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Journal of Youth and Adolescence
Gepubliceerd in: Journal of Youth and Adolescence 5/2021

18-11-2020 | Empirical Research

Sexual Minority Stress, Mental Health Symptoms, and Suicidality among LGBTQ Youth Accessing Crisis Services

Auteurs: Anthony Fulginiti, Harmony Rhoades, Mary Rose Mamey, Cary Klemmer, Ankur Srivastava, Garrett Weskamp, Jeremy T. Goldbach

Gepubliceerd in: Journal of Youth and Adolescence | Uitgave 5/2021

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Abstract

Sexual and gender minority youth are at elevated risk for suicide. Studies have separately established the relation between minority stress and mental health symptoms, as well as minority stress and suicidality. However, no known research has simultaneously examined different mental health mechanisms whereby minority stress may be associated with different suicidal experiences (e.g., suicidal ideation, suicide attempts). The present study used data from a national sample of 572 sexual and gender minority youth aged 12 to 24 (mean age = 17.59; SD = 3.13) recruited from an LGBTQ youth-focused suicide crisis prevention provider. Nearly one-third of the sample (30.2%) identified as transgender, genderqueer, or questioning. Nearly one quarter of the sample (24.3%) identified as gay, 17.1% as pansexual, 16.8% as bisexual, and 15.2% as lesbian. Structural equation modeling was used for mediation analyses to explain suicidal ideation and suicide attempts. Serial mediation models were determined to be the best fit for both suicide-related outcomes. Minority stress was associated with depressive and PTSD symptoms, which were linked with suicidal ideation and attempt through hopelessness. The findings supported the hypotheses that minority stress would be associated with suicidality not just directly, but also indirectly through multiple mental health symptom pathways.
vorige artikel The Role of Exposure to Neighborhood and School Poverty in Understanding Educational Attainment
volgende artikel The Strategies of Parental Involvement in Adolescents’ Education and Extracurricular Activities
Literatuur
Abramson, L. Y., Alloy, L. B., Hogan, M. E., Whitehouse, W. G., Gibb, B. E., Hankin, B. L., & Cornette, M. M. (2002). The hopelessness theory of suicidality. In Suicide science (pp. 17–32). Boston, MA: Springer.
Alessi, E. J., & Martin, J. I. (2017). Intersection of trauma and identity. In Trauma, resilience, and health promotion in LGBT patients (pp. 3–14). Cham: Springer.
Alessi, E. J., Martin, J. I., Gyamerah, A., & Meyer, I. H. (2013). Prejudice events and traumatic stress among heterosexuals and lesbians, gay men and bisexuals. Journal of Aggression, Maltreatment & Trauma, 22, 510–526.
Balázs, J., Miklósi, M., Keresztény, Á., Hoven, C. W., Carli, V., Wasserman, C., & Wasserman, D. (2013). Adolescent subthreshold-depression and anxiety: psychopathology, functional impairment and increased suicide risk. Journal of Child Psychology and Psychiatry, 54, 670–677.PubMed
Berona, J., Horwitz, A. G., Czyz, E. K., & King, C. A. (2020). Predicting suicidal behavior among lesbian, gay, bisexual, and transgender youth receiving psychiatric emergency services. Journal of Psychiatric Research, 122, 64–69.PubMed
Bonanno, R. A., & Hymel, S. (2010). Beyond hurt feelings: investigating why some victims of bullying are at greater risk for suicidal ideation. Merrill-Palmer Quarterly, 56, 420–440.
Bouris, A., Everett, B. G., Heath, R. D., Elsaesser, C. E., & Neilands, T. B. (2016). Effects ofvictimization and violence on suicidal ideation and behaviors among sexual minority and heterosexual adolescents. LGBT Health, 3(2), 153–161.PubMedPubMedCentral
Burns, M. N., Ryan, D. T., Garofalo, R., Newcomb, M. E., & Mustanski, B. (2015). Mental health disorders in young urban sexual minority men. Journal of Adolescent Health, 56, 52–58.
