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https://www.readbyqxmd.com/read/28506219/sexual-orientation-differences-in-treatment-expectation-alliance-and-outcome-among-patients-at-risk-for-suicide-in-a-public-psychiatric-hospital
#1
Martin Plöderl, Sabine Kunrath, Robert J Cramer, Jen Wang, Larissa Hauer, Clemens Fartacek
BACKGROUND: Sexual minority (SM) individuals (gay, lesbian, bisexual, or otherwise nonheterosexual) are at increased risk for mental disorders and suicide and adequate mental healthcare may be life-saving. However, SM patients experience barriers in mental healthcare that have been attributed to the lack of SM-specific competencies and heterosexist attitudes and behaviors on the part of mental health professionals. Such barriers could have a negative impact on common treatment factors such as treatment expectancy or therapeutic alliance, culminating in poorer treatment outcomes for SM versus heterosexual patients...
May 15, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28500922/adverse-childhood-experiences-and-suicide-attempts-among-those-with-mental-and-substance-use-disorders
#2
Namkee G Choi, Diana M DiNitto, C Nathan Marti, Steven P Segal
Using the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions data, we examined the associations of ten types of adverse childhood experiences (ACEs) with (1) lifetime suicide attempts and (2) number and age of attempts among U.S. adults aged 18+. In a case-control design, suicide attempters (5.14% of the full sample) were matched with never attempters (matched sample N=3912) on nine mental and substance use disorders. ACE rates were higher among attempters (3.30 [SE=0.07]) than their matched controls (2...
May 10, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28466230/depression-and-associated-factors-among-gay-and-heterosexual-male-university-students-in-nigeria
#3
Olakunle A Oginni, Kolawole S Mosaku, Boladale M Mapayi, Adesanmi Akinsulore, Temitope O Afolabi
Homosexuality is a recognized risk factor for depression in high-income countries; however, there is little research investigating the relationship between depression and sexual orientation in developing countries, especially in Africa. In this first study to investigate psychopathology in sexual minority men in Nigeria, the prevalence rates of depression in Nigerian gay and heterosexual individuals were compared as well as the explanatory power of risk and resilience factors in both groups. Eighty-one gay and 81 heterosexual male university students were, respectively, recruited from the Obafemi Awolowo University...
May 2, 2017: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/28436758/amphetamine-type-stimulants-ats-use-and-homosexuality-related-enacted-stigma-are-associated-with-depression-among-men-who-have-sex-with-men-msm-in-two-major-cities-in-vietnam-in-2014
#4
Nga Thi Thu Vu, Martin Holt, Huong Thi Thu Phan, Lan Thi La, Gioi Minh Tran, Tung Thanh Doan, Trang Nguyen Nhu Nguyen, John de Wit
BACKGROUND: Men who have sex with men (MSM) are disproportionately affected by mental health concerns, including depression. Amphetamine-type-stimulants (ATS) use and homosexuality-related stigma and discrimination have been found associated with depression among MSM. OBJECTIVES: To assess the prevalence of depression and its associations with ATS use and homosexuality-related stigma and discrimination among MSM in Vietnam. METHODS: 622 MSM were conveniently recruited in Hanoi and Ho Chi Minh city, Vietnam, from September to December 2014...
April 24, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28372467/the-2015-national-canadian-homeless-youth-survey-mental-health-and-addiction-findings
#5
Sean A Kidd, Stephen Gaetz, Bill O'Grady
OBJECTIVE: This study was designed to provide a representative description of the mental health of youth accessing homelessness services in Canada. It is the most extensive survey in this area to date and is intended to inform the development of mental health and addiction service and policy for this marginalized population. METHODS: This study reports mental health-related data from the 2015 "Leaving Home" national youth homelessness survey, which was administered through 57 agencies serving homeless youth in 42 communities across the country...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28320345/effect-of-telephone-follow-up-on-repeated-suicide-attempt-in-patients-discharged-from-an-emergency-psychiatry-department-a-controlled-study
#6
Sophie Exbrayat, Clotilde Coudrot, Xavier Gourdon, Aurélia Gay, Jessica Sevos, Jacques Pellet, Béatrice Trombert-Paviot, Catherine Massoubre
BACKGROUND: Attempted suicide is a major public health problem, and the efficacies of current postvention protocols vary. We evaluated the effectiveness of telephone follow-up of patients referred to an emergency psychiatric unit for attempted suicide on any further attempt/s over the following year. METHOD: In a single-center, controlled study with intent to treat, we evaluated the efficacy of a protocol of telephone follow-up of 436 patients at 8, 30, and 60 days after they were treated for attempted suicide...
