Accessible summary What is known on the subject? Established research from the United States and other Western countries has found that lesbian, gay, bisexual and transgender (LGBT) populations are at an elevated risk for suicide. Suicidality among LGBT individuals is understudied in Thailand and other Asian countries, warranting additional research to better understand risk factors and to create effective treatment and suicide prevention interventions. What the paper adds to existing knowledge? The study examined rates and predictors of suicidality in Thai LGBT adults. Study findings suggest that general (e.g. stress and loneliness) and minority stressors (e.g. discrimination and victimization) played important roles in predicting lifetime and past‐year suicidal ideation, while socio‐demographic and health‐related factors (e.g. living in high poverty area and having chronic diseases) were associated with suicide attempts among LGBT individuals. What are the implications for practice? Changes in the nursing curriculum and continuing education resources are needed to improve knowledge and core competencies in the mental health and treatment needs of LGBT individuals in Thailand. Among LGBT serving practitioners, routine assessment of suicidality is needed to increase the early identification and treatment of individual at risk for suicidal behaviours. Standardized measures of sexual orientation and gender identity should be included in all patient intake forms. In conducting research on strategies to improve mental health outcomes among LGBT populations, standardized measures of sexual orientation/gender identity and minority‐specific stressors should be used. Suicide prevention interventions aimed at reducing general and minority stress among LGBT populations should be a priority in mental health nursing. Abstract Introduction A large and rigorous body of research in the United States has demonstrated that lesbian, gay, bisexual and transgender (LGBT) populations are at an elevated risk for suicide. However, scant research aimed at understanding the rates and predictors for suicidality among Thai LGBT individuals exists. Aim To examine rates and predictors of suicidality among Thai LGBT adults (N = 411). Method Data collection was conducted via online and in‐person surveys. Guided by the Minority Stress Model, standardized measures of demographics, health‐related factors, general and minority‐specific stressors and suicidality were completed. Results Thirty‐nine per cent of participants reported lifetime suicidal ideation, 19.0% past 12‐month suicidal ideation and 13.1% lifetime suicide attempts. Lifetime suicidal ideation was associated with higher levels of social discrimination, stress, loneliness and chronic disease (OR = 1.12, 1.16, 2.75, and 1.46, p ≤ .05, R2 = 0.327). Past‐year suicidal ideation was associated with victimization, stress, loneliness and being a former smoker (OR = 1.52, 1.20, 2.34, and 4.89, p < .05, R2 = 0.345). Suicide attempts were associated with internalized homophobia, pov...

In the US, lesbian, gay, bisexual, and transgender (LGBT) individuals report higher rates of depression compared with heterosexual and cisgender persons. To date, little is known about the mental health of LGBT adults in Thailand. Here, we examined rates and correlates of depression among a volunteer sample of Thai LGBTs. Data were collected as part of a larger cross-sectional survey study. Standardized measures of sexual orientation and gender identity, stress, coping style, and minority stressors were completed. Of the 411 participants, 40.3% met the criteria for depression. In multivariate analyses, the combined influences of sociodemographic factors, general stress, coping strategies, and minority-specific stress variables explained 47.2% of the variance in depression scores (F[16,367]= 20.48, p<.001). Correlates of depression included coping strategies and minority-specific stressors, including experiences of victimization, discrimination, and level of identity concealment. Study findings have implications for psychiatric nursing practice and the development of intervention research. Abstrak Di AS, individu lesbian, gay, biseksual, dan transgender (LGBT) melaporkan tingkat depresi yang lebih tinggi dibandingkan dengan orang heteroseksual dan cisgender. Saat ini, sedikit yang diketahui tentang kesehatan mental pada orang dewasa dengan LGBT di Thailand. Di sini, kami meneliti tingkat dan korelasi depresi di antara sampel sukarelawan LGBT Thailand. Data dikumpulkan sebagai bagian dari studi survei cross-sectional yang lebih besar. Pengukuran terstandar terhadap orientasi seksual dan identitas gender, stres, koping, dan stresor minoritas telah selesai. Dari 411 peserta, 40,3% memenuhi kriteria untuk depresi. Dalam analisis multivariat, pengaruh gabungan faktor sosiodemografi, stres umum, strategi koping, dan variabel stres spesifik-minoritas menjelaskan 47,2% dari varians dalam skor depresi (F [16,367]= 20,48, p< 0,001). Korelasi depresi termasuk strategi koping dan stres spesifik-minoritas, termasuk pengalaman viktimisasi, diskriminasi, dan tingkat penyembunyian identitas. Temuan penelitian memiliki implikasi untuk praktik keperawatan psikiatris dan pengembangan penelitian intervensi. Kata kunci: depresi, LGBT, minoritas seksual dan gender; stres minoritas, Thailand

