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LGBT-inclusive national suicide strategy unveiled

Discriminatory laws, ‘minority stress’ shown to contribute to LGBT suicide rate

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A new strategy unveiled Monday aimed at reducing the suicide rate in the United States includes a section on the rate of suicide for LGBT people — saying they may be particularly at risk because of “minority stress” and “institutional discrimination” resulting from anti-gay laws on the books.

The 2012 National Strategy for Suicide Prevention, made public on World Suicide Prevention Day, was published by the National Action Alliance for Suicide Prevention and U.S. Surgeon General Regina Benjamin. Secretary of Health & Human Services Kathleen Sebelius and former Defense Secretary of Robert Gates launched the alliance in late 2010 in part to address the suicide rate among Iraq and Afghanistan veterans returning home.

The strategy details multiple goals for reducing suicide, such as integrating suicide prevention into health care policies and changing the way the public talks about suicide and suicide prevention. In addition to veterans, the study identifies particular groups that may face a higher suicide rate, such as individuals with mental and substance abuse disorders, individuals in justice or child welfare settings and LGBT people.

Andrew Lane, a gay member of the Action Alliance’s executive committee, said the strategy lays the groundwork to reduce the suicide rate among LGBT people.

“The 2012 NSSP represents a significant step forward in our ongoing efforts to highlight the unique health needs of the LGBT community and ensure government responsiveness,” said Lane, who’s also executive director of the Johnson Family Foundation.

The strategy attributes the prevalence of suicide in the LGBT community to “minority stress” stemming from cultural stigma as well as “institutional discrimination” that comes from laws that deny benefits and protections for LGBT people that are provided to others.

“These negative outcomes, rather than minority sexual orientation or gender identity per se, appear to be the key risk factors for LGBT suicidal ideation and behavior,” the strategy states. “An additional risk factor is contagion resulting from media coverage of LGBT suicide deaths that presents suicidal behavior as a normal, rational response to anti-LGBT bullying or other experiences of discrimination.”

Among the factors that the strategy has found that reduce suicides among LGBT youth are family acceptance and access to mental health treatment. The Action Alliance also recommends reducing LGBT-related prejudices and associated stressors, improving access to LGBT-affirming treatment, working to reduce bullying and eliminating discriminatory laws. Notably, the strategy makes no mention of any particular discriminatory law against LGBT people that should be eliminated.

Secretary of Health & Human Services Kathleen Sebelius (Blade file photo by Michael Key)

In a statement, Sebelius hailed the strategy as means to help organizations’ work in preventing suicides throughout the country.

“Our message today is one of hope,” Sebelius said. “The national strategy will bring together the nation’s resources, both public and private, in an organized effort to provide life saving services and improve the ability of individuals, friends and family members to recognize the warning signs of despair and take action to save lives.”

Sebelius announced HHS would provide $55.6 million in new grants for national, state, tribal, campus and community suicide prevention efforts, which were made possible under the Garrett Lee Smith Memorial Act and the Affordable Care Act. The Department of Veterans Affairs is launching a new outreach campaign called “Stand by Them: Help a Veteran.”

According to the strategy, whether LGBT people have a higher suicide rate than others is unknown because sexual orientation or gender identity isn’t recorded upon the death of an individual. However, the strategy does say studies indicate suicide ideation and attempts are higher for LGBT people.

“A meta-analysis of 25 international population-based studies found the lifetime prevalence of suicide attempts in gay and bisexual male adolescents and adults was four times that of comparable heterosexual males,” the strategy states. “Lifetime suicide attempt rates among lesbian and bisexual females were almost twice those of heterosexual females.”

The strategy makes particular note of the rate of suicide among LGBT youth. An analysis of studies found that LGB youth were three times more likely to report a lifetime attempt than straight youth, and more four times more likely to report a medically serious attempt.

A note of suicide among transgender people, saying population-based studies haven’t yet included transgender participants, but non-random surveys show the problem particularly affects transgender people. A 2009 study from the National Gay & Lesbian Task Force force found that 41 percent of adult respondents reported suicide attempts.

Michael Cole-Schwartz, a spokesperson for the Human Rights Campaign, praised the strategy.

“We applaud the National Strategy for Suicide Prevention and the efforts underway to improve the health and well-being of LGBT people – particularly youth that need to know there are people out there ready and willing to help them,” Cole-Schwartz said. “With public and private resources coming together this is a positive step toward lessening tragic deaths by suicide.”

