Pub Date : 2021-08-18DOI: 10.1080/19359705.2021.1955195
M. Vigny-Pau, Nelson Pang, Hamad Alkhenaini, A. Abramovich
Abstract Introduction: Transgender individuals experience ongoing stigma, leading to a high mental health burden. This systematic review sought to identify risk and protective factors for suicidality and non-suicidal self-injury. Method: Three databases were searched and 52 articles selected. Risk and protective factors were categorized into discrimination, social support, comorbidities, medical transition status, and community and social policy factors. Result: Despite nearly all studies providing only cross-sectional or qualitative data, significant correlations were found between the categories of risk and protective factors and their respective outcomes. Conclusion: Future research should focus on prospective and longitudinal studies to further establish links of causality.
{"title":"Suicidality and non-suicidal self-injury among transgender populations: A systematic review","authors":"M. Vigny-Pau, Nelson Pang, Hamad Alkhenaini, A. Abramovich","doi":"10.1080/19359705.2021.1955195","DOIUrl":"https://doi.org/10.1080/19359705.2021.1955195","url":null,"abstract":"Abstract Introduction: Transgender individuals experience ongoing stigma, leading to a high mental health burden. This systematic review sought to identify risk and protective factors for suicidality and non-suicidal self-injury. Method: Three databases were searched and 52 articles selected. Risk and protective factors were categorized into discrimination, social support, comorbidities, medical transition status, and community and social policy factors. Result: Despite nearly all studies providing only cross-sectional or qualitative data, significant correlations were found between the categories of risk and protective factors and their respective outcomes. Conclusion: Future research should focus on prospective and longitudinal studies to further establish links of causality.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"13 1","pages":"358 - 382"},"PeriodicalIF":1.6,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83777191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-05DOI: 10.1080/19359705.2021.1957742
Paul Gorczynski, PhD, Fabio Fasoli, PhD
Abstract Introduction Despite the importance of better understanding how loneliness is associated with physical and mental health symptoms and disorders, and who is at greatest risk, demographic information pertaining to sexuality is often not collected. Although some studies evidence prevalence rates of loneliness amongst sexual minority individuals to be higher when compared to heterosexual individuals, no systematic approaches to examine and compare the literature have been taken. This comparative meta-analysis examined loneliness between sexual minority and heterosexual individuals. Method To identify studies, published studies were searched from the following databases MEDLINE, CINAHL, PsychINFO, Scopus, and Cochrane. Studies that were published in English, compared sexual minorities and heterosexuals; measured loneliness; and presented quantitative data were included. Result Four articles were included in the review, reporting data from 481 individuals who identified as sexual minorities and 4176 as heterosexuals. The 4 studies showed that individuals who identified as sexual minorities reported higher ratings of loneliness than heterosexuals (d = 0.352, p = 0.019). Conclusion Interventions are needed at the individual and societal level to decrease the loneliness experienced by sexual minorities. This is the first paper to provide aggregated data on loneliness that covers the life span amongst sexual minorities.
尽管更好地了解孤独与身心健康症状和障碍之间的关系以及谁处于最大风险中具有重要意义，但与性行为有关的人口统计信息往往没有被收集。尽管一些研究表明，与异性恋者相比，性少数群体的孤独感患病率更高，但没有采用系统的方法来检查和比较文献。这项比较荟萃分析研究了性少数群体和异性恋个体之间的孤独感。方法从MEDLINE、CINAHL、PsychINFO、Scopus和Cochrane等数据库中检索已发表的研究。用英语发表的研究比较了性少数群体和异性恋者;测量了孤独;并纳入定量资料。结果共纳入4篇文献，报告了481名性少数群体和4176名异性恋者的数据。这4项研究表明，性少数群体的孤独感评分高于异性恋群体(d = 0.352, p = 0.019)。结论需要在个体和社会层面采取干预措施来减少性少数群体的孤独感。这是第一篇提供涵盖性少数群体生命周期的孤独感汇总数据的论文。
{"title":"Loneliness in sexual minority and heterosexual individuals: A comparative meta-analysis","authors":"Paul Gorczynski, PhD, Fabio Fasoli, PhD","doi":"10.1080/19359705.2021.1957742","DOIUrl":"https://doi.org/10.1080/19359705.2021.1957742","url":null,"abstract":"Abstract Introduction Despite the importance of better understanding how loneliness is associated with physical and mental health symptoms and disorders, and who is at greatest risk, demographic information pertaining to sexuality is often not collected. Although some studies evidence prevalence rates of loneliness amongst sexual minority individuals to be higher when compared to heterosexual individuals, no systematic approaches to examine and compare the literature have been taken. This comparative meta-analysis examined loneliness between sexual minority and heterosexual individuals. Method To identify studies, published studies were searched from the following databases MEDLINE, CINAHL, PsychINFO, Scopus, and Cochrane. Studies that were published in English, compared sexual minorities and heterosexuals; measured loneliness; and presented quantitative data were included. Result Four articles were included in the review, reporting data from 481 individuals who identified as sexual minorities and 4176 as heterosexuals. The 4 studies showed that individuals who identified as sexual minorities reported higher ratings of loneliness than heterosexuals (d = 0.352, p = 0.019). Conclusion Interventions are needed at the individual and societal level to decrease the loneliness experienced by sexual minorities. This is the first paper to provide aggregated data on loneliness that covers the life span amongst sexual minorities.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"30 1","pages":"112 - 129"},"PeriodicalIF":1.6,"publicationDate":"2021-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77682928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-02DOI: 10.1080/19359705.2021.1913462
Morgan Thomas, T. McCoy, Itai Jeffries, Rick Haverkate, Elton Naswood, J. Leston, Laura Platero
Abstract Introduction Two Spirit and Native LGBTQ people have unique health risks and cultural strengths. Method This study analyzes 28 reports published since 1980 examining the health and identity–formation experiences of Two Spirit or Native LGBTQ individuals. Results The majority (68%) of the articles focus on urban populations. Few employ a strengths-based approach. Less than half capture information about gender identity. Conclusion Findings suggest that Two Spirit and Native LGBTQ individuals are underrepresented in current health research. Existing research prioritizes a disease-specific perspective. Future research focused on intersectional identity formation, connectedness, and culture as a protective factor is needed.
