San Francisco Suicide Prevention LGBT Survey

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San Francisco Suicide Prevention LGBT Survey Number of Responses Analyzed: 442 Location: San Francisco Bay Area living in zip code 94xxx 1: What is your age? Under 18 0.5% 2 18-30 10.4% 46 31-40 18.6% 82 41-50 29.0% 128 51-60 28.7% 127 61+ 12.9% 57 Valid Responses 442

2: Please check any community you identify with. Check all that apply. (Respondents were allowed to choose multiple responses and three participants checked multiple boxes) Gay Man 61.6% 274 Lesbian 29.2% 130 Queer 15.5% 69 Bisexual Female 5.6% 25 Bisexual Man 3.8% 17 Transgender 3.1% 14 Questioning 0.9% 4 Intersex 0.0% 0 Valid Responses 445 Total Responses 445

3: Have you ever felt significantly depressed in your lifetime? By significantly depressed we mean having depression that lasted long enough that it had a negative impact on your life, relationships, school or work. Yes 72.1% 315 Maybe 10.3% 45 No 16.9% 74 Prefer not to state 0.7% 3 Not Answered 3 Valid Responses 437 Total Responses 440 Note: 360 of 434 indicated yes or maybe or 83%

4: When is the last time you felt significantly depressed? (Note: only participants indicating past depression) In the last year 40.8% 144 1-2 years ago 10.2% 36 3 to 5 years ago 16.7% 59 6 to 9 years ago 10.8% 38 10 or more years ago 21.2% 75 Never 0.3% 1 Not Answered 2 Valid Responses 353 Total Responses 355 Note: 144 of 442 (all respondents) indicated significant depression - 32%

5: When you were an adolescent (under 18), did you feel significant depression? (Note: only participants indicating past depression) Yes 55.6% 197 Maybe 22.6% 80 No 21.8% 77 Prefer not to state 0.0% 0 Not Answered 1 Valid Responses 354 Total Responses 355 Note: 197 of 442 (all respondents) indicated significant depression during when adolescent - 44%

6: When you were in your young adult years (18-29), did you feel significant depression? (Note: only participants indicating past depression) Yes 63.3% 224 Maybe 18.4% 65 No 18.1% 64 Prefer not to state 0.3% 1 Not Answered 1 Valid Responses 354 Total Responses 355 Note: 224 of 442 (all respondents) indicated significant depression during when young adult - 51%

7: Have you experienced suicidal thoughts in your lifetime? (Note: only participants indicating past depression) Very often 6.8% 24 Often 22.0% 78 Seldom 56.8% 201 Never 14.4% 51 Not Answered 1 Valid Responses 354 Total Responses 355 Note: 102 of 442 (all respondents) indicated experiencing suicidal thoughts in their lifetime often or very often - 23%

8: In the last year have you made a suicide attempt of any kind? (Note: only participants indicating past depression) Yes 4.3% 13 No 95.7% 289 Not Answered 2 Valid Responses 302 Total Responses 304 Note: 13 of 442 (all respondents) indicated a suicide attempt in the last year - 3%

9: At what age did you first have suicidal thoughts? (Note: only participants indicating past depression) 5-18 52.0% 157 19-30 27.8% 84 31-40 9.3% 28 41-50 6.6% 20 51-60 1.3% 4 61+ 0.3% 1 Does not apply 2.6% 8 Not Answered 1 Valid Responses 302 Total Responses 303

10: How did you respond to your depression or suicidal thoughts? (Note: only participants indicating past depression) I explored counseling or professional help 36.6% 111 I called a hotline 5.9% 18 I talked about it with friends, family or partner 24.8% 75 I did not seek help 40.9% 124 I responded in a way that is not listed 24.1% 73 Valid Responses 303 Total Responses 303

11: Do you have a friend or family member that has expressed suicidal thoughts to you in the last year? Yes 29.1% 125 No 70.9% 305 Not Answered 1 Valid Responses 430 Total Responses 431

12: Please check the relationship of friends or family that have expressed suicidal thoughts? Check all that apply. (Note: only those indicating suicidal friends or family) I have a family member that has expressed suicidal thoughts I have a straight / heterosexual friend that has expressed suicidal thoughts I have a friend in the LGBT community that has expressed suicidal thoughts I have a partner or spouse that has expressed suicidal thoughts 32.3% 40 25.8% 32 57.3% 71 18.5% 23 Valid Responses 124 Total Responses 124