It’s not the first time a national strategy has been issued to address the problem of suicide in the country, nor is it the first one to address the trend of suicide among LGBT youth. In the 2001, HHS under the direction of the Bush administration’s Surgeon General David Satcher unveiled a similar study about the national suicide rate that includes a paragraph addressing LGBT suicide. But this earlier strategy isn’t as detailed people for LGBT people, nor does it contain any explicit reference to suicide rates among transgender people.

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U.S. Military/Pentagon

Pentagon expands testosterone screening as trans troops face hormone therapy restrictions

Defense Department says updated guidelines to be issued shortly

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Defense Secretary Pete Hegseth (Washington Blade photo by Michael Key)

The Pentagon has announced that new clinical guidance will be released establishing mandatory testosterone deficiency screening for active-duty and reserve cisgender male service members ages 30 and older, advancing a policy that expands hormone-related care for cisgender troops.

The Defense Department said the existing clinical guidelines, which are not currently available on the Defense Health Agency’s website, are being updated and that the final guidance will be issued shortly.

The announcement comes amid a wave of anti-transgender policies from both the DoD and the Trump-Vance administration, which continue to prohibit trans men from receiving the same treatment.

Under the forthcoming guidance, men ages 30 and older will be forced to undergo testosterone blood tests as part of their medical care. Younger male service members will be tested if they request screening or if clinicians identify warning signs of low testosterone.

The new guidelines formalize a screening program Defense Secretary Pete Hegseth announced in July, when he said the Pentagon would begin testing service members to ensure that “you have the right testosterone levels to operate at your absolute best.”

“Taking care of your long-term health means ensuring you remain strong, resilient, and capable — not just for your next deployment, but for the rest of your life, so you can thrive long after you take off the uniform,” Hegseth said at the time.

The Defense Health Agency’s clinical guidance says the program is intended to address “hormonal and energy-availability issues.” Hegseth said in July that testosterone replacement therapy would remain voluntary for service members if treatment is recommended.

The Food and Drug Administration is also scheduled to hold a meeting later this month with experts to discuss the medical use of testosterone.

The Pentagon’s push to routinely test testosterone levels runs counter to current medical guidance, which generally recommends considering testosterone therapy only for men who have symptoms consistent with low testosterone and have documented low hormone levels on two separate blood tests.

Testosterone is a sex hormone naturally produced by people of all sexes. It plays a role in regulating muscle mass, bone density, and sex drive. Testosterone levels in men naturally decline with age and have been associated with symptoms including erectile dysfunction, low libido, mood changes and weight gain, although experts continue to debate when testosterone therapy is medically appropriate.

The policy has drawn scrutiny from LGBTQ advocates because the Pentagon and Hegseth have simultaneously cited hormone therapy as part of the rationale for removing trans service members from the military.

Under President Donald Trump’s 2025 executive order, “Prioritizing Military Excellence and Readiness,” the military has moved to bar trans people diagnosed with gender dysphoria from serving and has begun formal administrative separation proceedings against trans personnel.

The Pentagon continues to pursue implementation of the trans military ban as litigation over the policy proceeds. As a result, some trans service members have had their gender-affirming hormone therapy halted even as the Pentagon expands testosterone screening and potential treatment for cisgender service members.

SPARTA Pride, a nonpartisan nonprofit organization made up of trans service members, veterans and their allies, criticized the disparity to the Washington Blade when Hegseth first announced the screening program.

“If hormone therapy helps warfighters perform at their best, then it cannot simultaneously be used as evidence that transgender service members are unfit to serve,” said Kara Corcoran, executive director of SPARTA Pride. “The same class of evidence-based medical treatment cannot be characterized as readiness-enhancing for one group and readiness-destroying for another.”

On June 1, the U.S. Court of Appeals for the D.C. Circuit ruled that trans service members already serving in the military could continue to do so while allowing the armed services to continue refusing to enlist new trans recruits.

The Blade reached out to the Pentagon when the testosterone screening program was first announced in July, asking why cisgender service members could receive testosterone therapy while transgender service members could not. The Pentagon did not respond.

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National

Lou Chibbaro Jr. documentary wins award from NLGJA

‘Lou’s Legacy’ produced by D.C.’s Mattachine Society

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“Lou’s Legacy: a Reporter’s Life at the Washington Blade,” a documentary produced by The Mattachine Society of Washington, D.C., will receive an Excellence in Journalism Award from NLGJA, the Association of LGBTQ+ Journalists. 

The film premiered on WETA PBS in D.C. and Maryland Public Television (MPT) in June of 2025. The documentary’s Emmy-nominated director and producer Patrick Sammon will accept the award for Excellence in Local Television on Sept. 11 at NLGJA’s National Convention in San Francisco. 