{"title":"Native American Two Spirit and LGBTQ health: A systematic review of the literature","authors":"Morgan Thomas, T. McCoy, Itai Jeffries, Rick Haverkate, Elton Naswood, J. Leston, Laura Platero","doi":"10.1080/19359705.2021.1913462","DOIUrl":"https://doi.org/10.1080/19359705.2021.1913462","url":null,"abstract":"Abstract Introduction Two Spirit and Native LGBTQ people have unique health risks and cultural strengths. Method This study analyzes 28 reports published since 1980 examining the health and identity–formation experiences of Two Spirit or Native LGBTQ individuals. Results The majority (68%) of the articles focus on urban populations. Few employ a strengths-based approach. Less than half capture information about gender identity. Conclusion Findings suggest that Two Spirit and Native LGBTQ individuals are underrepresented in current health research. Existing research prioritizes a disease-specific perspective. Future research focused on intersectional identity formation, connectedness, and culture as a protective factor is needed.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"148 1","pages":"367 - 402"},"PeriodicalIF":1.6,"publicationDate":"2021-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88655237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-20DOI: 10.1080/19359705.2021.1949422
Keith J. Watts, K. Bentley
Abstract Introduction: The meaning and experience of masculinity differs across people and groups, and previous research has demonstrated that such differences are reflected in mental health outcomes. For gay Black men situated at the intersection of identifying as both a sexual minority and a racial minority, navigating the norms and expectations associated with masculinity often presents many challenges. Methodology: This phenomenological study explored how 17 gay Black men ranging in age from 26 to 67 years, who live in a major city in the southeastern region of the United States, define, understand, and experience masculinity, as well as their perceptions about its connection to their mental health and well-being. Results: Participant narratives reflected a strong consensus that masculinity is a social construction that is associated with a range of both limiting and liberating characteristics and experiences, and that has strong implications for mental health. Conclusions: Increased awareness and understanding of the relevance of a masculine identity to the mental health and well-being of gay Black men can help provide more appropriate and more compassionate mental health programs and services that are likely to promote service utilization among members of this community.
{"title":"Perceptions of gay black men on the social construction of masculinity and its role in mental health","authors":"Keith J. Watts, K. Bentley","doi":"10.1080/19359705.2021.1949422","DOIUrl":"https://doi.org/10.1080/19359705.2021.1949422","url":null,"abstract":"Abstract Introduction: The meaning and experience of masculinity differs across people and groups, and previous research has demonstrated that such differences are reflected in mental health outcomes. For gay Black men situated at the intersection of identifying as both a sexual minority and a racial minority, navigating the norms and expectations associated with masculinity often presents many challenges. Methodology: This phenomenological study explored how 17 gay Black men ranging in age from 26 to 67 years, who live in a major city in the southeastern region of the United States, define, understand, and experience masculinity, as well as their perceptions about its connection to their mental health and well-being. Results: Participant narratives reflected a strong consensus that masculinity is a social construction that is associated with a range of both limiting and liberating characteristics and experiences, and that has strong implications for mental health. Conclusions: Increased awareness and understanding of the relevance of a masculine identity to the mental health and well-being of gay Black men can help provide more appropriate and more compassionate mental health programs and services that are likely to promote service utilization among members of this community.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"113 1","pages":"151 - 174"},"PeriodicalIF":1.6,"publicationDate":"2021-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72646360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-18DOI: 10.1080/19359705.2021.1943733
Cindy J. Chang, K. Fehling, Brian A. Feinstein, E. Selby
Abstract Introduction The present study examined whether sexual identity (bisexual/pansexual versus gay/lesbian) moderated associations between risk factors and lifetime suicide attempt (SA). Method Community/college adults who identified as sexual minorities (N = 231) completed a survey examining suicide-related risk factors. Results Greater discrimination and less social support from friends and significant others were associated with greater odds of lifetime SA for both groups, whereas greater emotion dysregulation and rumination were only associated with greater odds of lifetime SA for bisexual/pansexual individuals. Conclusion There are common and unique risk factors for SA among subgroups of sexual minorities, which may have intervention implications.