Burton, C. M., Marshal, M. P., Chisolm, D. J., Sucato, G. S., & Friedman, M. S. (2013). Sexual minority-related victimization as a mediator of mental health disparities in sexual minority youth: a longitudinal analysis. Journal of Youth and Adolescence, 42, 394–402.PubMedPubMedCentral
Cash, S. J., & Bridge, J. A. (2009). Epidemiology of youth suicide and suicidal behavior. Current Opinion in Pediatrics, 21(5), 613.PubMedPubMedCentral
Chaudoir, S. R., Wang, K., & Pachankis, J. E. (2017). What reduces sexual minority stress? A review of the intervention “toolkit”. Journal of Social Issues, 73(3), 586–617.
D’Augelli, A. R. (2002). Mental health problems among lesbian, gay, and bisexual youth ages 14 to 21. Clinical Child Psychology and Psychiatry, 7, 433–456.
Daniel, S. S., & Goldston, D. B. (2012). Hopelessness and lack of connectedness to others as risk factors for suicidal behavior across the lifespan: implications for cognitive-behavioral treatment. Cognitive and Behavioral Practice, 19(2), 288–300.
Dürrbaum, T., & Sattler, F. A. (2020). Minority stress and mental health in lesbian, gay male, and bisexual youths: a meta-analysis. Journal of LGBT Youth, 17(3), 298–314.
Ellis, A. E. (2020). Providing trauma-informed affirmative care: Introduction to special issue on evidence-based relationship variables in working with affectional and gender minorities. Practice Innovations, 5(3), 179.
Ford, J. D., Charak, R., Modrowski, C. A., & Kerig, P. K. (2018). PTSD and dissociation symptoms as mediators of the relationship between polyvictimization and psychosocial and behavioral problems among justice-involved adolescents. Journal of Trauma & Dissociation, 19(3), 325–346.
Forintos, D. P., Rózsa, S., Pilling, J., & Kopp, M. (2013). Proposal for a short version of the Beck Hopelessness Scale based on a national representative survey in Hungary. Community Mental Health Journal, 49(6), 822–830.
Fulginiti, A., & Frey, L. M. (2018). Suicide attempt survivorship and designation as a concealable stigmatized identity. Families in Society, 99(3), 193–208.
Gamarel, K. E., Reisner, S. L., Laurenceau, J. P., Nemoto, T., & Operario, D. (2014). Gender minority stress, mental health, and relationship quality: a dyadic investigation of transgender women and their cisgender male partners. Journal of Family Psychology, 28, 437–447.PubMedPubMedCentral
Gili, M., Castellví, P., Vives, M., de la Torre-Luque, A., Almenara, J., Blasco, M. J., & Lagares, C. (2019). Mental disorders as risk factors for suicidal behavior in young people: a meta-analysis and systematic review of longitudinal studies. Journal of Affective Disorders, 245, 152–162.PubMed
Goldbach, J. T., Schrager, S. M., & Mamey, M. R. (2017). Criterion and divergent validity of the sexual minority adolescent stress inventory. Frontiers in psychology, 8, 2057.PubMedPubMedCentral
Haas, A. P., Eliason, M., Mays, V. M., Mathy, R. M., Cochran, S. D., D’Augelli, A. R., & Clayton, P. J. (2011). Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: Review and recommendations. Journal of Homosexuality, 58, 10–51.PubMedPubMedCentral
Hall, W. J. (2018). Psychosocial risk and protective factors for depression among lesbian, gay, bisexual, and queer youth: a systematic review. Journal of Homosexuality, 65(3), 263–316.PubMed
Hirsch, J. K., Cohn, T. J., Rowe, C. A., & Rimmer, S. E. (2017). Minority sexual orientation, gender identity status and suicidal behavior: serial indirect effects of hope, hopelessness and depressive symptoms. International Journal of Mental Health and Addiction, 15(2), 260–270.
House, A. S., Van Horn, E., Coppeans, C., & Stepleman, L. M. (2011). Interpersonal trauma and discriminatory events as predictors of suicidal and nonsuicidal self-injury in gay, lesbian, bisexual, and transgender persons. Traumatology, 17(2), 75–85.
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.
Johnson, J., Gooding, P., & Tarrier, N. (2008). Suicide risk in schizophrenia: explanatory models and clinical implications, The Schematic Appraisal Model of Suicide (SAMS). Psychology and Psychotherapy: Theory, Research and Practice, 81(1), 55–77.
