The Epidemic Of Gay Loneliness 2

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4.  Why Do Gay Men Keep Killing Themselves..?

Travis Salway, a researcher with the BC Centre for Disease Control in Vancouver, has spent the last five years trying to figure out why gay men keep killing themselves.

“The defining feature of gay men used to be the loneliness of the closet,” he says. “But now you’ve got millions of gay men who have come out of the closet and they still feel the same isolation.”........ 

..... he was a social worker and epidemiologist and.....was struck by the growing distance between his straight and gay friends. He started to wonder if the story he had always heard about gay men and mental health was incomplete.

When the disparity first came to light in the ’50s and ’60s, doctors thought it was a symptom of homosexuality itself, just one of many manifestations of what was, at the time, known as “sexual inversion.” As the gay rights movement gained steam, though, homosexuality disappeared from the DSM [Diagnostic & Statistical Manual of Mental Disorders] and the explanation shifted to trauma. Gay men were being kicked out of their own families, their love lives were illegal. Of course they had alarming rates of suicide and depression. “That was the idea I had, too,” Salway says, “that gay suicide was a product of a bygone era, or it was concentrated among adolescents who didn’t see any other way out.” 

And then he looked at the data. The problem wasn’t just suicide, it wasn’t just afflicting teenagers and it wasn’t just happening in areas stained by homophobia. He found that gay men everywhere, at every age, have higher rates of cardiovascular disease, cancer, incontinence, erectile dysfunction,⁠ allergies and asthma—you name it, we got it. In Canada, Salway eventually discovered, more gay men were dyingfrom suicide than from AIDS, and had been for years. (This might be the case in the U.S. too, he says, but no one has bothered to study it.)

“We see gay men who have never been sexually or physically assaulted with similar post-traumatic stress symptoms to people who have been in combat situations or who have been raped,” says Alex Keuroghlian, a psychiatrist at the Fenway Institute’s Center for Population Research in LGBT Health. 

Gay men are, as Keuroghlian puts it, “primed to expect rejection.” We’re constantly scanning social situations for ways we may not fit into them. We struggle to assert ourselves. We replay our social failures on a loop. 

The weirdest thing about these symptoms, though, is that most of us don't see them as symptoms at all.  Since he looked into the data, Salway has started interviewing gay men who attempted suicide and survived.

"When you ask them why they tried to kill themselves," he says, "most of them don't mention anything at all about being gay."  Instead, he says, they tell him they're having relationship problems, career problems, money problems.  "They don't feel that their sexuality is the most salient aspect of their lives.  And yet, they're an order of magnitude more likely to kill themselves."

-----"Together Alone" The Epidemic of Gay Loneliness", by Michael Hobbes, Huffington Post, 2 March 2017

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