{"title":"Unique risk factors for suicide attempt among bisexual/pansexual versus gay/lesbian individuals","authors":"Cindy J. Chang, K. Fehling, Brian A. Feinstein, E. Selby","doi":"10.1080/19359705.2021.1943733","DOIUrl":"https://doi.org/10.1080/19359705.2021.1943733","url":null,"abstract":"Abstract Introduction The present study examined whether sexual identity (bisexual/pansexual versus gay/lesbian) moderated associations between risk factors and lifetime suicide attempt (SA). Method Community/college adults who identified as sexual minorities (N = 231) completed a survey examining suicide-related risk factors. Results Greater discrimination and less social support from friends and significant others were associated with greater odds of lifetime SA for both groups, whereas greater emotion dysregulation and rumination were only associated with greater odds of lifetime SA for bisexual/pansexual individuals. Conclusion There are common and unique risk factors for SA among subgroups of sexual minorities, which may have intervention implications.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"21 1","pages":"176 - 195"},"PeriodicalIF":1.6,"publicationDate":"2021-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78679751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-15DOI: 10.1080/19359705.2021.1932492
J. Drescher
{"title":"An interview with Philip A. Bialer, MD","authors":"J. Drescher","doi":"10.1080/19359705.2021.1932492","DOIUrl":"https://doi.org/10.1080/19359705.2021.1932492","url":null,"abstract":"","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"15 1","pages":"427 - 431"},"PeriodicalIF":1.6,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74694747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-05-17DOI: 10.1080/19359705.2021.1899094
Zoë Panchal, C. Piper, Charles A. Whitmore, R. Davies
Abstract Introduction Transgender populations have high rates of many mental health diagnoses, but often delay or avoid mental health care due to prior poor experiences or fear of discrimination. This indicates a need for supportive and effective transgender mental health care. We aim to identify the features of such care through a systemized narrative review of the literature. Methods Comprehensive searches of six databases were run using index terms and keywords. Searches were limited to English language studies published from 2000 to August 2019 and followed SANRA criteria. Identified records underwent title/abstract screen for relevance and then were assessed for inclusion using predetermined criteria. Included articles were tabulated and their results synthesized with attention to areas of thematic overlap. Results The search returned 1928 unique articles with 35 meeting inclusion criteria and a further one article identified on bibliography screen. Articles reported a range of experiences and preferences across mental health care settings, with common themes emerging. Several reported on retention in care, satisfaction with care, helpfulness of care, or change in symptom burden after receiving care. Discussion We discuss preliminary features of supportive transgender mental health care, recommendations for clinical practice, gaps in the literature, and areas for future research.
{"title":"Providing supportive transgender mental health care: A systemized narrative review of patient experiences, preferences, and outcomes","authors":"Zoë Panchal, C. Piper, Charles A. Whitmore, R. Davies","doi":"10.1080/19359705.2021.1899094","DOIUrl":"https://doi.org/10.1080/19359705.2021.1899094","url":null,"abstract":"Abstract Introduction Transgender populations have high rates of many mental health diagnoses, but often delay or avoid mental health care due to prior poor experiences or fear of discrimination. This indicates a need for supportive and effective transgender mental health care. We aim to identify the features of such care through a systemized narrative review of the literature. Methods Comprehensive searches of six databases were run using index terms and keywords. Searches were limited to English language studies published from 2000 to August 2019 and followed SANRA criteria. Identified records underwent title/abstract screen for relevance and then were assessed for inclusion using predetermined criteria. Included articles were tabulated and their results synthesized with attention to areas of thematic overlap. Results The search returned 1928 unique articles with 35 meeting inclusion criteria and a further one article identified on bibliography screen. Articles reported a range of experiences and preferences across mental health care settings, with common themes emerging. Several reported on retention in care, satisfaction with care, helpfulness of care, or change in symptom burden after receiving care. Discussion We discuss preliminary features of supportive transgender mental health care, recommendations for clinical practice, gaps in the literature, and areas for future research.","PeriodicalId":46675,"journal":{"name":"Journal of Gay & Lesbian Mental Health","volume":"17 1","pages":"228 - 264"},"PeriodicalIF":1.6,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81719347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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