“Lou’s Legacy” was produced in association with the Mattachine Society of Washington, D.C., a non-profit LGBTQ history society dedicated to conducting original archival research. Aside from Sammon, the NLGJA is recognizing other members of the film’s production team including Producer Julianne Donofrio, Editor Amir Jaffer, Executive Producer Charles Francis, and Executive Producer Pate Felts.  

“Lou’s Legacy” tells the story of two D.C. icons — legendary Washington Blade reporter Lou Chibbaro Jr. and beloved drag performer Donnell Robinson, known to generations of Washington audiences as “Ella Fitzgerald.” Through Lou’s nearly five-decade career at the Blade and Ella’s return to the stage after a three-year hiatus following COVID, the 29-minute documentary explores the history of Washington’s LGBTQ community and today’s rising backlash against LGBTQ rights, including laws targeting drag performers. 

“All students of journalism can learn a lot from the story of Lou Chibbaro, Jr. Lou has chronicled nearly five decades of LGBTQ+ life and the community’s struggle for equality in Washington, D.C. Lou’s work and the role of the queer press has been essential in covering stories the mainstream media would often ignore or erase,” said Ryan Levi, president of the D.C. chapter of the NLGJA.  

“We are thrilled to receive this award from the NLGJA,” said the film’s director Patrick Sammon. “Lou Chibbaro’s nearly five decade career at the Washington Blade demonstrates the essential role LGBTQ journalism plays in telling our community’s stories and documenting its history. This recognition from journalists who follow in Lou’s footsteps is particularly meaningful to me and the rest of our production team.”

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Arizona

Shooting outside gay bar in Ariz. leaves three dead

Tucson police investigating double murder-suicide as a hate crime

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The shooting happened outside Venture-N bar in Tucson, Ariz. (Washington Blade photo by Michael K. Lavers)

Three people were fatally shot outside a gay bar in Tucson, Ariz., early Monday morning, about a mile from the city’s nightlife district.

Police have said the shooting, which took place in the parking lot of Venture-N bar at 1239 N. 6th Ave., was likely a hate crime and a double murder-suicide following a verbal altercation.

The suspect, Ousman Ceesay, allegedly shot Vincent Anthony Siqueiros and Cameron Davis Capara while they were outside the club around 12:30 a.m. Monday.

Reports show Capara and Siqueiros were pronounced dead at the scene. Ceesay died after being taken to a local hospital with gunshot wounds.

Police have also said that Ceesay was carrying a list of LGBTQ businesses at the time of the shooting.

Arizona Public Media has said police are investigating the case as a hate crime because the suspect was carrying a note containing the names of multiple LGBTQ-associated businesses.

“I am deeply saddened that another senseless loss of life has happened in our community,” Tucson Police Chief Monica Prieto said in a statement. “Bias-based crimes are especially heinous and have no place in our community.”

According to Prieto, there is no imminent threat to the community, and the Tucson Police Department is working to provide extra protection to various LGBTQ businesses across town.

Congresswoman Adelita Grijalva, who represents the area, issued a statement condemning the act of violence, which appears to have been at least in part motivated by homophobia.

“I am disgusted and deeply saddened to learn of a targeted act of hate and the cold-blooded murder of two members of our LGBTQIA+ community, Vincent Siqueiros and Cameron Capara, at the Venture-N bar in Tucson last night. This horrific attack is a painful reminder that even in welcoming communities like Tucson, hate and violence against the LGBTQIA+ community still exist.”

“When that hate is combined with easy access to firearms, the consequences can be deadly. I am sick and tired of Congress refusing to lift a finger to protect our communities while, every day, dozens of people are shot and killed across the country. It does not have to be this way. The House of Representatives is returning to session this week, and our first action should be passing common-sense gun safety reforms that we know can save lives.”

Other federal lawmakers also condemned the shooting.

The Congressional Equality Caucus, which is made up of federal legislators advancing LGBTQ interests, issued a statement after news broke.

“Our hearts are with the friends and loved ones of the victims of this devastating attack outside a Tucson gay bar and with the Tucson LGBTQI+ community,” it said on X. “No one should fear violence because of who they are — and we’re going to continue fighting to build a world where no one does.”

The Human Rights Campaign, the largest LGBTQ organization in the country, released a statement following the shooting.

“We are heartbroken by the loss of Vincent Anthony Siqueiros and Cameron Davis Capara and our hearts are with their families, loved ones, and the entire Tucson LGBTQ+ community. Once again, we are reminded that gun violence robs people of their lives, destroys families, and devastates communities.”

A candlelight vigil honoring the victims is planned for Sept. 2 at 6:30 p.m. at Catalina Park in North Tucson.

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