Mental Health Disorders, Psychological Distress, and Suicidality in a Diverse Sample of Lesbian, Gay, Bisexual, and Transgender Youths

IMPACT Department of Psychiatry, University of Illinois, Chicago, IL 60608, USA.
American Journal of Public Health (Impact Factor: 4.55). 10/2010; 100(12):2426-32. DOI: 10.2105/AJPH.2009.178319
Source: PubMed


We examined associations of race/ethnicity, gender, and sexual orientation with mental disorders among lesbian, gay, bisexual, and transgender (LGBT) youths.
We assessed mental disorders by administering a structured diagnostic interview to a community sample of 246 LGBT youths aged 16 to 20 years. Participants also completed the Brief Symptom Inventory 18 (BSI 18).
One third of participants met criteria for any mental disorder, 17% for conduct disorder, 15% for major depression, and 9% for posttraumatic stress disorder. Anorexia and bulimia were rare. Lifetime suicide attempts were frequent (31%) but less so in the prior 12 months (7%). Few racial/ethnic and gender differences were statistically significant. Bisexually identified youths had lower prevalences of every diagnosis. The BSI 18 had high negative predictive power (90%) and low positive predictive power (25%) for major depression.
LGBT youths had higher prevalences of mental disorder diagnoses than youths in national samples, but were similar to representative samples of urban, racial/ethnic minority youths. Suicide behaviors were similar to those among representative youth samples in the same geographic area. Questionnaires measuring psychological distress may overestimate depression prevalence among this population.

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Available from: Robert Garofalo, Oct 29, 2014
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    • "As a consequence of these stressors, depression can lead to a lack of adopting and/or maintaining health-promoting behaviors, and anxiety can diminish protection against risk, and thus increase odds of contracting HIV (Mustanski et al., 2011). Given the notable rises in HIV incidence and prevalence rates among YMSM of color in the U.S., as well as the high HIV rates maintained among White YMSM (Centers for Disease Control & Prevention, 2010, 2012, 2013; Mustanski et al., 2010), it is imperative that we continue to deepen our understanding of the interactions among gay-related stressors, mental health, and sexual risk behavior for YMSM of different racial backgrounds. To guide the evolution of tailored prevention research, our study aimed to expand on previous findings by hypothesizing that there would be differences in the relationship between stigma, mental health and HIV risk (condomless anal sex and substance use) by race and ethnicity. "
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    Health Psychology 12/2014; 34(8). DOI:10.1037/hea0000192 · 3.59 Impact Factor
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    • "As a result of LGBT-related stigma, this group faces increased risk of mental health problems, as explained by the minority stress model (Meyer, 2003). Stigma has been linked to increased incidences of mental disorders, victimization , and discrimination (Mustanski et al., 2010). Higher incidences of psychiatric symptoms, suicidality, and mental illness have been attributed to stigma (Mays & Cochran, 2001). "
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    ABSTRACT: Lesbian, gay, bisexual, and transgender (LGBT) individuals with mental illness encounter double stigma of mental illness and LGBT identity that can uniquely impact the process of acceptance of mental illness. Acceptance of mental illness is essential to promoting recovery and may be one of the most crucial and difficult steps in this process. Qualitative case narrative methodology was used to identify themes related to the facilitators and barriers in the acceptance process for lesbian, gay, and transgender (LGT) individuals in the present study. Three participant narratives are presented to assist practitioners in applying these findings to clinical practice. Selected case narratives represent participants with LGT identities to illustrate facilitators and barriers in the acceptance process among individuals within this group. Identified themes included identity factors at the micro level, relational factors at the meso level, and systemic factors at the macro level. Notably, identity-related facilitators of acceptance of mental illness included developing preferred terminology and self-defined language. Implications are suggested for psychotherapy and research pertaining to the process of acceptance of mental illness for LGBT individuals with mental illness.
    Journal of Gay & Lesbian Mental Health 07/2014; 18(3):320-341. DOI:10.1080/19359705.2013.828007
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    • ", 2011 ; Haas et al . , 2011 ; Mustanski , Garofalo , & Emerson , 2010 ) , possibly due to the fact that there are very few mental health clinicians who specialize in caring for transgender communities ( Rutherford , McIntyre , Daley , & Ross , 2012 ) . There consequently continues to be a lack of training opportunities and resources specific to the provision of transgender - sensitive mental health services . "
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