Studies have found that concealing sexual orientation is related to poorer mental health, physical health, and relationship functioning. For example, it has been found that same-sex couples who have not come out are not as satisfied in their relationships as same-sex couples who have. Findings from another study indicate that the fewer people know about a lesbian's sexual orientation, the more anxiety, less positive affectivity, and lower self-esteem she has. Further, Gay.com states that closeted individuals are reported to be at increased risk for suicide.