Joiner, Jr, T. E., Steer, R. A., Brown, G., Beck, A. T., Pettit, J. W., & Rudd, M. D. (2003). Worst-point suicidal plans: a dimension of suicidality predictive of past suicide attempts and eventual death by suicide. Behaviour Research and Therapy, 41(12), 1469–1480.PubMed
Katz-Wise, S. L., Rosario, M., Calzo, J. P., Scherer, E. A., Sarda, V., & Austin, S. B. (2017). Associations of timing of sexual orientation developmental milestones and other sexual minority stressors with internalizing mental health symptoms among sexual minority young adults. Archives of Sexual Behavior, 46, 1441–1452.PubMedPubMedCentral
Kerig, P. K., Ward, R. M., Vanderzee, K. L., & Moeddel, M. A. (2009). Posttraumatic stress as a mediator of the relationship between trauma and mental health problems among juvenile delinquents. Journal of Youth and Adolescence, 38(9), 1214–1225.PubMed
Kosciw, J. G., Greytak, E. A., Zongrone, A. D., Clark, C. M., & Truong, N. L. (2018). The 2017 National School Climate Survey: the experiences of lesbian, gay, bisexual, transgender, and queer youth in our nation’s schools. New York, NY: GLSEN.
Lamis, D. A., Ballard, E. D., May, A. M., & Dvorak, R. D. (2016). Depressive symptoms and suicidal ideation in college students: the mediating and moderating roles of hopelessness, alcohol problems, and social support. Journal of Clinical Psychology, 72(9), 919–932.PubMed
Large, M., Corderoy, A., & McHugh, C. (2020). Is suicidal behaviour a stronger predictor of later suicide than suicidal ideation? A systematic review and meta-analysis. Australian & New Zealand Journal of Psychiatry, 0004867420931161.
Lea, T., de Wit, J., & Reynolds, R. (2014). Minority stress in lesbian, gay, and bisexual young adults in Australia: associations with psychological distress, suicidality, and substance use. Archives of Sexual Behavior, 43(8), 1571–1578.PubMed
Lucassen, M. F., Stasiak, K., Samra, R., Frampton, C. M., & Merry, S. N. (2017). Sexual minority youth and depressive symptoms or depressive disorder: a systematic review and meta-analysis of population-based studies. Australian & New Zealand Journal of Psychiatry, 51(8), 774–787.
Lucier-Greer, M., Quichocho, D., May, R. W., Seibert, G. S., & Fincham, F. D. (2019). Managing stress and school: the role of posttraumatic stress in predicting well-being and collegiate burnout. Emerging Adulthood, 7(5), 342–351.
Marshal, M. P., Dietz, L. J., Friedman, M. S., Stall, R., Smith, H. A., McGinley, J., & Brent, D. A. (2011). Suicidality and depression disparities between sexual minority and heterosexual youth: a meta-analytic review. Journal of Adolescent Health, 49, 115–123.
Melchior, L. A., Huba, G. J., Brown, V. B., & Reback, C. J. (1993). A short depression index for women. Educational and Psychological Measurement, 53(4), 1117–1125.