March 20, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28314457/transitional-age-lesbian-gay-bisexual-transgender-and-questioning-youth-issues-of-diversity-integrated-identities-and-mental-health
#7
REVIEW
Scott M Rodgers
Although most LGBTQ youth become healthy young adults, they often face considerable stress over the course of their lives because of bullying, victimization, and overt/covert discrimination. Families, educational and religious institutions, health care professionals, and communities help shape the experience of LGBTQ transitional age youth. LGBTQ youth have higher rates of depression, suicide, anxiety, posttraumatic stress disorder, alcohol and drug use, and preventable sexually transmitted diseases. When best practice guidelines are followed and key stakeholders take action to support LGBTQ youth, health disparities begin to disappear...
April 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28278571/stigma-and-suicide-among-gay-and-bisexual-men-living-with-hiv
#8
Olivier Ferlatte, Travis Salway, John L Oliffe, Terry Trussler
HIV positive gay and bisexual men (GBM) continue to struggle with the pervasiveness of HIV stigma, but little is known about the health effects of stigma. In this article, suicidal ideation and attempts are measured among GBM living with HIV, evaluating the extent to which these experiences are associated with stigma and suicide. Drawing from an online national survey of Canadian GBM completed by 7995 respondents, a sub-set of data provided by respondents self-reporting HIV-positive status was used for the current study...
February 10, 2017: AIDS Care
https://www.readbyqxmd.com/read/28276601/accounting-for-diversity-in-suicide-research-sampling-and-sample-reporting-practices-in-the-united-states
#9
Christine B Cha, Katherine M Tezanos, Olivia M Peros, Mei Yi Ng, Jessica D Ribeiro, Matthew K Nock, Joseph C Franklin
Research on suicidal thoughts and behaviors (STB) has identified many risk factors, but whether these findings generalize to diverse populations remains unclear. We review longitudinal studies on STB risk factors over the past 50 years in the United States and evaluate the methodological practices of sampling and reporting sample characteristics. We found that articles frequently reported participant age and sex, less frequently reported participant race and ethnicity, and rarely reported participant veteran status or lesbian, gay, bisexual, and transgender status...
March 9, 2017: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/28254960/sexual-orientation-and-suicidal-behaviour-in-adolescents-and-young-adults-systematic-review-and-meta-analysis
#10
REVIEW
A Miranda-Mendizábal, P Castellví, O Parés-Badell, J Almenara, I Alonso, M J Blasco, A Cebrià, A Gabilondo, M Gili, C Lagares, J A Piqueras, M Roca, J Rodríguez-Marín, T Rodríguez, V Soto-Sanz, G Vilagut, J Alonso
BackgroundResearch suggests that lesbian, gay and bisexual (LGB) adolescents have a higher risk of suicidal behaviours than their heterosexual peers, but little is known about specific risk factors.AimsTo assess sexual orientation as a risk factor for suicidal behaviours, and to identify other risk factors among LGB adolescents and young adults.MethodA systematic search was made of six databases up to June 2015, including a grey literature search. Population-based longitudinal studies considering non-clinical populations aged 12-26 years and assessing being LGB as a risk factor for suicidal behaviour compared with being heterosexual, or evaluating risk factors for suicidal behaviour within LGB populations, were included...
