Date of Conferral



Doctor of Public Health (DrPH)


Public Health


Shanna L. Barnett


Sexual minority men of color who engage in sexual activity with men (MSM) are twice as likely to experience a psychological episode contributing to suicide ideation or attempts when compared to White MSM. These MSM are underserved in health systems, underrepresented in research, and limited in their access to health care services and interventions. The purpose of this quantitative study was to examine relationships between adverse childhood experiences, internalized homophobia, alcohol use, and suicide ideation and attempts while controlling for age, income, education, and employment among sexual minority men of color (Asian, Black/African American, Hispanic/Latino, Middle Eastern, Native Hawaiian/Pacific islanders, American Indiana, and multiracial). Syndemic theory informed the study. Secondary data containing 269 cases from the 2016–2019 Generations data set were analyzed using ordinal logistic regression. Results indicated that adverse childhood experiences and internalized homophobia were the most significant predictors of suicide ideation among sexual minority MSM of color. Adverse childhood experiences were the most significant predictor of suicide attempts. Results may inform existing research and increase knowledge regarding suicide behaviors and risk factors that can impact suicide ideation and attempts among non-White sexual minority populations.