Where in the West do we have a culture that tells gays that their lives are worthless? Use a condom! It's what every sane (doesn't matter if hetero or homosexual) does instead of constructing strange reason why it is always other peoples fault!
Still common though admittedly less acceptable for families to disown other family members over being homosexual.
Step outside of any major city for a reminder of what the rest of the US is actually like.
And I do agree that this type of shaming and rejection can definitely drive people to engage in reckless/self destructive behaviour.