March 2, 2017: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/28249624/a-tailored-compassion-focused-therapy-program-for-sexual-minority-young-adults-with-depressive-symotomatology-study-protocol-for-a-randomized-controlled-trial
#11
RANDOMIZED CONTROLLED TRIAL
Christopher A Pepping, Anthony Lyons, Ruth McNair, James N Kirby, Nicola Petrocchi, Paul Gilbert
BACKGROUND: Lesbian, gay, and bisexual (LGB) men and women represent one of the highest-risk populations for depressive symptomatology and disorders, with young LGB adults being at greatest risk. To date, there have been no randomized controlled trials (RCT) to specifically target depressive symptoms in young LGB adults. This is despite research highlighting unique predictors of depressive symptomatology in this population. Here we outline a protocol for an RCT that will test the preliminary efficacy of a tailored compassion-focused therapy (CFT) intervention for young LGB adults compared with a self-directed cognitive behavioral therapy (CBT) program with no specific tailoring for LGB individuals...
March 1, 2017: BMC Psychology
https://www.readbyqxmd.com/read/28103765/depression-and-suicidality-in-gay-men
#12
Carrie Lee, John L Oliffe, Mary T Kelly, Olivier Ferlatte
Gay men are a subgroup vulnerable to depression and suicidality. The prevalence of depression among gay men is three times higher than the general adult population. Because depression is a known risk factor for suicide, gay men are also at high risk for suicidality. Despite the high prevalence of depression and suicidality, health researchers and health care providers have tended to focus on sexual health issues, most often human immunodeficiency virus in gay men. Related to this, gay men's health has often been defined by sexual practices, and poorly understood are the intersections of gay men's physical and mental health with social determinants of health including ethnicity, locale, education level, and socioeconomic status...
December 1, 2016: American Journal of Men's Health
https://www.readbyqxmd.com/read/28042585/the-protective-role-of-gay-straight-alliances-for-lesbian-gay-bisexual-and-questioning-students-a-prospective-analysis
#13
Salvatore Ioverno, Alexander B Belser, Roberto Baiocco, Arnold H Grossman, Stephen T Russell
Prior studies show a strong association between gay-straight alliances (GSAs) and the well-being and safety of sexual minority students at school. However, nearly all existing literature has relied on cross-sectional data. Using data from the first two panels of a multi-site longitudinal study on risk and protective factors for suicide among lesbian, gay, bisexual, and questioning (LGBQ) youth in three U.S. cities, we examined the influence of presence of and participation in a GSA on perceptions of safety at school, homophobic bullying experiences, and psychosocial adjustment (depression and self-esteem) in 327 LGBQ students across two school years...
December 2016: Psychology of Sexual Orientation and Gender Diversity
https://www.readbyqxmd.com/read/27923371/type-of-sexual-intercourse-experience-and-suicidal-ideation-plans-and-attempts-among-youths-a-cross-sectional-study-in-south-korea
#14
Geum Hee Kim, Hyeong Sik Ahn, Hyun Jung Kim
BACKGROUND: Despite abundant theoretical evidence of higher rates of suicide among lesbian, gay, and bisexual (LGB) youths, little is known about the relationship between suicide and types of sexual intercourse experience in youths. This study examines the association between the type of intercourse experience and suicide risk outcomes (SROs: suicidal ideation, plans for suicide, suicidal attempts) from the Korea Youth Risk Behavior Web-based Survey. METHODS: We analyzed cross-sectional data from 146,621 students aged 12-17 years for the years 2012 and 2013...
December 7, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27884498/early-sexual-debut-and-associated-risk-behaviors-among-sexual-minority-youth
#15
Richard Lowry, Richard Dunville, Leah Robin, Laura Kann
INTRODUCTION: Early sexual debut, sexual risk taking, substance use, violent victimization, and suicidal behaviors are more prevalent among sexual minority than sexual nonminority youth. Although associations between early sexual debut and these risk behaviors exist, little is known about such associations among sexual minority youth. This study examined these associations among sexual minority U.S. high school students and their sexual nonminority peers. METHODS: In 2015, the national Youth Risk Behavior Survey included questions assessing sexual orientation for the first time...
