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Open AccessArticle

Associations of Perceived Socially Unfavorable Attitudes toward Homosexuality and Same-Sex Marriage with Suicidal Ideation in Taiwanese People before and after Same-Sex Marriage Referendums

by 1,2,†, 3,4,†, 5, 6,7, 8,9,* and 10,11,*
1
Departments of Nursing, College of Medicine, National Cheng Kung University and Hospital, Tainan 70101, Taiwan
2
Center of Infection Control, National Cheng Kung University Hospital, Tainan 70101, Taiwan
3
Department of Psychiatry, Yuan’s General Hospital, Kaohsiung 80249, Taiwan
4
Department of Health Business Administration, Meiho University, Pingtung 91202, Taiwan
5
Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong RM543, China
6
Department of Psychiatry, Taipei Veterans General Hospital, Taipei 11217, Taiwan
7
Division of Psychiatry, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan
8
Department of Psychiatry, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi City 60002, Taiwan
9
Department of Senior Citizen Service Management, Chia Nan University of Pharmacy and Science, Tainan 71710, Taiwan
10
Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
11
Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan
*
Authors to whom correspondence should be addressed.
N.-Y.K. and I.-H.L. contributed equally to this study.
Int. J. Environ. Res. Public Health 2020, 17(3), 1047; https://doi.org/10.3390/ijerph17031047
Received: 9 January 2020 / Revised: 3 February 2020 / Accepted: 4 February 2020 / Published: 7 February 2020
(This article belongs to the Special Issue Stigma, Health and Wellbeing)
This study examined the associations of perceived socially unfavorable attitudes toward homosexuality and same-sex marriage with suicidal ideation in non-heterosexual and heterosexual participants from first (Wave 1, 23 months prior to same-sex marriage referendums) and second (Wave 2, one week after the referendums) wave surveys in Taiwan. Data provided by 3239 participants in Wave 1 and 1337 participants in Wave 2 who were recruited through a Facebook advertisement were analyzed. Participants completed an online questionnaire assessing suicidal ideation and perceived unfavorable attitudes toward homosexuality and same-sex marriage from Taiwanese society, heterosexual friends, and family members. The results indicate that perceived unfavorable attitudes toward homosexuality from Taiwanese society, heterosexual friends, and family members were positively associated with suicidal ideation among non-heterosexual individuals in the first but not the second survey. In addition, among non-heterosexual individuals, such attitudes toward same-sex marriage in family members and in heterosexual friends were positively associated with suicidal ideation in the Wave 1 and Wave 2 surveys, respectively. Perceived unfavorable attitudes toward homosexuality and same-sex marriage in heterosexual friends were associated with suicidal ideation in heterosexual participants with a favorable attitude but not in those individuals with an unfavorable attitude toward homosexuality, in both surveys. Perceived socially unfavorable attitudes toward homosexuality and same-sex marriage were significantly associated with suicidal ideation before and after same-sex marriage referendums; however, the associations varied between non-heterosexual and heterosexual individuals. View Full-Text
Keywords: suicidal ideation; homosexuality; same-sex marriage; sexual orientation suicidal ideation; homosexuality; same-sex marriage; sexual orientation
MDPI and ACS Style

Ko, N.-Y.; Lin, I-H.; Huang, Y.-T.; Chen, M.-H.; Lu, W.-H.; Yen, C.-F. Associations of Perceived Socially Unfavorable Attitudes toward Homosexuality and Same-Sex Marriage with Suicidal Ideation in Taiwanese People before and after Same-Sex Marriage Referendums. Int. J. Environ. Res. Public Health 2020, 17, 1047. https://doi.org/10.3390/ijerph17031047

AMA Style

Ko N-Y, Lin I-H, Huang Y-T, Chen M-H, Lu W-H, Yen C-F. Associations of Perceived Socially Unfavorable Attitudes toward Homosexuality and Same-Sex Marriage with Suicidal Ideation in Taiwanese People before and after Same-Sex Marriage Referendums. International Journal of Environmental Research and Public Health. 2020; 17(3):1047. https://doi.org/10.3390/ijerph17031047

Chicago/Turabian Style

Ko, Nai-Ying; Lin, I-Hsuan; Huang, Yu-Te; Chen, Mu-Hong; Lu, Wei-Hsin; Yen, Cheng-Fang. 2020. "Associations of Perceived Socially Unfavorable Attitudes toward Homosexuality and Same-Sex Marriage with Suicidal Ideation in Taiwanese People before and after Same-Sex Marriage Referendums" Int. J. Environ. Res. Public Health 17, no. 3: 1047. https://doi.org/10.3390/ijerph17031047

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