Suicidality and sexual orientation: Characteristics of symptom severity, disclosure, and timing across the life course.

Blosnich, John R.; Nasuti, Laura; Mays, Vickie M.; Cochran, Susan D.

doi:10.1037/ort0000112

Cited by 50 publications

(27 citation statements)

References 58 publications

(101 reference statements)

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“…Sexual minority participants were nearly 1.5 times more likely to endorse MST on both the DRRI and the study interview, and more than twice as likely to endorse MST on the VHA screen, than were heterosexual participants. These findings are consistent both with studies finding that sexual minority individuals are more likely to disclose potentially stigmatizing information to medical professionals (e.g., Blosnich et al, 2016), and with those indicating that sexual minority individuals are more likely to experience sexual victimization (e.g., Booth, Mengeling, Torner, & Sadler, 2011), than their heterosexual peers. However, post hoc analyses indicated that this finding may have been driven by a gender effect, with sexual minority participants being significantly more likely to be women than heterosexual participants.…”

Section: Discussionsupporting

confidence: 89%

“…For example, older veterans, who came of age at a time when sexual violence was not openly discussed (e.g., Duncan, 2008), may be less likely to disclose MST than their younger counterparts. Research has suggested that membership in other demographic groups, including minority sexual orientation (e.g., Blosnich, Nasuti, Mays, & Cochran, 2016), Latino/a ethnicity (e.g., Parks, Hughes, & Matthews, 2004), and minority race (e.g., Jagannathan, 2001) may be associated with lower endorsement of potentially stigmatizing experiences. However, the interaction between demographic group membership and MST endorsement has largely been unexamined.…”

mentioning

confidence: 99%

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The Impact of Assessment Modality and Demographic Characteristics on Endorsement of Military Sexual Trauma

Bovin

Black

Kleiman

et al. 2019

Women's Health Issues

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Objectives: Military sexual trauma (MST) is a pervasive problem among veterans, and is associated with a host of deleterious outcomes. It is, therefore, imperative to identify individuals who have experienced MST so that they can be offered appropriate treatment. To determine how to best identify MST survivors, the current study examined how different assessment modalities might affect MST endorsement, and whether endorsement varied as a product of demographic group membership. Methods: Data from 697 male and female veterans participating in the Veterans' After-Discharge Longitudinal Registry (Project VALOR) were used to examine how three different MST assessment modalitiesdthe Veterans Health Administration screen, a study interview, and a study questionnaire measuredmight affect MST endorsement across five different demographic variables (gender, ethnicity, sexual orientation, race, and age). Each participant was evaluated for MST exposure using each of the three assessment modalities. Results: Both assessment modality and demographic membership influenced MST endorsement. MST endorsement on the study measures was consistently twice as large as on the Veterans Health Administration screen, across demographic groups. For men, MST endorsement varied by a factor of 11 across measures, with endorsement being lowest on the Veterans Health Administration screen and highest on the study questionnaire. Although differences were also detected for sexual minority and Black participants, these findings may have been better explained by gender differences. Conclusions: Both assessment modality and demographic membership substantially influenced MST endorsement. Providing a clear rationale for screening and increasing privacy around screening results, particularly for male veterans, may help to facilitate MST disclosure. Published by Elsevier Inc. on behalf of Jacobs Institute of Women's Health. Supported by grants from the Department of Defense, United States (W81XWH-08-2-0100/W81XWH-08-2-0102 and W81XWH-12-2-0117/ W81XWH-12-2-0121). The first author had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

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Section: Discussionsupporting

confidence: 89%

mentioning

confidence: 99%

The Impact of Assessment Modality and Demographic Characteristics on Endorsement of Military Sexual Trauma

Bovin

Black

Kleiman

et al. 2019

Women's Health Issues

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“…Moreover, prolonged exposure to public pressure and stress has placed homosexuals in a poorer state of psychological well-being such as lower self-esteem, and has caused them to suffer more mental health problems, including suicide (Blosnich, Nasuti, Mays, & Cochran, 2016;Graybill & Proctor, 2016). Not surprisingly, homosexuals tend to have lower self-esteem than their heterosexual counterparts (Pachankis & Goldfried, 2006), whereas other studies have revealed that low self-esteem drives maladaptive coping strategies which can explain homosexuals' suicidality (Purvis, 2017;Wike, 2014).…”

Section: Introductionmentioning

confidence: 99%

The Association between Perceived Discrimination and Suicide among Homosexuals: The Role of Self-Esteem as Mediator

