Mental Health Disorders, Psychological Distress, and Suicidality in a Diverse Sample of Lesbian, Gay, Bisexual, and Transgender Youths
Top Cited Papers
- 1 December 2010
- journal article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 100 (12), 2426-2432
- https://doi.org/10.2105/ajph.2009.178319
Abstract
Objectives. We examined associations of race/ethnicity, gender, and sexual orientation with mental disorders among lesbian, gay, bisexual, and transgender (LGBT) youths. Methods. 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). Results. 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. Conclusions. 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.Keywords
This publication has 48 references indexed in Scilit:
- Sexual Orientation Disparities in Purging and Binge Eating From Early to Late AdolescenceJournal of Adolescent Health, 2009
- How does sexual minority stigma “get under the skin”? A psychological mediation framework.Psychological Bulletin, 2009
- Sexual and ethnic identity development among gay–bisexual–questioning (GBQ) male ethnic minority adolescents.Cultural Diversity & Ethnic Minority Psychology, 2009
- Emotion regulation and internalizing symptoms in a longitudinal study of sexual minority and heterosexual adolescentsJournal of Child Psychology and Psychiatry, 2008
- Lifetime Prevalence of Mental Disorders and Suicide Attempts in Diverse Lesbian, Gay, and Bisexual PopulationsAmerican Journal of Public Health, 2008
- Suicidal Ideation and Attempts in North American School-Based Surveys: Are Bisexual Youth at Increasing Risk?Journal of LGBT Health Research, 2007
- Attempted Suicide Among Transgender PersonsJournal of Homosexuality, 2006
- A risk index for 12-month suicide attempts in the National Comorbidity Survey Replication (NCS-R)Psychological Medicine, 2006
- Prevalence, Severity, and Comorbidity of 12-Month DSM-IV Disorders in the National Comorbidity Survey ReplicationArchives of General Psychiatry, 2005
- Gender differences in health and risk behaviors among bisexual and homosexual adolescentsJournal of Adolescent Health, 1998