Exploring sexual minority adults’ pathway to suicidal ideation: A moderated serial mediation model

Abstract Introduction: We tested a moderated, serial mediation model of past-year suicidal ideation among sexual minority adults. Method: Participants (N = 198) completed an anonymous online survey. Result: The relation between internalized homophobia and past-year suicidal ideation can be partly explained by sexual orientation self-concept ambiguity and feelings of loneliness, especially among individuals who may be more likely to conceal their sexuality. Conclusion: Strategic sexual orientation disclosure, clinical advocacy for LGB+ community involvement, and support programs that facilitate positive sexual identity development may be integral to intervention strategies that seek to reduce the risk of suicide in sexual minority adults.