scholarly journals Sexual Diversity and UK Psychiatry and Mental Health

2021 ◽  
pp. 336-347
Author(s):  
Annie Bartlett
Keyword(s):  
Mental Health ◽  
Sexual Diversity

scholarly journals Health and well being of lesbian, gay, bisexual, transgender and intersex people aged 50 years and over

2018 ◽  
Vol 42 (2) ◽  
pp. 146 ◽  
Author(s):  
Mark Hughes
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
General Population ◽  
Short Form ◽  
Well Being ◽  
Health Issues ◽  
Physical And Mental Health ◽  
Sexual Diversity ◽  
Increased Risk ◽  
Health And Well Being

Objectives The aim of the present study was to examine the health and well being of older lesbian, gay, bisexual, transgender and intersex (LGBTI) people, the health issues that concern them, the services they use and challenges accessing services. Methods This study comprised a survey of the health and well being of 312 LGBTI people aged 50 years and over in New South Wales. The survey included the Short-Form 12 (SF-12) measure of health-related quality of life, the Kessler 10 (K10) measure of psychological distress, and the three-item Loneliness Scale. Results Higher levels of psychological distress, lower mental health and greater loneliness were found among this sample than is typically found in the general population. Mental health was lower among carers and those not in a relationship, while psychological distress was greater among those living alone and those experiencing higher rates of loneliness. The most commonly accessed health service was a general practitioner (GP), with most respondents reporting that they were open about their sexuality to their GP and that they had a regular GP. Some reported difficulties accessing health services because of their gender or sexual diversity. Conclusions Although many older LGBTI people are well, both physically and mentally, they do appear to face increased risk of certain health issues compared with the general population. What is known about the topic? Overseas research indicates that older LGBTI people may be at greater risk of certain physical and mental health conditions than the general population. What does this paper add? This paper provides Australian data, using well-validated instruments, on the health and well being of older LGBTI people. It provides evidence of the health issues that older LGBTI people are most concerned about and the barriers they face in accessing services. What are the implications for practitioners? It is important for health practitioners to be aware that older LGBTI people appear to be at increased risk of certain physical and mental health issues, such as loneliness and psychological distress. Providing opportunities for clients to identify their gender or sexual diversity may assist in monitoring risk factors and enable referral to promote healthy aging.

Whose paradise? An intersectional perspective on mental health and gender/sexual diversity in Thailand.

2020 ◽  
pp. 137-151
Author(s):  
Timo T. Ojanen ◽  
Peter A. Newman ◽  
Rattanakorn Ratanashevorn ◽  
Jan W. de Lind van Wijngaarden ◽  
Suchon Tepjan
Keyword(s):  
Mental Health ◽  
Sexual Diversity ◽  
And Gender

scholarly journals Bullying and cyberbullying in LGBT adolescents: Prevalence and effects on mental health

Comunicar ◽  
2020 ◽  
Vol 28 (62) ◽  
pp. 79-90 ◽  
Author(s):  
Maite Garaigordobil ◽  
Enara Larrain
Keyword(s):  
Mental Health ◽  
Social Anxiety ◽  
Basque Country ◽  
Assessment Instruments ◽  
Negative Consequences ◽  
Sexual Diversity ◽  
Cross Sectional ◽  
Psychopathological Symptoms ◽  
Salud Mental ◽  
Pais Vasco

