LGBT* Dual Diagnosis Pat, Mark, Andy

Stonewall- Gay and Bisexual Men’s Health Survey ,861 gay and bisexual male respondents from across Britain One in sixteen (6%) gay and bisexual men aged 16 to 24 have attempted to take their own life in the last year. Less than one per cent of men in general aged 16 to 24 have attempted to take their own life in the same period

Stonewall- Gay and Bisexual Men’s Health Survey 2011 Half (51 per cent) of gay and bisexual men have taken drugs in the last year compared to just 12 per cent of men in general. One in six (15%) gay and bisexual men aged 16 to 24 have harmed themselves in the last year compared to seven per cent of men in general aged 16 to 24 who have ever deliberately harmed themselves

Stonewall- Prescription for Change: Lesbian & Bisexual women's health check lesbian and bisexual women respondents across UK. Lesbian and bisexual women are five times more likely to have taken drugs than women in general Twenty per cent of lesbian and bisexual women have deliberately harmed themselves in the last year, compared to 0.4 per cent of the general population

Stonewall- Prescription for Change: Lesbian & Bisexual women's health check 2007 Five per cent of lesbian and bisexual women have attempted to take their life in the last year and fifteen per cent of women under the age of 20 have attempted to take their life. Just three in ten lesbian and bisexual women say that healthcare workers did not make inappropriate comments when they came out Just one in nine felt that their partner was welcome during a consultation.

Transender Mental Health Study 2012 McNeil et. al. (Scottish Transgender Alliance) 889 participants from across the Trans* community. 38% of participants had experienced physical intimidation and threats for being trans*. 14% had experienced harassment from the police for being trans 84% had considered taking their lives at some point.

Transender Mental Health Study 2012 McNeil et. al. (Scottish Transgender Alliance) 27% had thought about suicide in the past week 48% had tried to take their lives at some point. 10% had been a MH inpatient. 24% had used drugs in past 12 months (most common were cannabis, ecstasy and poppers)

Transender Mental Health Study 2012 McNeil et. al. (Scottish Transgender Alliance) Over half of respondents (58 per cent) felt they had been so distressed at some point that they had needed to seek help or support urgently. Of those 35 per cent avoided seeking urgent help because they were trans* or had a trans* history When participants did need urgent support they were more likely to contact friends, helplines or online groups, than NHS support

Drug use and HIV among MSM Changing patterns and sexualised drug use

Rising Rates of HIV THT: 51 per cent of new HIV diagnoses in 2012 were among men who have sex with men (MSM) saw the highest number of new diagnoses among MSM ever reported (3,250 new diagnoses). NAT: 1 in 20 gay men in the UK have HIV. This rises to 1 in 10 in London and 1 in 8 in Brighton. Over a quarter of gay men with HIV don't know that they're infected.

Changing Patterns of Drug Use Findings from Antidote (LGBT Drug Service) and CODE/ Club Drug Clinics. Antidote- 85% of SUs were using crystal methamphetamine, mephedrone and GHB/GBL. 75% of SUs accessing CODE/Antidote who were using one/more of these three drugs was HIV positive.

‘’some gay men are preferring to have sex without condoms for a variety of complicated reasons associated with a changing HIV health situation and using drugs to manage a complex relationship to sex, intimacy and gay identity. Mix this with an alarming increase in injecting use and a reluctance to access traditional drug services, and the potential for a costly and culturally harmful epidemic of HIV and HCV and drug use is enormous’’ (David Stuart- CODE Clinic SOHO).