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Sexual orientation and its relation to mental disorders and suicide attempts: findings from a nationally representative sample.
Can J Psychiatry. 2011 Jan; 56(1):35-43.CJ

Abstract

OBJECTIVE

To compare the rates of all Axis I and II mental disorders and suicide attempts in sexual orientation minorities with rates in heterosexuals using a nationally representative sample.

METHOD

Data used were from the National Epidemiologic Survey on Alcohol and Related Conditions Wave 2 (n = 34 653, response rate = 70.2%). Cross-tabulations and multivariate logistic regression analyses were performed to determine differences in rates of mental disorders and suicide attempts by sexual orientation. All analyses were stratified by sex.

RESULTS

Compared with their heterosexual counterparts, lesbians and bisexual women demonstrated a 3-fold increased likelihood of substance use disorders, and gay and bisexual men showed twice the rate of anxiety disorders and schizophrenia and (or) psychotic illness, even after accounting for mental disorder comorbidity. Suicide attempts were independently associated with bisexuality, with odds 3 times higher than in heterosexuals.

CONCLUSION

Findings from our study emphasize the fact that sexual orientation minorities are vulnerable to poor mental health outcomes, including suicide attempts. Clinicians need to be aware of these specific negative mental health consequences when assessing sexual orientation minorities.

Authors+Show Affiliations

Department of Community Health Sciences and Research Associate, Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba. sbelik@hsc.mb.caNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21324241

Citation

Bolton, Shay-Lee, and Jitender Sareen. "Sexual Orientation and Its Relation to Mental Disorders and Suicide Attempts: Findings From a Nationally Representative Sample." Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, vol. 56, no. 1, 2011, pp. 35-43.
Bolton SL, Sareen J. Sexual orientation and its relation to mental disorders and suicide attempts: findings from a nationally representative sample. Can J Psychiatry. 2011;56(1):35-43.
Bolton, S. L., & Sareen, J. (2011). Sexual orientation and its relation to mental disorders and suicide attempts: findings from a nationally representative sample. Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, 56(1), 35-43.
Bolton SL, Sareen J. Sexual Orientation and Its Relation to Mental Disorders and Suicide Attempts: Findings From a Nationally Representative Sample. Can J Psychiatry. 2011;56(1):35-43. PubMed PMID: 21324241.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexual orientation and its relation to mental disorders and suicide attempts: findings from a nationally representative sample. AU - Bolton,Shay-Lee, AU - Sareen,Jitender, PY - 2011/2/18/entrez PY - 2011/2/18/pubmed PY - 2011/6/24/medline SP - 35 EP - 43 JF - Canadian journal of psychiatry. Revue canadienne de psychiatrie JO - Can J Psychiatry VL - 56 IS - 1 N2 - OBJECTIVE: To compare the rates of all Axis I and II mental disorders and suicide attempts in sexual orientation minorities with rates in heterosexuals using a nationally representative sample. METHOD: Data used were from the National Epidemiologic Survey on Alcohol and Related Conditions Wave 2 (n = 34 653, response rate = 70.2%). Cross-tabulations and multivariate logistic regression analyses were performed to determine differences in rates of mental disorders and suicide attempts by sexual orientation. All analyses were stratified by sex. RESULTS: Compared with their heterosexual counterparts, lesbians and bisexual women demonstrated a 3-fold increased likelihood of substance use disorders, and gay and bisexual men showed twice the rate of anxiety disorders and schizophrenia and (or) psychotic illness, even after accounting for mental disorder comorbidity. Suicide attempts were independently associated with bisexuality, with odds 3 times higher than in heterosexuals. CONCLUSION: Findings from our study emphasize the fact that sexual orientation minorities are vulnerable to poor mental health outcomes, including suicide attempts. Clinicians need to be aware of these specific negative mental health consequences when assessing sexual orientation minorities. SN - 1497-0015 UR - https://www.unboundmedicine.com/medline/citation/21324241/Sexual_orientation_and_its_relation_to_mental_disorders_and_suicide_attempts:_findings_from_a_nationally_representative_sample_ L2 - https://journals.sagepub.com/doi/10.1177/070674371105600107?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -