Introduction:The study explored how lesbian, gay, bisexual and transgender (LGBT) young adults in rural Australian communities experience online mental health services. Online technologies hold potential to overcome health access barriers, but little is known in practice for this community.Methods: Interviews were conducted with nine LGBT young adults living in rural areas and six service providers who were responsible for the provision of internet-based mental health services. The results were analysed using thematic analysis. Results: The analysis of the interviews with LGBT young adults and service providers revealed important insights and discrepancies.Findings revealed difficulties locating the right care and variation in views about how online services should be delivered. A potentially critical role for parents/guardians to play was found in facilitating access to services. Conclusion:The needs of LGBT youth in rural areas are complex Rural and Remote Health rrh.org.au

Marriage equality legislation was introduced in Australia in 2017 following a national survey of enrolled voters conducted via the postal system ("the postal survey"). Consistent with other major anti-LGBTQ rights campaigns, research has demonstrated that this event posed a unique source of social stress for LGBTQ people. This study seeks to expand the clinical utility of previous research by employing a cognitive-behavioral lens to explore the life stressors reported by LGBTQ Australians during the postal survey. During the postal survey period, a sample of 2,200 LGBTQ Australians answered the open-ended question, "Do you think the public discussion about marriage equality and the marriage equality postal survey has affected you and/or your family? If so, how?" Seven-hundred of these responses were randomly selected and analyzed using reflexive thematic analysis. Cognitive themes were hyperawareness of stigma, social and political exclusion, changes in self-perception, and fear of harm. Affective themes were anger, anxiety, and sadness. Behavioral themes were avoidance, changing social relationships, hiding identity, and preoccupation. The physiological theme was exhaustion. The results have implications for the assessment and treatment of LGBTQ people experiencing distress in the face of future anti-LGBTQ rights campaigns. Public Significance StatementPublic votes on the rights of LGBTQ people can pose unique challenges for LGBTQ individuals and communities. This study articulates the psychological impacts of one such vote on the topic of marriage equality in Australia. It extends previous research by applying a cognitive-behavioral lens to the results in the interests of increasing the utility of findings for clinical practice.

Over the last decade, the manner in which gender dysphoria is defined has changed significantly, as have the presentations of transgender clients to specialist gender services. Although the use of patientreported outcome measures (PROMs) to assess gender dysphoria is widespread, there is a lack of literature that assesses the methodological quality of these measures. To address the limits of the existing literature, the aim of the current study was to conduct a systematic review of PROMs that assess gender dysphoria. The systematic review was performed in accordance with the PRISMA and COSMIN methodologies. Five measurement studies met inclusion criteria. Results suggested that none of the measures could be recommended for use without further development. Poor content validity was evident across all measures and internal validity and construct validity were mixed, ranging from inadequate to very good. Measures that show promise for the future include the Gender Congruence and Life Satisfaction Scale, Gender Identity Reflection and Rumination Scale, Gender Preoccupation and Stability Questionnaire, and Transgender Adaptation and Integration Measure. A need to develop reliable and valid measures that are appropriate for use with adolescent samples experiencing gender dysphoria was also identified. Public Significance StatementFor clinicians, the study highlights the strengths and weaknesses of existing measures of gender dysphoria. For researchers, the study identifies additional research necessary to improve the methodological quality and measurement properties of the identified measures.

Early Cretaceous volcanism is widespread in the eastern Scotian Basin. The stratigraphic position of volcanic rocks within wells was re-evaluated and the volcanological character of the rocks was refined by study of cuttings and well logs. Hauterivian–Barremian volcanic rocks on the SW Grand Banks and Aptian–Albian volcanic rocks in the Orpheus Graben and SE Scotian Shelf resulted from Strombolian type eruptions. More extensive Hawaiian type flows were mapped from seismic profiles near the Mallard and Brant wells on the SW Grand Banks and they appear to have been derived from local basement highs with a positive magnetic anomaly interpreted as volcanic centres. Igneous rocks in the Hesper well on the SE Scotian Shelf are the erosional remnant of basaltic flows that terminated at the paleoshoreline. They correlate with basalt flows both in extensive outcrop on Scatarie Ridge and in several Orpheus Graben wells. The interpretation of the Hesper basalts as an erosional remnant of more extensive basalt flows is consistent with detrital petrographic evidence for substantial uplift of the inboard part of the Scotian Basin in the Hauterivian–Aptian. Widespread volcanic activity indicates a regional and long-lived magma source, which resulted in elevated regional heat flow. Effects of this heat flow are seen in sedimentary rocks of the Sable Subbasin and it had a discernable impact on hydrocarbon maturation.

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