by these minority groups as a result of their sexual identity. There have been no publications on the psychiatric morbidity of Sri Lankan lgbt individuals in the last decade. Nevertheless, according to the World Health Organization, Sri Lanka had the world's highest age-standardized suicide rate in 2015, with 34.6 suicides per 100,000 people in the population, the highest rate in the world. An unusually high number of suicides and acts of self-harm arise in the setting of interpersonal confrontations and family disagreements. These usually happen on their own and are caused by anger, shame, frustration, and a desire to fight back against what they think is unfair treatment. Given the societal prejudice that gay people endure in Sri Lanka, it is extremely probable that they face a greater degree of psychological distress and suicidal tendencies. These are infrequently documented in the media as experiences of sexual orientation-related harassment and suicide ideation, as well as being coerced into heterosexual marriages. Furthermore, homophobia is widespread, and families may disavow and expel gays, leading to greater estrangement from society, and they may commit suicide as a result of terrible anguish. The disease paradigm of homosexuality has been abandoned for decades. In Sri Lanka, however, it is not unusual to see parents requesting mental therapy for their children's gay inclination. See also Sexual minorities in Sri Lanka Tamil sexual minorities References LGBT in Sri Lanka