A lesbian, gay, bisexual and transgender dedicated inpatient psychiatric unit in rural New England: a descriptive analysis in demographics, service utilisation and needs

Klotzbaugh, Ralph; Glover, Eileen

doi:10.1111/jocn.13253

Cited by 5 publications

(8 citation statements)

References 17 publications

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“…The homophobia levels of the nurses who work in hospital 2 were the lowest, and this may be related to the fact that this institution is located in the city center and provides service to people with higher educational levels and a more diverse population of patients. A study found that the locations of institutions have positive or negative effects on levels of homophobia (Klotzbaugh & Glover, 2016).…”

Section: Discussionmentioning

confidence: 99%

Are Nurses Homophobic? A Survey Study in Public Hospitals in Turkey

Çakır

Seren

2020

J of Nursing Scholarship

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Purpose Studies conducted with lesbian, gay, bisexual, transgender, and intersex (LGBTI) people in Turkey have found that such people experience social isolation, neglect, insufficient healthcare services, and disrespect. However, no study has been reported related to clinicians' approaches and attitudes towards them. This study aimed to determine the attitudes of nurses towards homosexual individuals and the factors associated with the homophobia levels of nurses. Design This was a descriptive, cross‐sectional survey study. Methods The study was conducted with 449 participants in four hospitals. Nurses who had been working for at least 1 year in the hospitals were included in the sample of the study. The data were collected by using a two‐part survey form. The first part was an information form regarding the participants’ socio‐demographic and professional characteristics, and the second part was the Hudson and Ricketts Homophobia Scale. The data were analyzed using numbers, percentages, means, Cronbach’s alpha internal consistency analysis, parametric tests (t test and analysis of variance), nonparametric tests (Mann‐Whitney U and Kruskal‐Wallis) and multiple linear regression. Findings The study found that most of the Turkish nurses were not professionally homophobic. However, their personal homophobia scores were high. Their attitudes towards homosexuals varied by factors such as education level, acquaintance with LGBTI people, level of acquaintance, and locations of the hospitals. Conclusions Nurses who work in public hospitals stated that they would provide care for LGBTI people. However, their Homophobia Scale scores were over the mid‐point. Subjects related to the health needs of LGBTI people should be included in the curricula of nursing departments and in in‐service training at health service institutions. Clinical Relevance LGBTI individuals have complained about the reaching out health care services and negative attitudes of health care professionals towards them. Findings of this study provides important data to understand the homophobia level and reasons of nurses to develop in‐service education and training programs for coping and changing their negative attitudes.

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Section: Discussionmentioning

confidence: 99%

Are Nurses Homophobic? A Survey Study in Public Hospitals in Turkey

Çakır

Seren

2020

J of Nursing Scholarship

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“…31,32 It is important for clinicians to become well versed on the diversity within these communities and to consider that adolescents, elderly, and racial/ethnic sexual minority clients may have additional needs (e.g., additional minority stressors and discrimination). 33,34 There are opportunities to incorporate suicide prevention efforts into primary care medical settings, where most individuals receive services prior to their suicide. 35 In some cases, culturally competent programming has been incorporated in medical schools to inform providers about interacting with LGBT patients.…”

Section: Discussionmentioning

confidence: 99%

Suicides Among Lesbian and Gay Male Individuals: Findings From the National Violent Death Reporting System

Lyons

Walters

Jack

et al. 2019

American Journal of Preventive Medicine

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Introduction: Information regarding the epidemiology of suicide among lesbian and gay male individuals is limited, and comprehensive information is needed. This study seeks to describe the characteristics and precipitating circumstances of suicide among lesbian and gay male decedents when compared with non-lesbian and non-gay male decedents. Methods: An analysis was conducted of National Violent Death Reporting System data from 18 U.S. states for the years 2003–2014. Sociodemographic characteristics and precipitating circumstances of suicide among lesbian and gay male decedents were compared with non-lesbian and non-gay male decedents. Logistic regression analysis was conducted to examine the association between precipitating circumstances and suicide by sexual orientation. The analysis was conducted in December 2017. Results: There were a total of 123,289 suicide decedents from 18 states participating in National Violent Death Reporting System during 2003–2014; of whom, 621 (0.5%) were identified as lesbian, gay, bisexual, or transgender. The majority of lesbian, gay, bisexual, or transgender decedents were identified as gay male (53.9%), followed by lesbian (28.0%), transgender (10.4%), and bisexual (7.5%). The analysis revealed several differences by age, mechanism of injury, and precipitating circumstances, including intimate partner problems among lesbian decedents, suicide planning and intent for both lesbian and gay male decedents, and mental health problems among gay male decedents. Conclusions: Findings highlight differences in the characteristics of suicide among lesbian and gay male and non-lesbian and non-gay male decedents. It is important for suicide prevention efforts to be culturally sensitive and consider the needs of sexual minority populations.

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“…[24][25][26][27] Studies of psychiatric treatment utilization among transgender people are sparse. [28][29][30][31][32] In one San Francisco-based study, despite higher prevalence of physical and mental health problems and psychopharmacology use among transgender people compared with cisgender people, there was no difference between transgender and cisgender people in emergency room visits, outpatient emergency behavioral health care utilization, or psychiatric hospitalizations. 28 Although this finding could reflect more appropriate utilization of nonemergent care, a plausible and concerning alternate conclusion is that transgender patients are not accessing care when they need it, perhaps due to fears of misgendering and mistreatment.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric Epidemiology of Transgender and Nonbinary Adult Patients at an Urban Health Center

et al. 2019

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Purpose: Transgender and nonbinary people have an increased burden of psychiatric problems compared with the general population. Data are needed to understand factors associated with psychiatric diagnoses, acuity in terms of suicide attempts and level-of-care escalation, and outpatient engagement among transgender and nonbinary adults. Methods: We conducted a retrospective review of records from 201 transgender and nonbinary adults who presented for primary care at a health center. Regression models were fit to examine factors associated with psychiatric diagnoses, substance use disorders (SUDs), acuity, and outpatient behavioral health engagement. Results: Male sex assignment at birth was associated with decreased odds of a psychiatric diagnosis (odds ratio [OR] 0.40, 95% confidence interval [

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A lesbian, gay, bisexual and transgender dedicated inpatient psychiatric unit in rural New England: a descriptive analysis in demographics, service utilisation and needs

Cited by 5 publications

References 17 publications

Are Nurses Homophobic? A Survey Study in Public Hospitals in Turkey

Are Nurses Homophobic? A Survey Study in Public Hospitals in Turkey

Suicides Among Lesbian and Gay Male Individuals: Findings From the National Violent Death Reporting System

Psychiatric Epidemiology of Transgender and Nonbinary Adult Patients at an Urban Health Center

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