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Differences in Mental Health Symptoms Across Lesbian, Gay, Bisexual, and Questioning Youth in Primary Care Settings.
J Adolesc Health. 2016 07; 59(1):38-43.JA

Abstract

PURPOSE

Lesbian, gay, bisexual, and questioning (LGBQ) youth exhibit significantly higher rates of mental health problems, including anxiety, depression, suicidal ideation, and nonsuicidal self-injury than their heterosexual peers. Past studies tend to group LGBQ youth together; however, more recent studies suggest subtle differences in risk between sexual minority groups. This study examined differences in mental health symptoms across male and female youth who are attracted to the same sex (gay and lesbian), opposite sex (heterosexual), both sexes (bisexual), or are unsure of whom they were attracted to (questioning) in a sample of 2,513 youth (ages 14-24 years).

METHODS

Data were collected using the Behavioral Health Screen-a Web-based screening tool that assesses psychiatric symptoms and risk behaviors-during routine well visits.

RESULTS

Bisexual and questioning females endorsed significantly higher scores on the depression, anxiety, and traumatic distress subscales than did heterosexual females. Lesbians, bisexual females, and questioning females all exhibited significantly higher lifetime suicide scores than heterosexual females. Interestingly, bisexual females exhibited the highest current suicide scores. Gay and bisexual males endorsed significantly higher scores on the depression and traumatic distress subscales than did heterosexual males. Gay males also exhibited higher scores on the anxiety subscale than heterosexual males, with bisexual males exhibiting a nonsignificant trend toward higher scores as well.

CONCLUSIONS

Findings highlight varying level of risk across subgroups of LGBQ youth and suggest the importance of considering LGBQ groups separately in the context of a behavioral health assessment, especially for females.

Authors+Show Affiliations

Department of Couple and Family Therapy, Drexel University, Philadelphia, Pennsylvania. Electronic address: ams694@drexel.edu.Department of Couple and Family Therapy, Drexel University, Philadelphia, Pennsylvania.Department of Couple and Family Therapy, Drexel University, Philadelphia, Pennsylvania.Department of Couple and Family Therapy, Drexel University, Philadelphia, Pennsylvania.Department of Couple and Family Therapy, Drexel University, Philadelphia, Pennsylvania.Department of Couple and Family Therapy, Drexel University, Philadelphia, Pennsylvania.Department of Couple and Family Therapy, Drexel University, Philadelphia, Pennsylvania.Department of Couple and Family Therapy, Drexel University, Philadelphia, Pennsylvania.

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

27053400

Citation

Shearer, Annie, et al. "Differences in Mental Health Symptoms Across Lesbian, Gay, Bisexual, and Questioning Youth in Primary Care Settings." The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, vol. 59, no. 1, 2016, pp. 38-43.
Shearer A, Herres J, Kodish T, et al. Differences in Mental Health Symptoms Across Lesbian, Gay, Bisexual, and Questioning Youth in Primary Care Settings. J Adolesc Health. 2016;59(1):38-43.
Shearer, A., Herres, J., Kodish, T., Squitieri, H., James, K., Russon, J., Atte, T., & Diamond, G. S. (2016). Differences in Mental Health Symptoms Across Lesbian, Gay, Bisexual, and Questioning Youth in Primary Care Settings. The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine, 59(1), 38-43. https://doi.org/10.1016/j.jadohealth.2016.02.005
Shearer A, et al. Differences in Mental Health Symptoms Across Lesbian, Gay, Bisexual, and Questioning Youth in Primary Care Settings. J Adolesc Health. 2016;59(1):38-43. PubMed PMID: 27053400.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Differences in Mental Health Symptoms Across Lesbian, Gay, Bisexual, and Questioning Youth in Primary Care Settings. AU - Shearer,Annie, AU - Herres,Joanna, AU - Kodish,Tamar, AU - Squitieri,Helen, AU - James,Kiera, AU - Russon,Jody, AU - Atte,Tita, AU - Diamond,Guy S, Y1 - 2016/04/01/ PY - 2015/09/11/received PY - 2016/02/15/revised PY - 2016/02/16/accepted PY - 2016/4/8/entrez PY - 2016/4/8/pubmed PY - 2017/11/29/medline KW - Adolescence KW - LGBQ KW - Mental health screening KW - Primary care SP - 38 EP - 43 JF - The Journal of adolescent health : official publication of the Society for Adolescent Medicine JO - J Adolesc Health VL - 59 IS - 1 N2 - PURPOSE: Lesbian, gay, bisexual, and questioning (LGBQ) youth exhibit significantly higher rates of mental health problems, including anxiety, depression, suicidal ideation, and nonsuicidal self-injury than their heterosexual peers. Past studies tend to group LGBQ youth together; however, more recent studies suggest subtle differences in risk between sexual minority groups. This study examined differences in mental health symptoms across male and female youth who are attracted to the same sex (gay and lesbian), opposite sex (heterosexual), both sexes (bisexual), or are unsure of whom they were attracted to (questioning) in a sample of 2,513 youth (ages 14-24 years). METHODS: Data were collected using the Behavioral Health Screen-a Web-based screening tool that assesses psychiatric symptoms and risk behaviors-during routine well visits. RESULTS: Bisexual and questioning females endorsed significantly higher scores on the depression, anxiety, and traumatic distress subscales than did heterosexual females. Lesbians, bisexual females, and questioning females all exhibited significantly higher lifetime suicide scores than heterosexual females. Interestingly, bisexual females exhibited the highest current suicide scores. Gay and bisexual males endorsed significantly higher scores on the depression and traumatic distress subscales than did heterosexual males. Gay males also exhibited higher scores on the anxiety subscale than heterosexual males, with bisexual males exhibiting a nonsignificant trend toward higher scores as well. CONCLUSIONS: Findings highlight varying level of risk across subgroups of LGBQ youth and suggest the importance of considering LGBQ groups separately in the context of a behavioral health assessment, especially for females. SN - 1879-1972 UR - https://www.unboundmedicine.com/medline/citation/27053400/Differences_in_Mental_Health_Symptoms_Across_Lesbian_Gay_Bisexual_and_Questioning_Youth_in_Primary_Care_Settings_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-139X(16)00052-5 DB - PRIME DP - Unbound Medicine ER -