INTRODUCTION A large and rigorous body of research in the United States has demonstrated that lesbian, gay, bisexual, and transgender (LGBT) populations are at an elevated risk for suicide. However, scant research aimed at understanding the rates and predictors for suicidality among Thai LGBT individuals exists. AIM To examine rates and predictors of suicidality among Thai LGBT adults (N = 411). METHOD Data collection was conducted via online and in-person surveys. Guided by the Minority Stress Model, standardized measures of demographics, health-related factors, general and minority specific stressors, and suicidality were completed. RESULTS Thirty-nine percent of participants reported lifetime suicidal ideation, 19.0% past 12-month suicidal ideation, and 13.1% lifetime suicide attempts. Lifetime suicidal ideation was associated with higher levels of social discrimination, stress, loneliness, and chronic disease (OR = 1.12, 1.16, 2.75, and 1.46, P ≤ .05, R2 = .327). Past year suicidal ideation was associated with victimization, stress, loneliness, and being a former smoker (OR = 1.52, 1.20, 2.34, and 4.89, p < .05, R2 = .345). Suicide attempts were associated with internalized homophobia, poverty, chronic disease, alcohol use, and physical health (OR = 1.44, 1.06, 1.59, 1.45, and .95, p =< .05, R2 = .187). DISCUSSION General and minority specific stressors negatively impacted suicidality among LGBT participants. IMPLICATION FOR PRACTICE Study findings have implications for nursing education, practice and research. Nursing education should include information about the influence of sexual orientation and gender identity on mental health outcomes. Further, systematic screening for suicidality should be conducted by LGBT serving psychiatric and mental health nurses. Finally, research is needed to determine best practices for interventions aimed at reducing suicidality risk among LGBT individuals.
To understand the relationship between job satisfaction, autonomy, and self-efficacy amongst school nurses in Bahrain a total of 142 school nurses in Bahrain were surveyed. Twenty-seven school nurses were also interviewed. Data were collected using structured psychometric tools and analyzed using Burnard’s (1991) framework. Conclusion drawn remarkably shows high level of job satisfaction among school nurses in Bahrain. Herzberg’s two-factor theory was used to determine the hygiene and motivation factors. The relationship between self-efficacy correlates with job satisfaction was not attributed to chance. However, three important factors that affect the job satisfaction of school nurses in Bahrain are training and education needs, orderly professional bodies, and healthy and productive work environments. A clear-cut role of school nurses should be given to overcome the society issues and provide beneficial learning environment to nurses.