Bullying and cyberbullying have negative consequences on adolescents’ mental health. The study had two objectives: 1) to analyze possible differences in sexual orientation (heterosexual and non-heterosexual) in the percentage of victims and aggressors of bullying/cyberbullying, as well as the amount of aggressive behavior suffered and carried out; 2) to compare the mental health of adolescent heterosexual and non-heterosexual victims, aggressors, cybervictims, and cyberaggressors. Participants included 1,748 adolescents from the Basque Country, aged between 13 and 17 years (52.6% girls, 47.4% boys), 12.5% non-heterosexuals, 87.5% heterosexuals, who completed 4 assessment instruments. A descriptive and comparative cross-sectional methodology was used. The results confirm that: 1) the percentage of victims and cybervictims was significantly higher in non-heterosexuals, but the percentage of heterosexual and non-heterosexual aggressors and cyberaggressors was similar; 2) non-heterosexual victims and cybervictims had suffered significantly more aggressive bullying/cyberbullying; 3) non-heterosexual victims and aggressors of bullying exhibited significantly more depression, social anxiety, and psychopathological symptoms (somatization, obsession-compulsion, interpersonal sensitivity…) than heterosexuals; 4) non-heterosexual cybervictims and cyberaggressors displayed more depression and more psychopathological symptoms, but no differences were found in social anxiety. The importance of intervening from the family, school, and society to reduce bullying/cyberbullying and enhance respect for sexual diversity is discussed. Acoso y ciberacoso tienen consecuencias muy negativas en la salud mental de los adolescentes. El estudio tuvo dos objetivos: 1) analizar si existen diferencias en función de la orientación sexual (heterosexuales y no-heterosexuales) en el porcentaje de víctimas y agresores de acoso y ciberacoso, así como en la cantidad de conducta agresiva sufrida-realizada; 2) comparar la salud mental de adolescentes heterosexuales y no-heterosexuales que han sido víctimas, agresores, cibervíctimas y ciberagresores. Participaron 1.748 adolescentes del País Vasco, entre 13 y 17 años (52,6% chicas, 47,4% chicos), 12,5% no-heterosexuales, 87,5% heterosexuales, que cumplimentaron 4 instrumentos de evaluación. Se utilizó una metodología descriptiva y comparativa transversal. Los resultados confirman que: 1) el porcentaje de víctimas y cibervíctimas fue significativamente mayor en el grupo no-heterosexual, sin embargo, el porcentaje de agresores y ciberagresores heterosexuales y no-heterosexuales fue similar; 2) víctimas y cibervíctimas no-heterosexuales habían sufrido significativamente más cantidad de conductas agresivas de acoso/ciberacoso; 3) víctimas y agresores de acoso no-heterosexuales comparados con heterosexuales tenían significativamente más depresión, ansiedad social y síntomas psicopatológicos diversos (somatización, obsesión-compulsión, sensibilidad interpersonal…); 4) cibervíctimas y ciberagresores no-heterosexuales también presentaban más depresión y más síntomas psicopatológicos diversos, sin embargo, en ansiedad social no se hallaron diferencias. El debate se centra en la importancia de intervenir desde la familia, la escuela y la sociedad, para reducir el acoso/ciberacoso y estimular el respeto por la diversidad sexual.

Sexual and gender minority populations and suicidal behaviours

2021 ◽  
pp. 353-360
Author(s):  
Helen Keeley ◽  
Fiachra Ó Súilleabháin ◽  
Máire Leane
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Well Being ◽  
Minority Populations ◽  
Sexual Diversity ◽  
Gender Minority ◽  
Increased Risk ◽  
Gender Status ◽  
Sexual And Gender Minority ◽  
And Gender

Despite the sociolegal changes that have signalled greater acceptance of sexual diversity and gender expansive identities in the twenty-first century, worldwide studies highlight the increased risk of mental health problems and suicidality for those with a sexual and/or gender minority status. This chapter discusses this increased risk of suicidality among sexual and gender minority populations across the life course. A recurring theme is that those who are less sure of their status, are most at risk. Therefore, the capacity of an individual to overcome internalized minority stress, stigma, guilt, and shame, and to reconcile, even take pride, in their sexual/gender status, is a significant issue. While sociolegal, cultural, and familial norms may seem beyond the remit of mental health professionals, affirmative and inclusive actions can be taken to support questioning youth, unsure adults, and distrustful older people, and to help improve the resilience and well-being of their LGBTQ+ service-users.

scholarly journals Defining Mental Health Practitioners’ LGBTIQ Cultural Competence in Thailand

2020 ◽  
Vol 29 ◽  
pp. 158-176
Author(s):  
Timo Tapani Ojanen ◽  
◽  
Darunee Phukao ◽  
Pimpawun Boonmongkon ◽  
Somporn Rungreangkulkij ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Practitioners ◽  
Culturally Competent ◽  
Sexual Diversity ◽  
Online Questionnaire ◽  
Health Practitioners ◽  
Knowledge Competencies ◽  
The Impact

