St. James was notorious for a lifestyle of excess that included heavy drug use, partying, and bizarre costumes that first brought him to national attention as the subject of television appearances and interviews. He wrote Disco Bloodbath (now published under the title Party Monster) that was later made into the feature film Party Monster (2003), starring Macaulay Culkin as Michael Alig and Seth Green as St. James. His life was the subject of the documentary Party Monster: The Shockumentary (1998).
James grew up in an affluent family in Saginaw, Michigan, where he lived with his mother after his parents divorced.[citation needed] In the summer, he would stay with his father and younger and older siblings in Fort Lauderdale, Florida, until he moved to Fort Lauderdale for high school.
In the late 1980s, St. James became friendly with Michael Alig, although at first he and the other club personalities shunned the newcomer. Undeterred, Alig soon created his own scene by gathering up other creative personalities of the nightlife world; he used his flamboyant style, and engaged in self-promotion and innovative themed parties. St. James morphed from celebutante to Club Kid while helping Alig create the new scene. Alig and St. James threw many parties together, eventually setting up the Disco 2000 club night at the New York City club The Limelight. St. James wrote several columns, most famously for the short-lived New York City-based gay publication OutWeek during the magazine's two year life span, from 1989–1991.

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