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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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Victory Institute to honor Biden at D.C. conference

Former president to receive award on Friday

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Then-President Joe Biden speaks on the National Mall on World AIDS Day 2024 with AIDS Memorial Quilt panels in the background. (Washington Blade photo by Michael Key)

The LGBTQ+ Victory Institute on Friday will honor former President Joe Biden at its annual International LGBTQ+ Leaders Conference in D.C.

Biden will receive the Chris Abele Impact Award in honor of what the Victory Institute described as “his historic role in championing LGBTQ+ rights and for his leadership in achieving the most LGBTQ+ inclusive administration in U.S. history.”

“President Biden has shown unwavering commitment to ensuring LGBTQ+ people can participate fully and openly in our democracy,” said Victory Institute President Evan Low in a press release. “From appointing a record number of LGBTQ+ leaders to reversing harmful policies and expanding civil rights protections, his administration set a new and necessary standard for what inclusive governance looks like.”

The conference will take place at the JW Marriott Hotel in Downtown Washington from Dec. 4-6.

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Faith leaders denounce anti-transgender attacks

‘You are holy. You are sacred. We love you.’

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(Photo by nito/Bigstock)

This past Trans Awareness Week, 10 heads of diverse religious traditions issued a statement proclaiming that transgender, intersex, and nonbinary people are worthy of love, support, and protection. Led by Rev. Dr. Sofía Betancourt, president of the Unitarian Universalist Association, representatives from the Universal Fellowship of Metropolitan Community Churches, The Fellowship of Affirming Ministries, the Union for Reform Judaism, the Presbyterian Church, the Christian Church (Disciples of Christ), The Episcopal Church, the United Church of Christ, and Reconstructing Judaism called out the violent and systemic persecution of trans, nonbinary, intersex, and queer people–proclaiming that their faith and their humanity urged them to affirm that trans, intersex, and quere people are “sacred” and “holy.”

Their statement comes at a critical time. Over the past three months, Trump and his Cabinet’s anti-trans rhetoric has only intensified, with a report released late September by journalist Ken Klippenstein in which national security officers leaked that the FBI is planning to classify trans people as “extremists.” By classifying trans people as “Nihilistic Violent Extremists,” far-right groups would have more “political (and media) cover,” as Abby Monteil reports for them, for anti-trans violence and legislation. 

While the news is terrifying, it’s not unprecedented – the fight against trans rights and classification of trans people as violent extremists was included in Project 2025, and in the past several weeks, far-right leaders’ transphobic campaign has expanded: boycotting Netflix to pressure the platform to remove trans characters, leveraging anti-trans attack ads in the Virginia governor’s race and banning professors from acknowledging that trans people exist. In fact last month, two Republican members of Congress called for the institutionalization of trans people

It seems that the government shutdown was predicated, at least partially, on Trump’s own anti-trans policies that were attached as riders in the appropriations bill. 

It’s a dangerous escalation of transphobic violence that the Human Rights Campaign has classified as an epidemic. According to an Everytown for Gun Safety report published in 2020, the number of trans people murdered in the U.S. almost doubled between 2017 and 2021. According to data released by the Gun Safety report from February 2024, 34 percent of gun homicides of trans, nonbinary, and gender expansive people remain unsolved

As Tori Cooper, Director of Community Engagement for the Transgender Justice Initiative for the Human Rights Campaign Foundation, this violence serves a purpose. “The hate towards transgender and gender expansive community members is fueled by disinformation, rhetoric and ideology that treats our community as political pawns ignoring the fact that we reserve the opportunity to live our lives full without fear of harm or death,” Cooper said.

