The mental health needs and concerns of older people who identify as LGBTQ+: A narrative review of the international evidence

Abstract

Aims To synthesize the best available evidence on the experiences and perceptions of older people who identify as LGBTQ + regarding their mental health needs and concerns. Design A narrative review and critical appraisal of qualitative, quantitative, and mixed methods studies. Data sources A systematic search was undertaken across all of the databases including PsycINFO, MEDLINE, CINAHL, and Sociological Abstracts. International studies published in academic journals in the English language, from January 1995 ‐ January 2019 were appraised. Studies had to involve older people identifying as LGBTQ + and who had experiences mental health issues. Review methods Fourteen papers were selected for inclusion in the systematic review. A narrative analysis of the papers was used by synthesizing the key findings and organizing them into themes and concepts. Results Following analysis of the data, the identified themes were: (a) LGBTQ + identity issues (b) risk and vulnerability factors, (c) coping strategies and resilience, (d) interventions and supports. Conclusion This review highlights key mental health‐related issues that need to be taken into account in the creation and provision of appropriate, responsive and inclusive supports and services. Impact What were the main findings? Some older people who identify as LGBTQ + have experienced stigma, discrimination, and minority stress. However, many have developed coping strategies and resilience while others have developed mental health issues. It is necessary to have in place appropriate interventions and supports to effectively meet the needs of this population. Where and on whom will the research have impact? The review has significant implications for health and nursing policy and inform developments in nursing practice and nurse education.

Psychosocial Needs of Bisexual People: Findings from a Mixed-Methods Research Study

“…They are in fact distinct groupings that have been drawn together under the rainbow umbrella (Savin-Williams et al 2018). There exists established research evidence and policy developments regarding the needs, including health needs, of lesbians, gays and transgender people (McCann & Brown 2019, Rahman et al 2019, Smith et al 2018. There is however, less of a research and policy focus on the distinct and unique needs, including health needs, of bisexuals.…”

“…There is a growing and evolving body of international research evidence involving LGBTQ+ populations and their health requirements (Caceres et al 2019, Hafeez et al 2017, Hickson et al 2016, McCann & Brown 2019, Smith et al 2018). However, the needs of sub-populations are often presented homogenously within existing research studies.…”

Strategies for Schools to Prevent Psychosocial Stress, Stigma, and Suicidality Risks among LGBTQ+ Students

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Development and evaluation of an LGBT+ education programme for palliative care interdisciplinary teams

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