Sexual and Gender Minority Stress Amid the COVID-19 Pandemic: Implications for LGBTQ Young Persons’ Mental Health and Well-Being

Salerno, John P.; Devadas, Jackson; Pease, M; Nketia, Bryanna; Fish, Jessica N.

doi:10.1177/0033354920954511

Cited by 161 publications

(187 citation statements)

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“…Results must consider certain implications. LGBT people, psychological services, and other types of social support and networks must remain particularly available during periods of confinement, such as COVID-19, to meet LGBT people's needs ( OutRight Action, 2020 , Salerno et al, 2020 a). Also, these results may be used to think of and design different public policies to improve LGBT people's quality of life of life and well-being on a world basis.…”

Section: Implications Of Resultsmentioning

confidence: 99%

“…Moreover, for the LGBT youth, the social distancing measures might lead to confinement in unsupportive homes and families, increasing their exposure to discrimination and rejection from their family ( Fish et al, 2020 ). Simultaneously, the LGBT youth experience less access to essential social support and connections, and mental health services during the pandemic ( Fish et al, 2020 , Salerno et al, 2020 ). As a result, this group is more vulnerable to anxiety, depression, suicide behavior, substance abuse, and self-harm ( Fish et al, 2020 , Salerno et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…Simultaneously, the LGBT youth experience less access to essential social support and connections, and mental health services during the pandemic ( Fish et al, 2020 , Salerno et al, 2020 ). As a result, this group is more vulnerable to anxiety, depression, suicide behavior, substance abuse, and self-harm ( Fish et al, 2020 , Salerno et al, 2020 ). Also, there are still few specific reports on LGBT population in the context of COVID-19 ( Sanchez et al, 2020 , Santos et al, 2020 , Suen et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

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Psychosocial impact of COVID-19 pandemic on LGBT people in Chile

et al. 2021

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Section: Implications Of Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Psychosocial impact of COVID-19 pandemic on LGBT people in Chile

et al. 2021

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“…In general, the LGBTQ+ community faced more social inequality, food insecurity, unemployment, homelessness, and financial insecurity worldwide (Salerno et al, 2020a). These social challenges were aggravated during the lockdown period of coronavirus (Blustein et al, 2020).…”

Section: The Lgbtq+ Community and Working-class Indian Gaysmentioning

confidence: 99%

“…These social challenges were aggravated during the lockdown period of coronavirus (Blustein et al, 2020). The indirect effects of the coronavirus disease severely affected the health and multi-dimensional wellbeing of people, particularly of socially disadvantaged sexual minorities (Phillips et al, 2020b;Salerno, Devadas et al, 2020a;Salerno, Williams et al, 2020). The effects were felt more amongst people who were prone to mental health issues.…”

Section: The Lgbtq+ Community and Working-class Indian Gaysmentioning

confidence: 99%

Life in a pandemic: intersectional approach exploring experiences of LGBTQ during COVID-19

Bhalla

Agarwal

2021

International Journal of Spa and Wellness

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The study explored the experiences of Indian working-class gays during the time of COVID-19 pandemic. The intersectionality framework facilitated the understanding of how the Indian working-class gays' experiences differ from the general population. The study is qualitative and applies transcendental phenomenology as a mode of enquiry. The participants of the study were identified through purposive snowball sampling. The data analysis methods included horizontalisation, thematic analysis, textual and structural descriptions, and intuitive integration. The participants described their lived experiences around eight major themes: stuck at home, a refuge in hobbies, shrinking personal spaces, loss of sexual appetite, poor mental health, physical symptoms of poor health, fear of losing employment, and blessing in disguise. The research implies how ignorance of intersectionality framework while formulating policies and deciding measures for preventing the spread of coronavirus disease, adversely effected the sexual minorities that were already prone to mental health issues. The study can be used as a foundation for conducting empirical research, and policymakers may use it for deepening their understanding of intersectionality and why it matters during COVID-19 pandemic.

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Risk for Suicidal Behavior After Psychiatric Hospitalization Among Sexual and Gender Minority Patients

Thoma,

Hone,

Roig

et al. 2023

JAMA Netw Open

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ImportanceThe months following inpatient psychiatric hospitalization are a period of high risk for suicidal behavior. Sexual and gender minority (SGM) individuals have elevated risk for suicidal behavior, but no prior research has examined whether SGM inpatients have disproportionate risk for suicidal behavior following discharge from psychiatric hospitalization.ObjectivesTo evaluate whether SGM patients have elevated risk for suicidal behavior following discharge from psychiatric hospitalization compared with heterosexual and cisgender patients and to examine whether differences in risk across groups were accounted for by demographic characteristics and clinical factors known to be associated with suicidal behavior.Design, Setting, and ParticipantsThis prospective cohort study was conducted from August 2017 to July 2021 among inpatients aged 18 to 30 years who were voluntarily enrolled during psychiatric hospitalization. The study was conducted at an inpatient psychiatric hospital, with prospective data collected via follow-up visits and electronic health records.Main Outcomes and MeasuresOnset and/or recurrence of suicidal behavior following discharge from psychiatric hospitalization, assessed at follow-up visits and through electronic health records.ResultsA total of 160 patients were included, with 56 sexual minority (SM) and 15 gender minority (GM) patients. The median (IQR) age of the patients was 23.5 (20.4-27.6) years, 77 (48%) reported male sex assigned at birth, and 114 (71%) identified their race as White. During the follow-up period, 33 suicidal behavior events occurred (among 21% of patients). SM (hazard ratio [HR], 2.02; 95% CI, CI, 1.02-4.00; log-rank P = .04) and GM (HR, 4.27; 95% CI, 1.75-10.40; log-rank P &lt; .001) patients had significantly higher risk for suicidal behavior compared with their heterosexual and cisgender counterparts, respectively, in bivariable analyses. Risk between SM and heterosexual patients was not different after controlling for demographic characteristics and clinical factors associated with suicidal behavior. GM patients exhibited elevated risk during the 100 days following discharge even after controlling for demographic and clinical characteristics (HR, 3.80; 95% CI, 1.18-11.19; P = .03).Conclusions and RelevanceWithin this cohort study of psychiatric patients, SGM patients had higher risk for suicidal behavior than non-SGM patients following discharge. While SM patients’ risk was accounted for by clinical characteristics, GM patients’ risk for suicidal behavior was not accounted for by their acute psychiatric state on admission. Future studies with larger subsamples of GM individuals are needed, and inpatient clinicians must attend to the unique needs of SGM individuals to ensure they receive affirming services.

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Sexual and Gender Minority Stress Amid the COVID-19 Pandemic: Implications for LGBTQ Young Persons’ Mental Health and Well-Being

Cited by 161 publications

References 54 publications

Psychosocial impact of COVID-19 pandemic on LGBT people in Chile

Psychosocial impact of COVID-19 pandemic on LGBT people in Chile

Life in a pandemic: intersectional approach exploring experiences of LGBTQ during COVID-19

Risk for Suicidal Behavior After Psychiatric Hospitalization Among Sexual and Gender Minority Patients

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