The faith leaders came out in this statement to affirm that it is their spiritual and human imperative to call out this escalating violence and protect trans, nonbinary, intersex, and queer people. The leaders acknowledge that historically and today, religion is used as a weapon of hate to degrade and deny the human dignity of LGBTQ+ peoples. The Supreme Court is hearing Chiles v. Salazar, a case about the constitutionality of a Colorado ban of conversion therapy for minors, with the majority of conversion therapy practices being faith based. And despite the Supreme Court declining to hear a case challenging the constitutionality of same-sex marriage conferred in Obergefell v. Hodges, efforts to end marriage equality remain ongoing with Katy Faust’s End Obergefell movement

“During a time when our country is placing their lives under increasingly serious threat,” the statement reads, “there is a disgraceful misconception that all people of faith do not affirm the full spectrum of gender – a great many of us do. Let it be known instead that our beloveds are created in the image of God – Holy and whole.”

The faith leaders argue that commendation of LGBTQ peoples and religiously motivated efforts to deny their dignity and rights is not the belief of all faith communities, and far-right Christian nationalist communities and others who uphold homophobia and seek to exact it writ large in the United States do not speak for all faith leaders. 

This is a critical piece of the statement and builds on historical precedence. During the 1980s AIDS crisis, when far-right Christian leaders like Jerry Falwell, one of the founders of the Moral Majority, stated that HIV was “God’s punishment” for LGBTQ+ people and indicative of a broader moral decline in America, affirming faith communities came out to affirm the dignity and divinity of queer people. As funeral homes and churches refused to prepare the dead and bury them, some faith communities stepped up to say that these homophobic leaders do not speak on behalf of all people of faith. 

In 1985, the United Church of Christ General Synod urged its member congregations to claim and declare themselves “Open and Affirming,” in order to express their welcome and support for LGBTQ+ people, and two years later, the Church of the Brethren issued a statement titled “A Call to Compassion” where conference members urged member congregations to speak out boldly against discrimination, provide direct care to people with HIV/AIDS, and actively educate themselves and others to stop the spread of fear and prejudice surrounding the disease.

Just one year later, the Evangelical Lutheran Church in America Church Council issued a statement, “AIDS and Church’s Ministry of Caring,” which outlined the ways in which welcoming, ministering to and advocating on behalf of people with HIV/AIDS is critical to their mission. Even the US Conference of Catholic Bishops, which earlier this month banned gender-affirming care at Catholic hospitals, issued a statement in 1987 calling discrimination against people with HIV/AIDS “unjust and immoral,” and denouncing the label of “innocent” or “guilty” patients.

Thus, the faith leaders’ statement this past week builds on a rich history of faith communities fighting the stigma that far-right faith groups perpetuate about LGBTQ+ people and committing to action. What sets this latest statement apart is its decidedly interfaith heart, which speaks to the history of the Pride Interfaith Service in Washington, DC that was first started by a group of faith leaders and lay people who gathered at the AIDS Memorial quilt. 

As the statement reads, “Our scriptures vary, but they share a common conviction. As we make justice our aim we must give voice to those who are silenced. Our shared values, held across many faiths, teach us that we are all children of God and that we must cultivate a discipline of hope, especially in difficult times. As such, we raise our voices in solidarity to unequivocally proclaim the holiness of transgener, nonbinary, and intersex people, as well as the recognition of the entire spectrum of gender identity and expression.”

The statement ended by arguing that they need to call out the violence they are witnessing. Their silence, they argue, would be in compliance and reinforce the idea that homophobic religious leaders and lay people speak on behalf of all people of faith. Their statement is not only words, however, it is a written promise affirming the dignity and holiness of queer people but also to protect them in the face of increasing violence and persecution. 

“When people of faith and conscience stay silent in the face of oppression, we are all made less whole. When people of faith and conscience speak out against that which violates the sacred in its own name, we have the power to stay the hand of sin. Transgender, nonbinary, and intersex people are vulnerable today,” the statement concluded. 

“Our faiths, our theologies, and our practices of prophetic witness call on us to say with one voice to transgender people among us: ‘You are holy. You are sacred. We love you. We support you, and we will protect you.’”

