people are affected by prejudice and psychological, physical, and/or sexual violence due to their sexual orientation. Objective. To analyze the association between violence, drug use, and suicide in LGBT people. Method. We interviewed 316 LGBT people from two cities of the Brazilian Northeast by means of a structured instrument. This included questions about sociodemographic data, sexual orientation, type of violence, type and quantity of drugs consumed, and suicide. Results. There was a positive association between physical violence and anabolic consumption (p = .001) and tranquilizers (p = .012). In relation to psychological and verbal violence, there was a positive association with the use of tranquilizers (p = .021) and negative with the use of amphetamines (p = .027). Suicide attempts were associated with having experienced physical (p = .03) and sexual (p = .037) violence. Drug use, especially ecstasy, cocaine, marijuana, and tranquilizers, was also associated with suicide attempts (p = .002, p = .031, p < .001, p < .001, respectively). The participants who had already attempted suicide were more vulnerable to experience violence and consume drugs within 30 days prior to the interview (p < .001). Discussion and conclusion. Psychological/verbal violence showed to be associated with the use of amphetamines, while physical violence was associated with a higher consumption of tranquilizers and anabolic steroids. Suicide attempts were more common among participants who had suffered physical violence and who were users of substances such as ecstasy, cocaine, marijuana, and tranquilizers.

Introducción. Las personas lesbianas, gays, bisexuales, travestis y transexuales (LGBT) se ven afectadas por juicios y violencia psicológica, física y/o sexual debido a su orientación sexual. Objetivo. Analizar la asociación entre violencia, uso de drogas y suicidio en personas LGBT. Método. Entrevistamos a 316 personas LGBT de dos ciudades del Noreste brasileño por medio de un instrumento estructurado. Esto incluyó preguntas sobre datos sociodemográficos, orientación sexual, tipo de violencia, tipo y cantidad de drogas consumidas y suicidio. Resultados. Se encontró una asociación positiva entre la violencia física y el consumo de anabólicos (p = .001) y tranquilizantes (p = .012). En relación con la violencia psicológica y verbal, hubo una asociación positiva con el uso de tranquilizantes (p = .021) y negativa con el uso de anfetaminas (p = .027). Los intentos de suicidio se asociaron con la violencia física (p = .03) y sexual (p = .037). El consumo de drogas, especialmente éxtasis, cocaína, marihuana y tranquilizantes, se asoció también con intentos de suicidio (p = .002, p = .031, p < .001, p < .001, respectivamente). Los participantes que ya habían intentado suicidarse eran más vulnerables a experimentar violencia y consumir drogas dentro de los 30 días previos a la entrevista (p < .001). Discusión y conclusión. La violencia psicológica/verbal se asoció con el uso de anfetaminas, mientras que la violencia física se asoció con un mayor consumo de tranquilizantes y esteroides anabólicos. Los intentos de suicidio fueron más comunes entre los participantes que habían sufrido violencia física y que consumían sustancias como el éxtasis, la cocaína, la marihuana y los tranquilizantes.

Homosexuality bisexuality violence psychotropic medications

Homosexualidad bisexualidad violencia medicamentos psicotrópicos