March 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27831853/persecution-experiences-and-mental-health-of-lgbt-asylum-seekers
#16
Rebecca A Hopkinson, Eva Keatley, Elizabeth Glaeser, Laura Erickson-Schroth, Omar Fattal, Melba Nicholson Sullivan
Asylum seekers are a unique population, particularly those who have endured persecution for their sexual orientation or gender identity. Little data exist about the specific experiences and needs of asylum seekers persecuted due to lesbian, gay, bisexual, or transgender (LGBT) identity. Quantitative data were gathered regarding demographics, persecution histories, and mental health of 61 clients from a torture survivors program in New York City who reported persecution due to LGBT identity. Thirty-five clients persecuted due to their LGBT identity were matched by country of origin and sex with clients persecuted for other reasons to explore how persecution and symptoms may differ for LGBT clients...
November 10, 2016: Journal of Homosexuality
https://www.readbyqxmd.com/read/27812485/how-do-sexual-identity-and-coming-out-affect-stress-depression-and-suicidal-ideation-and-attempts-among-men-who-have-sex-with-men-in-south-korea
#17
Byonghee Cho, Aeree Sohn
OBJECTIVES: This study investigated the status of sexual identity, perceived stigma, stress, depression, and suicidal ideation and attempts. It also examined how sexual identity and "coming out" affect stress, depression, and suicidal ideation and attempts. METHODS: Suicidal ideation, psychological health status, and health-related behaviors were assessed using the Internet to maximize the confidentiality of the participants, men who have sex with men (MSM). The data were collected from a total of 873 MSM aged between 19 years and 59 years in 2014...
October 2016: Osong Public Health and Research Perspectives
https://www.readbyqxmd.com/read/27810723/predictors-of-suicidal-ideation-among-active-duty-military-personnel-with-posttraumatic-stress-disorder
#18
Carmen P McLean, Yinyin Zang, Laurie Zandberg, Craig J Bryan, Natalie Gay, Jeffrey S Yarvis, Edna B Foa
BACKGROUND: Given the alarming rate of military suicides, it is critical to identify the factors that increase risk of suicidal thoughts and behaviors among active duty military personnel. METHODS: This study examined a predictive model of suicidal ideation among 366 treatment-seeking active duty military personnel with posttraumatic stress disorder (PTSD) following deployments to or near Iraq or Afghanistan. Structural equation modeling was employed to examine the relative contribution of combat exposure, social support, PTSD severity, depressive symptoms, guilt, and trauma-related cognitions on suicidal ideation...
January 15, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27770819/implementing-school-nursing-strategies-to-reduce-lgbtq-adolescent-suicide-a-randomized-cluster-trial-study-protocol
#19
Cathleen E Willging, Amy E Green, Mary M Ramos
BACKGROUND: Reducing youth suicide in the United States (U.S.) is a national public health priority, and lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) youth are at elevated risk. The Centers for Disease Control and Prevention (CDC) endorses six evidence-based (EB) strategies that center on meeting the needs of LGBTQ youth in schools; however, fewer than 6 % of U.S. schools implement all of them. The proposed intervention model, "RLAS" (Implementing School Nursing Strategies to Reduce LGBTQ Adolescent Suicide), builds on the Exploration, Preparation, Implementation, and Sustainment (EPIS) conceptual framework and the Dynamic Adaptation Process (DAP) to implement EB strategies in U...
October 22, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27769835/older-age-associated-with-mental-health-resiliency-in-sexual-minority-us-veterans
#20
Joan K Monin, Natalie Mota, Becca Levy, John Pachankis, Robert H Pietrzak
OBJECTIVES: Objectives were to: (a) identify the mental health needs of older and younger sexual minority and heterosexual U.S. veterans and (b) examine whether sexual minority status confers vulnerability or resiliency in older adulthood. Support and trauma exposure were examined as potential mechanisms for age by sexual orientation differences. METHODS: Participants were a nationally representative sample of 3,095 U.S. veterans (ages 21 to 96 years). Measures included demographics, military characteristics, sexual orientation (lesbian, gay, or bisexual; LGB), social support, trauma, and mental health indicators (lifetime and present depression and post-traumatic stress disorder (PTSD); lifetime anxiety and suicidal ideation)...
January 2017: American Journal of Geriatric Psychiatry
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