Transcript LGBT Dual Diagnosis

LGBT* Dual Diagnosis
Pat, Mark, Andy
Stonewall- Gay and Bisexual Men’s
Health Survey 2011
• 6,861 gay and bisexual male respondents from
across Britain
• One in sixteen (6%) gay and bisexual men
aged 16 to 24 have attempted to take their
own life in the last year. Less than one per
cent of men in general aged 16 to 24 have
attempted to take their own life in the same
period
Stonewall- Gay and Bisexual Men’s
Health Survey 2011
• Half (51 per cent) of gay and bisexual men
have taken drugs in the last year compared to
just 12 per cent of men in general.
• One in six (15%) gay and bisexual men aged 16
to 24 have harmed themselves in the last year
compared to seven per cent of men in general
aged 16 to 24 who have ever deliberately
harmed themselves
Stonewall- Prescription for Change:
Lesbian & Bisexual women's health
check 2007
• 6000 lesbian and bisexual women
respondents across UK.
• Lesbian and bisexual women are five times
more likely to have taken drugs than women
in general
• Twenty per cent of lesbian and bisexual
women have deliberately harmed themselves
in the last year, compared to 0.4 per cent of
the general population
Stonewall- Prescription for Change:
Lesbian & Bisexual women's health
check 2007
• Five per cent of lesbian and bisexual women
have attempted to take their life in the last
year and fifteen per cent of women under the
age of 20 have attempted to take their life.
• Just three in ten lesbian and bisexual women
say that healthcare workers did not make
inappropriate comments when they came out
Just one in nine felt that their partner was
welcome during a consultation.
Transender Mental Health Study 2012
McNeil et. al. (Scottish Transgender Alliance)
• 889 participants from across the Trans*
community.
• 38% of participants had experienced physical
intimidation and threats for being trans*.
• 14% had experienced harassment from the
police for being trans
• 84% had considered taking their lives at some
point.
Transender Mental Health Study 2012
McNeil et. al. (Scottish Transgender Alliance)
• 27% had thought about suicide in the past
week
• 48% had tried to take their lives at some
point.
• 10% had been a MH inpatient.
• 24% had used drugs in past 12 months (most
common were cannabis, ecstasy and poppers)
Transender Mental Health Study 2012
McNeil et. al. (Scottish Transgender Alliance)
• Over half of respondents (58 per cent) felt
they had been so distressed at some point
that they had needed to seek help or support
urgently. Of those 35 per cent avoided
seeking urgent help because they were trans*
or had a trans* history
• When participants did need urgent support
they were more likely to contact friends,
helplines or online groups, than NHS support
Drug use and HIV among MSM
Changing patterns and sexualised drug
use
Rising Rates of HIV
• THT: 51 per cent of new HIV diagnoses in 2012
were among men who have sex with men
(MSM). 2012 saw the highest number of new
diagnoses among MSM ever reported (3,250
new diagnoses).
• NAT: 1 in 20 gay men in the UK have HIV. This
rises to 1 in 10 in London and 1 in 8 in
Brighton. Over a quarter of gay men with HIV
don't know that they're infected.
Changing Patterns of Drug Use
• Findings from Antidote (LGBT Drug Service)
and CODE/ Club Drug Clinics.
• Antidote- 85% of SUs were using crystal
methamphetamine, mephedrone and
GHB/GBL.
• 75% of SUs accessing CODE/Antidote who
were using one/more of these three drugs
was HIV positive.
• ‘’some gay men are preferring to have sex
without condoms for a variety of complicated
reasons associated with a changing HIV health
situation and using drugs to manage a complex
relationship to sex, intimacy and gay identity. Mix
this with an alarming increase in injecting use and
a reluctance to access traditional drug services,
and the potential for a costly and culturally
harmful epidemic of HIV and HCV and drug use is
enormous’’ (David Stuart- CODE Clinic SOHO).