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Participants ( N = 84) indicated that suicidality and self-harm are serious problems among sexual minorities and tend to be driven by (a) a homophobic\/transphobic environment and the negative consequences of sexual minorities either disclosing their true selves or remaining hidden and silent within such an environment; (b) various antecedents to poor mental health; and (c) factors not directly related to being a sexual minority, particularly unemployment and debt in the context of a protracted national economic decline in Japan prior to the study period of 2003\u20132004. Participants also perceived a potentially higher risk for suicidality and self-harm among sexual minority adolescents and persons in their early 20s; those who work in the entertainment, bar, or sex industries; and survivors of violence perpetrated by intimate partners or family members.<\/jats:p>","DOI":"10.1177\/1049732308322605","type":"journal-article","created":{"date-parts":[[2008,8,8]],"date-time":"2008-08-08T20:54:14Z","timestamp":1218228854000},"page":"1429-1441","source":"Crossref","is-referenced-by-count":33,"title":["Suicidality and Self-Harm Among Sexual Minorities in Japan"],"prefix":"10.1177","volume":"18","author":[{"given":"Anthony S.","family":"DiStefano","sequence":"first","affiliation":[{"name":"California State University, Fullerton, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2008,10,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.2188\/jea.13.56"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.10769"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1819.2005.01378.x"},{"key":"atypb4","volume-title":"Situated meaning: Inside and outside in Japanese self, society and language","author":"Bachnik, J.","year":"1994"},{"key":"atypb5","first-page":"169","volume":"83","author":"Bagley, C.","year":"1992","journal-title":"Canadian Journal of Public Health"},{"key":"atypb6","volume-title":"Research methods in anthropology","author":"Bernard, R.","year":"2002","edition":"3"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-1781(00)00179-7"},{"key":"atypb8","first-page":"1","volume":"6","author":"Chalmers, S.","year":"2001","journal-title":"Intersections: Gender, History and Culture in the Asian Context"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1300\/J082v51n03_04"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.90.4.573"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1521\/suli.31.3.250.24246"},{"key":"atypb12","volume-title":"Violence involving sexual minorities in Japan. 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