Michaels, M. S., Parent, M. C., & Torrey, C. L. (2016). A minority stress model for suicidal ideation in gay men. Suicide and Life‐Threatening Behavior, 46(1), 23–34.PubMed
Miranda-Mendizabal, A., Castellví, P., Parés-Badell, O., Alayo, I., Almenara, J., Alonso, I., & Lagares, C. (2019). Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies. International Journal of Public Health, 64(2), 265–283.PubMedPubMedCentral
Morina, N., Koerssen, R., & Pollet, T. V. (2016). Interventions for children and adolescents with posttraumatic stress disorder: a meta-analysis of comparative outcome studies. Clinical Psychology Review, 47, 41–54.PubMed
Mustanski, B., Andrews, R., & Puckett, J. A. (2016). The effects of cumulative victimization on mental health among lesbian, gay, bisexual, and transgender adolescents and young adults. American Journal of Public Health, 106, 527–533.PubMedPubMedCentral
Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., & Kessler, R. C. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry, 70, 300–310.PubMed
Oginni, O. A., Robinson, E. J., Jones, A., Rahman, Q., & Rimes, K. A. (2019). Mediators of increased self-harm and suicidal ideation in sexual minority youth: a longitudinal study. Psychological Medicine, 49(15), 2524–2532.PubMed
Pachankis, J. E., McConocha, E. M., Clark, K. A., Wang, K., Behari, K., Fetzner, B. K., & Lehavot, K. (2020). A transdiagnostic minority stress intervention for gender diverse sexual minority women’s depression, anxiety, and unhealthy alcohol use: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 88(7), 613.PubMed
Pachankis, J. E., Sullivan, T. J., Feinstein, B. A., & Newcomb, M. E. (2018). Young adult gay and bisexual men’s stigma experiences and mental health: an 8-year longitudinal study. Developmental Psychology, 54(7), 1381.PubMed
Pachankis, J. E., Hatzenbuehler, M. L., Rendina, H. J., Safren, S. A., & Parsons, J. T. (2015). LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: a randomized controlled trial of a transdiagnostic minority stress approach. Journal of Consulting and Clinical Psychology, 83(5), 875–889.PubMedPubMedCentral
Panagioti, M., Gooding, P. A., Triantafyllou, K., & Tarrier, N. (2015). Suicidality and posttraumatic stress disorder (PTSD) in adolescents: a systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology, 50, 525–537.PubMed
Perez-Brumer, A., Day, J. K., Russell, S. T., & Hatzenbuehler, M. L. (2017). Prevalence and correlates of suicidal ideation among transgender youth in California: findings from a representative, population-based sample of high school students. Journal of the American Academy of Child & Adolescent Psychiatry, 56, 739–746.
Pompili, M., Lester, D., Forte, A., Seretti, M. E., Erbuto, D., Lamis, D. A., & Girardi, P. (2014). Bisexuality and suicide: a systematic review of the current literature. The Journal of Sexual Medicine, 11(8), 1903–1913.PubMed
Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., & Mann, J. J. (2011). The Columbia–Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. American Journal of Psychiatry, 168(12), 1266–1277.
Puckett, J. A., Horne, S. G., Surace, F., Carter, A., Noffsinger-Frazier, N., Shulman, J., & Mosher, C. (2017). Predictors of sexual minority youth’s reported suicide attempts and mental health. Journal of Homosexuality, 64(6), 697–715.PubMed
Reinherz, H. Z., Tanner, J. L., Berger, S. R., Beardslee, W. R., & Fitzmaurice, G. M. (2006). Adolescent suicidal ideation as predictive of psychopathology, suicidal behavior, and compromised functioning at age 30. American Journal of Psychiatry, 163(7), 1226–1232.
Ribeiro, J. D., Huang, X., Fox, K. R., & Franklin, J. C. (2018). Depression and hopelessness as risk factors for suicide ideation, attempts and death: meta-analysis of longitudinal studies. The British Journal of Psychiatry, 212(5), 279–286.PubMed
Rhoades, H., Rusow, J. A., Bond, D., Lanteigne, A., Fulginiti, A., & Goldbach, J. T. (2018). Homelessness, mental health and suicidality among LGBTQ youth accessing crisis services. Child Psychiatry & Human Development, 49(4), 643–651.
Robinson, J., Hetrick, S., Cox, G., Bendall, S., Yuen, H. P., Yung, A., & Pirkis, J. (2016). Can an Internet‐based intervention reduce suicidal ideation, depression and hopelessness among secondary school students: results from a pilot study. Early Intervention in Psychiatry, 10(1), 28–35.PubMed
Runeson, B., Haglund, A., Lichtenstein, P., & Tidemalm, D. (2016). Suicide risk after nonfatal self-harm: a national cohort study, 2000–2008. The Journal of Clinical Psychiatry, 77(02), 240–246.PubMed
Salentine, C. M., Hilt, L. M., Muehlenkamp, J. J., & Ehlinger, P. P. (2020). The link between discrimination and worst point suicidal ideation among sexual and gender minority adults. Suicide and Life‐Threatening Behavior, 50(1), 19–28.PubMed
Schrager, S. M., Goldbach, J. T., & Mamey, M. R. (2018). Development of the sexual minority adolescent stress inventory. Frontiers in Psychology, 9, 319.PubMedPubMedCentral
Seil, K. S., Desai, M. M., & Smith, M. V. (2014). Sexual orientation, adult connectedness, substance use, and mental health outcomes among adolescents: findings from the 2009 New York City youth risk behavior survey. American Journal of Public Health, 104, 1950–1956.PubMedPubMedCentral
Sheinfil, A. Z., Foley, J. D., Ramos, J., Antshel, K. M., & Woolf-King, S. E. (2019). Psychotherapeutic depression interventions adapted for sexual and gender minority youth: a systematic review of an emerging literature. Journal of Gay & Lesbian Mental Health, 23(4), 380–411.