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White House halts World AIDS Day recognition amid HIV funding cuts

Trump-Vance administration under increased criticism over policies

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HIV/AIDS activists attend a rally outside the White House on World AIDS Day. (Washington Blade photo by Michael Key)

For the first time since the global observance began, the U.S. government did not commemorate World AIDS Day on Monday.

World AIDS Day, first marked in 1988, has long served as an annual reminder of the ongoing effort to end an epidemic that has killed more than 44.1 million people worldwide and continues to disproportionately impact LGBTQ people, communities of color, and those in the American South. Yet the Trump-Vance administration declined to acknowledge the day this year, severing a symbolic but consistent tradition upheld by every president since Ronald Reagan.

The move comes despite the scale of the epidemic today. Approximately 1.2 million people in the U.S. are living with HIV, according to federal estimates, and about 13 percent — 158,249 people — do not know their status. Globally, the World Health Organization reports 40.8 million people were living with HIV at the end of 2024.

Presidents of both parties have historically used World AIDS Day to highlight progress, remember lives lost, and recommit to reducing disparities in prevention and treatment. Past administrations have also commemorated the day through displays of the AIDS Memorial Quilt — first created in 1987 and later spread across the National Mall and White House lawn. Today, the quilt includes the names of more than 94,000 people lost to AIDS on more than 47,000 panels.

The AIDS Quilt on the White House lawn in 2024 under President Joe Biden. (Washington Blade photo by Michael Key)

This year’s silence from the White House follows several sweeping foreign aid rollbacks instituted by President Donald Trump after his 2024 inauguration. According to an October report by KFF, the administration enacted a “90-day review of foreign aid; a subsequent ‘stop-work order’ that froze all payments and services for work already underway; the dissolution of USAID, including the reduction of most staff and contractors; and the cancellation of most foreign assistance awards.”

These cuts have created significant funding gaps for nongovernmental organizations around the world — many of which work directly to prevent HIV transmission and expand access to lifesaving treatment.

The State Department dismissed criticism of the administration’s decision not to acknowledge World AIDS Day.

“An awareness day is not a strategy. Under the leadership of President Trump, the State Department is working directly with foreign governments to save lives and increase their responsibility and burden sharing,” deputy spokesperson Tommy Pigott said in a statement CNN first reported. “Earlier this year, we released a global health strategy aimed at streamlining America’s foreign assistance and modernizing our approach to countering infectious diseases.”

The U.S. historically played a central role in the global HIV response. Since 2003, the United States has been the largest financial supporter of HIV/AIDS programs — primarily through President George W. Bush’s PEPFAR initiative, which has invested more than $110 billion into the fight to end the epidemic.

Despite overall declines in transmission, HIV continues to disproportionately affect racial and ethnic minorities, LGBTQ people, and men who have sex with men. More than half of new HIV diagnoses occur in the South.

The Centers for Disease Control and Prevention’s Ending the HIV Epidemic in the U.S. initiative focuses on the 48 counties, D.C., San Juan, Puerto Rico, and seven rural states that accounted for more than half of all new diagnoses in 2016 and 2017.

Advocates say the administration’s withdrawal from World AIDS Day — combined with its cuts to foreign and domestic health programs — risks reversing hard-won gains.

“Though new HIV infections declined 12 percent from 2018 to 2022, progress is uneven with Black people accounting for 38 percent of new diagnoses, Latino people accounting for 32 percent of new diagnoses and more than half (52 percent) of new HIV diagnoses were among people living in the South,” Jarred Keller, senior press secretary at the Human Rights Campaign, told the Washington Blade via email. “Cuts to CDC funding have driven HIV prevention resources to historic lows, stripping support from HIV-focused programs.”

Legal and public health experts echoed that concern, saying that there is a possibility to stop HIV/AIDS, but only if efforts are taken gradually over time.

“HIV is a preventable and treatable condition, but only if the research, organization, and effort continue to be a priority to those looking out for the health of Americans and people worldwide,” said Lambda Legal HIV Project Director Jose Abrigo.

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