Tan¹,

Tay²,

Neoh³

et al. 2018

Makara Hubs-Asia

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Because of Malaysia's conservative society, its homosexual citizens are often marginalized and discriminated. Past studies have shown a significant difference in psychological well-being between homosexuals and their heterosexual counterparts, which is attributed to differences in social treatment. Existing studies have discussed the underlying process of the relation between perceived discrimination and suicidal ideation among homosexuals globally. Therefore, this study aimed to investigate the relation between perceived discrimination and suicidal thoughts among homosexuals in Malaysia through the mediating effect of self-esteem. Research subjects were composed of 400 self-identified homosexuals who participated in an online survey. The Suicidal Ideation Attributes Scale, Modified Acculturative Stress Scale, and Rosenberg Self-Esteem Scale were used to measure the variables under investigation. Results indicated a negative significant correlation between the perceived discrimination-self-esteem link and between the self-esteemsuicidal ideation link among homosexuals. Positive relations were found between perceived discrimination and suicidal ideation. Moreover, a significant mediating effect of self-esteem was found in the link between perceived discrimination and suicidal ideation, which showed that high perceived discrimination and low self-esteem are risk factors for suicidal thoughts. Hence, besides promoting psychological betterment among homosexuals, self-empowerment seems critical and necessary to reduce suicidal ideation risk among homosexuals.

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“…Für die sexuellen Minoritäten liegen aus kleineren Studien, von denen viele im Milieu der sexuellen Minderheiten durchgeführt worden sind, weit höhere Ergebnisse vor, nämlich Suizidversuche von 20 %. Differenziert man nach der sexuellen Identität, dann haben die Bisexuelle im Vergleich zu LS-Menschen höhere Raten an Suizidversuchen[50], insbesondere bisexuelle Frauen[51].Nach Hottes und Mitarbeiter*innen[47] gibt es aber auch Faktoren, die das Risiko für Suizidversuche bei LSB-Menschen reduzieren. Dazu gehört das Leben in Großstädten sowie gute finanzielle Absicherung.…”

unclassified

Sexuelle Identität, der Konsum von Alkohol und anderen Drogen, gesundheitliche Probleme und Behandlungsansätze: Ein unsystematischer Forschungsüberblick

Vogt

2018

Suchttherapie

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Zusammenfassung Hintergrund Die Zahlen von Menschen, die ihre sexuelle Identität nicht als heterosexuell sondern als schwul, lesbisch, bisexuell oder in einer anderen Kategorie definieren, steigen seit Jahren leicht an; man schätzt, dass in westlichen Ländern ca. 5% der Bevölkerung zu den sexuellen Minderheiten zu rechnen sind. Diese Studie ist darauf angelegt, die psychischen Problemlagen der sexuellen Minoritäten anhand US-amerikanischer Bevölkerungsstudien sowie weiterer wichtiger Studien aus anderen Ländern genauer darzustellen. Ergebnisse Zusammenfassend ergibt sich Folgendes: Unabhängig vom Geschlecht liegt der Konsum von Alkohol und anderen Drogen sowie die Abhängigkeit von diesen Stoffen mindestens auf dem Niveau der heterosexuellen Männer. Lesbisch/schwule und bisexuelle Frauen sind noch etwas stärker durch den Konsum von psychoaktiven Substanzen belastet als schwule und bisexuelle Männer. Untersucht man Belastungen durch Depressionen und Suizidversuche, findet man wiederum bei den sexuellen Minoritäten höhere Belastungen. LSB-Frauen haben die höchsten Raten hinsichtlich Depressionen und Ängsten. Darüber hinaus weisen die Daten darauf hin, dass bisexuelle Männer und Frauen hohe psychische Belastungen haben. Alles in allem genommen ist davon auszugehen, dass die sexuellen Minoritäten einen relativ hohen Bedarf an Behandlungen ihrer psychischen Störungen haben. Dennoch gibt es bislang nur sehr wenige Behandlungsprogramme mit der Zielgruppe: sexuelle Minoritäten. Schlussfolgerungen Wir benötigen dringend deutsche Studien zu sexuellen Minoritäten allgemein und besonders zu trans* Personen mit ihren sehr spezifischen Problemlagen. Die Studien sollten neben den Substanzkonsumstörungen der sexuellen Minoritäten auch andere psychische Störungen erfassen. Kenntnisse über die psychische Befindlichkeit sexueller Minoritäten sind die Grundlage für optimale Behandlungsgestaltungen.

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Suicidality and sexual orientation: Characteristics of symptom severity, disclosure, and timing across the life course.

Cited by 50 publications

References 58 publications

The Impact of Assessment Modality and Demographic Characteristics on Endorsement of Military Sexual Trauma

The Impact of Assessment Modality and Demographic Characteristics on Endorsement of Military Sexual Trauma

The Association between Perceived Discrimination and Suicide among Homosexuals: The Role of Self-Esteem as Mediator

Sexuelle Identität, der Konsum von Alkohol und anderen Drogen, gesundheitliche Probleme und Behandlungsansätze: Ein unsystematischer Forschungsüberblick

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