Shields, J. P., Whitaker, K., & Glassman, J., et al. (2012). Impact of victimi- zation on risk of suicide among lesbian, gay, and bisexual high school students in San Francisco. Journal of Adolescent Health, 50, 418–420.
Skerven, K., Whicker, D. R., & LeMaire, K. L. (2019). Applying dialectical behaviour therapy to structural and internalized stigma with LGBTQ+ clients. The Cognitive Behaviour Therapist, 12, 1–19.
Sullivan, E. M., Annest, J. L., Simon, T. R., Luo, F., & Dahlberg, L. L. (2015). Suicide trends among persons aged 10-24 years–United States, 1994–2012. Morbidity and Mortality Weekly Report, 64, 201–205.PubMedPubMedCentral
Teasdale, B., & Bradley-Engen, M. S. (2010). Adolescent same-sex attraction and mental health: the role of stress and support. Journal of Homosexuality, 57, 287–309.PubMed
Tebbe, E. A., & Moradi, B. (2016). Suicide risk in trans populations: an application of minority stress theory. Journal of Counseling Psychology, 63, 520–533.PubMed
Thompson, E. A., Mazza, J. J., Herting, J. R., Randell, B. P., & Eggert, L. L. (2005). The mediating roles of anxiety depression, and hopelessness on adolescent suicidal behaviors. Suicide and Life-Threatening Behavior, 35(1), 14–34.PubMed
Toomey, R. B., Syvertsen, A. K., & Shramko, M. (2018). Transgender adolescent suicide behavior. Pediatrics, 142, e20174218.PubMedPubMedCentral
Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, Jr, T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117, 575–600.PubMedPubMedCentral
Weierich, M. R., & Nock, M. K. (2008). Posttraumatic stress symptoms mediate the relation between childhood sexual abuse and nonsuicidal self-injury. Journal of Consulting and Clinical Psychology, 76(1), 39–44.PubMed
Wenzel, A., & Beck, A. T. (2008). A cognitive model of suicidal behavior: theory and treatment. Applied and Preventive Psychology, 12(4), 189–201.
Whitbeck, L. B., Chen, X., Hoyt, D. R., Tyler, K. A., & Johnson, K. D. (2004). Mental disorder, subsistence strategies, and victimization among gay, lesbian, and bisexual homeless and runaway adolescents. Journal of Sex Research, 41, 329–342.PubMed
Wilkins, K. C., Lang, A. J., & Norman, S. B. (2011). Synthesis of the psychometric properties of the PTSD checklist (PCL) military, civilian, and specific versions. Depression and Anxiety, 28(7), 596–606.PubMedPubMedCentral
Zoogman, S., Goldberg, S. B., Hoyt, W. T., & Miller, L. (2015). Mindfulness interventions with youth: a meta-analysis. Mindfulness, 6(2), 290–302.
Metagegevens
Titel
Sexual Minority Stress, Mental Health Symptoms, and Suicidality among LGBTQ Youth Accessing Crisis Services
Auteurs
Anthony Fulginiti
Harmony Rhoades
Mary Rose Mamey
Cary Klemmer
Ankur Srivastava
Garrett Weskamp
Jeremy T. Goldbach
Publicatiedatum
18-11-2020
Uitgeverij
Springer US
Gepubliceerd in
Journal of Youth and Adolescence / Uitgave 5/2021
Print ISSN: 0047-2891
Elektronisch ISSN: 1573-6601
DOI
https://doi.org/10.1007/s10964-020-01354-3

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