This study investigated what competencies are crucial for mental health practitioners’ culturally competent practice with LGBTIQ clients in Thailand. The study used two-round Delphi methodology to aggregate views of mental health practitioners with expertise on LGBTIQ issues (n = 14), and of LGBTIQ individuals who had used mental health services (n = 13). Participants proposed competencies in Round 1 through interviews or an online questionnaire, and rated these competencies’ importance in another online questionnaire in Round 2. Forty-one knowledge competencies, 35 awareness/attitude/belief competencies, 14 skill competencies and 35 action competencies were rated. Among key themes were understanding gender/sexual diversity as well as issues affecting LGBTIQ people and their families, and being able to assist on these issues; accepting gender/sexual diversity, respecting clients’ self-determination, and communicating this to clients; being aware of the impact of one’s beliefs, attitudes, identities and values; recognizing and rejecting stereotypes; being open, humble, and willing to learn more; knowing how to use feminist counseling techniques and other specific techniques; refraining from offending actions; social justice action; and obtaining information sensitively. Developing these competencies is likely to improve mental health services’ appropriateness for LGBTIQ clients and should be included in mental health practitioners’ training in Thailand.

Therapy and prevention for mental health: What if mental diseases are mostly not brain disorders?

2019 ◽  
Vol 42 ◽  
Author(s):  
John P. A. Ioannidis
Keyword(s):  
Mental Health ◽  
Mental Disease ◽  
Brain Disorders ◽  
Social Stressors ◽  
Labor Education ◽  
Mental Diseases ◽  
Long Term Follow Up ◽  
Political Decisions

AbstractNeurobiology-based interventions for mental diseases and searches for useful biomarkers of treatment response have largely failed. Clinical trials should assess interventions related to environmental and social stressors, with long-term follow-up; social rather than biological endpoints; personalized outcomes; and suitable cluster, adaptive, and n-of-1 designs. Labor, education, financial, and other social/political decisions should be evaluated for their impacts on mental disease.

A Tribute to the Late William J. Curran

1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
United Nations ◽  
Mental Health Care ◽  
Harvard University ◽  
Legal Medicine ◽  
General Assembly ◽  
International Institute ◽  
University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

Prevalence of Self-Reported Depression Symptoms and Perceived Anxiety Among Community-Dwelling U.S. Adults Reporting Tinnitus

2020 ◽  
Vol 5 (4) ◽  
pp. 959-970
Author(s):  
Kelly M. Reavis ◽  
James A. Henry ◽  
Lynn M. Marshall ◽  
Kathleen F. Carlson
Keyword(s):  
Mental Health ◽  
Fold Increase ◽  
Community Dwelling ◽  
Self Report ◽  
Depression Symptoms ◽  
Community Based Interventions ◽  
Data Set ◽  
Health Distress ◽  
Validated Questionnaire ◽  
Mental Health Distress

Purpose The aim of this study was to examine the relationship between tinnitus and self-reported mental health distress, namely, depression symptoms and perceived anxiety, in adults who participated in the National Health and Nutrition Examinations Survey between 2009 and 2012. A secondary aim was to determine if a history of serving in the military modified the associations between tinnitus and mental health distress. Method This was a cross-sectional study design of a national data set that included 5,550 U.S. community-dwelling adults ages 20 years and older, 12.7% of whom were military Veterans. Bivariable and multivariable logistic regression was used to estimate the association between tinnitus and mental health distress. All measures were based on self-report. Tinnitus and perceived anxiety were each assessed using a single question. Depression symptoms were assessed using the Patient Health Questionnaire, a validated questionnaire. Multivariable regression models were adjusted for key demographic and health factors, including self-reported hearing ability. Results Prevalence of tinnitus was 15%. Compared to adults without tinnitus, adults with tinnitus had a 1.8-fold increase in depression symptoms and a 1.5-fold increase in perceived anxiety after adjusting for potential confounders. Military Veteran status did not modify these observed associations. Conclusions Findings revealed an association between tinnitus and both depression symptoms and perceived anxiety, independent of potential confounders, among both Veterans and non-Veterans. These results suggest, on a population level, that individuals with tinnitus have a greater burden of perceived mental health distress and may benefit from interdisciplinary health care, self-help, and community-based interventions. Supplemental Material https://doi.org/10.23641/asha.12568475

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