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In the US, lesbian, gay, bisexual, and transgender (LGBT) individuals report higher rates of depression compared with heterosexual and cisgender persons. To date, little is known about the mental health of LGBT adults in Thailand. Here, we examined rates and correlates of depression among a volunteer sample of Thai LGBTs. Data were collected as part of a larger cross-sectional survey study. Standardized measures of sexual orientation and gender identity, stress, coping style, and minority stressors were completed. Of the 411 participants, 40.3% met the criteria for depression. In multivariate analyses, the combined influences of sociodemographic factors, general stress, coping strategies, and minority-specific stress variables explained 47.2% of the variance in depression scores (F[16,367]= 20.48, p<.001). Correlates of depression included coping strategies and minority-specific stressors, including experiences of victimization, discrimination, and level of identity concealment. Study findings have implications for psychiatric nursing practice and the development of intervention research. Abstrak Di AS, individu lesbian, gay, biseksual, dan transgender (LGBT) melaporkan tingkat depresi yang lebih tinggi dibandingkan dengan orang heteroseksual dan cisgender. Saat ini, sedikit yang diketahui tentang kesehatan mental pada orang dewasa dengan LGBT di Thailand. Di sini, kami meneliti tingkat dan korelasi depresi di antara sampel sukarelawan LGBT Thailand. Data dikumpulkan sebagai bagian dari studi survei cross-sectional yang lebih besar. Pengukuran terstandar terhadap orientasi seksual dan identitas gender, stres, koping, dan stresor minoritas telah selesai. Dari 411 peserta, 40,3% memenuhi kriteria untuk depresi. Dalam analisis multivariat, pengaruh gabungan faktor sosiodemografi, stres umum, strategi koping, dan variabel stres spesifik-minoritas menjelaskan 47,2% dari varians dalam skor depresi (F [16,367]= 20,48, p< 0,001). Korelasi depresi termasuk strategi koping dan stres spesifik-minoritas, termasuk pengalaman viktimisasi, diskriminasi, dan tingkat penyembunyian identitas. Temuan penelitian memiliki implikasi untuk praktik keperawatan psikiatris dan pengembangan penelitian intervensi. Kata kunci: depresi, LGBT, minoritas seksual dan gender; stres minoritas, Thailand

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Loneliness is a significant risk factor for depression in adults. Sexual and gender minority (SGM) individuals are at risk for loneliness and depression due to stigma and discrimination. However, little is known about the influences of loneliness on the mental health of SGM populations. Guided by the Minority Stress and Integrative Mediation Frameworks, the authors aimed to examine loneliness's direct and indirect effects on the relationships between minority stressors and depression among Thai SGM adults. Data were drawn from a larger cross-sectional survey. Standardized measures of minority stressors (discrimination, victimization, identity concealment, and internalized sexual stigma), loneliness, and depression were selected and translated by expert panels. A convenience sample was recruited, and data were collected using online and in-person methods. Participants (N = 411, M = 29.5 years) were primarily male (90.5%), gay (79.3%), and cisgender (76.6%). More than 40% of participants reported clinically significant levels of loneliness (M = 38.59, standard deviation [SD] = 11.11) and depression (M = 9.46, SD = 8.43). Discrimination, identity concealment, and internalized sexual stigma were directly associated with loneliness (all p < 0.05). Minority stressors were significantly related to depression through indirect associations via loneliness accounting for 33%-54% of the total effect. Indirect effects (95% confidence interval) were 0.25 [0.12, 0.40] for discrimination, −0.41 [−0.67, −0.18] for identity concealment, and 0.42 [0.06, 0.79] for internalized sexual stigma. Loneliness was prevalent and played a mediating role in the associations between minority stressors and depression. Study findings have implications for the development of intervention research.

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