13: Do you agree or disagree with these statements? (All 442 participants could participate in each question) Suicide in the LGBTQ community was a bigger problem in the past. Today there are adequate mental health services for LGBTQ individuals thinking about suicide. In the LGBTQ community, adolescent suicide is a bigger concern than adult suicide. If a friend came to me and discussed suicide, I would feel comfortable in giving my friend help or advice. If a two hour suicide prevention training was offered in the community for free, I would Strongly Agree Somewhat Agree Neutral Somewhat Disagree Strongly Disagree Count 28 100 127 114 40 409 Total % by Row 6.8% 24.4% 31.1% 27.9% 9.8% 100.0% Count 25 86 81 129 83 404 % by Row 6.2% 21.3% 20.0% 31.9% 20.5% 100.0% Count 115 174 48 52 13 402 % by Row 28.6% 43.3% 11.9% 12.9% 3.2% 100.0% Count 158 177 24 34 8 401 % by Row 39.4% 44.1% 6.0% 8.5% 2.0% 100.0% Count 96 133 101 58 23 411

attend. Suicide is a big problem for people with HIV. I have strong connections and support from my partner / spouse (if applicable) I have strong connections and support from my biological family (parents, siblings, etc.). I have strong connections and support from my friends in the Bay Area. % by Row 23.4% 32.4% 24.6% 14.1% 5.6% 100.0% Count 46 143 191 27 1 408 % by Row 11.3% 35.0% 46.8% 6.6% 0.2% 100.0% Count 174 48 102 11 13 348 % by Row 50.0% 13.8% 29.3% 3.2% 3.7% 100.0% Count 148 100 53 58 43 402 % by Row 36.8% 24.9% 13.2% 14.4% 10.7% 100.0% Count 167 140 45 34 18 404 % by Row 41.3% 34.7% 11.1% 8.4% 4.5% 100.0%

14: Tell us more about how you access medical care? Check all that apply. (Respondents were allowed to choose multiple responses) I have health insurance that includes mental health care options I have health insurance with little to no mental health care options 67.5% 281 20.4% 85 I do not have health insurance 8.9% 37 I receive treatment at local clinics 6.0% 25 I prefer not to answer 1.0% 4 Valid Responses 416 Total Responses 416

15: If you wanted to receive professional face- to- face mental health counseling, where would you turn to for services first? Check all that apply. (Respondents were allowed to choose multiple responses) My health insurance plan 60.1% 250 An LGBT non- profit social service agency A mainstream non- LGBT social service agency 48.3% 201 15.6% 65 Valid Responses 416 Total Responses 416

16: Now we are going to change gears and talk about an LGBT outreach campaign being developed by San Francisco Suicide Prevention, specifically for the LGBT community. This concept is still very rough and the art/design will be improved. We want to get your initial thoughts before we develop the concept more. Again this has not been fully developed by a graphic designer and is merely a concept. Take a look at this poster. What do you think about the graphic and overall message for the LGBT community? (Respondents could only choose a single response) This is a great concept and will be an effective campaign This is a good concept and you should develop it more I feel neutral about the concept and image I do not like this concept and image 24.1% 100 55.7% 231 11.6% 48 8.7% 36 Valid Responses 415 Total Responses 415

17: Take a look at these posters. Near the agency logo, notice that one poster has a large rainbow band, one has a small rainbow band, and one has no rainbow band. Which version do you like best? (Respondents could only choose a single response) Keep the large rainbow band 50.5% 208 Use the medium rainbow band 29.6% 122 It s too much rainbow - Better to use no rainbow band 19.9% 82 Not Answered 1 Valid Responses 412 Total Responses 413

18: OK, now we are going to show you a number of posters that have different words or text. Please tell us which one you like best. (Respondents could only choose a single response) Feeling Alone? (No text under red figure) Feeling Alone? We re here for you 24/7. Feeling Alone? We can t be a community without you. Feeling Alone? We can t be a rainbow without you. Feeling Alone? We ve been supporting the LGBTQ community for 50 years. 2.5% 10 57.9% 234 21.8% 88 7.7% 31 10.1% 41 Not Answered 6 Valid Responses 404 Total Responses 410