Future Directions in Understanding and Addressing Mental Health among LGBTQ Youth

Fish, Jessica N.

doi:10.1080/15374416.2020.1815207

Cited by 69 publications

(42 citation statements)

References 119 publications

(147 reference statements)

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“…Research on the experiences of LGBTQ youth has primarily focused on disparities and deficits in their health and social capital (Fish, 2020 ; Fish et al, 2020a ). However, resilience is a core feature of the minority stress model (Meyer, 2015 ).…”

Section: Minority Stress and Youth Resiliencementioning

confidence: 99%

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Q Chat Space: Assessing the Feasibility and Acceptability of an Internet-Based Support Program for LGBTQ Youth

et al. 2021

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There are few psychosocial support programs specifically designed to meet the unique developmental and health needs of LGBTQ youth. Even when available, many youth face significant barriers to accessing LGBTQ-specific services for fear of being “outed” to parents, peers, and community members. The current study assessed the utility, feasibility, and acceptability of a synchronous, adult-facilitated, chat-based Internet community support program for LGBTQ youth aged 13–19. Chat transcripts were analyzed to examine how LGBTQ youth used the chat-based platform to connect with peers and trusted adults. A separate user satisfaction survey was collected to assess the personal (e.g., sexual orientation, gender identity, age) and contextual (e.g., geography, family environment) characteristics of youth engaging in the platform, their preferred topics of discussion, and their satisfaction with the program focus and facilitators. Qualitative data analysis demonstrated the degree to which LGBTQ youth were comfortable disclosing difficult and challenging situations with family, friends, and in their community and in seeking support from peers and facilitators online. Youth also used the platform to explore facets of sexual and gender identity/expression and self-acceptance. Overall, users were very satisfied with the platform, and participants accurately reflect the program’s desired populations for engagement (e.g., LGBTQ youth of color, LGBTQ youth in the South). Together, findings support the feasibility and acceptability of synchronous, adult-facilitated, chat-based Internet programs to connect and support LGBTQ youth, which encourage future research and innovation in service delivery. Supplementary Information The online version contains supplementary material available at 10.1007/s11121-021-01291-y.

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Section: Minority Stress and Youth Resiliencementioning

confidence: 99%

“…Unfortunately, evidence-based programs supporting LGBTQ youths’ health, wellbeing, and positive development are limited and biased towards individual therapeutic and pharmacological treatment (Coulter et al, 2019 ; Fish, 2020 ). LGBTQ youth also experience barriers to community-based care (e.g., safety concerns, lack of competent providers).…”

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confidence: 99%

Q Chat Space: Assessing the Feasibility and Acceptability of an Internet-Based Support Program for LGBTQ Youth

et al. 2021

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“…However, though Erikson categorizes the adolescent stage as a stage for identity development, one considers whether the narrative development of LGBTQ identity spans beyond the adolescent stage of psychosocial development. Parmenter et al (2020b) sought to understand identity development amongst young adults and found that, though participants were 20-25 years old therefore categorized as young adults in Erikson's intimacy versus isolation stage of development (Erikson, 1982), findings highlighted LGBTQ young adults' experiences of identity conflict and exploration. LGBTQ young adults expressed identity consolidation and conflicts in integrating their LGBTQ identity across their lives (Wagaman et al, 2016;Parmenter et al, 2020b).…”

Section: Erik Erikson's Stages Of Psychosocial Developmentmentioning

confidence: 99%

“…Therefore, with Erikson's identity versus role confusion stage, my identity development had finished after I consolidated my LGBTQ identity. Logically, I would move toward Erikson's young adulthood psychosocial stage of development, intimacy versus isolation, defined as moving toward achieving healthy, fulfilling relationships (Erikson, 1980(Erikson, , 1982Kacerguis and Adams, 1980;Gold and Rogers, 1995;Starks et al, 2017). On the contrary, when identity development is understood through an intersectional perspective, the lack of ethnic identity consolidation with my LGBTQ identity is indicative that my identity development is incomplete.…”

Section: Subtheme 23: Reactions To Coming Outmentioning

confidence: 99%

“…As a 26-year-old gay male, I would correspond to Erikson's young adulthood stage of psychosocial development, intimacy versus isolation stage (Erikson, 1982). However, analyzing the identity conflict through an intersectional lens (the dissociation of my ethnic minority identity with my LGBTQ identity due to a negative cultural environment), my identity development appears to have been incomplete and is now coming into question.…”

Section: Subtheme 33: Revisiting Erikson's Theorymentioning

confidence: 99%

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Thematic Analysis of My “Coming Out” Experiences Through an Intersectional Lens: An Autoethnographic Study

Leung

2021

Front. Psychol.

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For lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth, identity development is one of the most critical developmental task. LGBTQ youth are shown to be at risk for a variety of risk factors including depression and suicidal ideation and attempts due to how their identities are appraised in heteronormative societies. However, most LGBTQ educational psychology research have highlighted protective factors that are primarily relevant to support LGBTQ white-youth. One of the major developmental theories, Erikson’s stages of psychosocial development, has identified adolescence as the period where identity development occurs. However, through an intersectional lens, identity development appears to encompass more than adolescence but also emerging adulthood, a developmental stage not accounted for by Erikson’s stages of psychosocial development. The primary goal of this study is to seek to understand and question Erikson’s stages of psychosocial development through an intersectional lens of an autoethnography of my LGBTQ experiences. An autoethnographic approach [diary entries (N = 9), conversations (N = 12), interview (N = 1), social media websites and blogs (N = 2), and drawing (N = 1)] is used to understand my LGBTQ-person of color (POC) experiences of “coming out” or self-disclosure during my adolescence through emerging adulthood. Data was collected on April 2020 and spanned from 2006 through 2020 to account for the developmental period of adolescence and emerging adulthood (ages 13 through 27). Thematic analysis revealed four themes across the two developmental periods: (1) confusion and conflict between my gay and ethnic identity as a closeted adolescent, (2) my first “coming out” as a gay adolescent and “it got better,” (3) frustration arising from the internal conflict between my gay and POC identity as an emerging adult, and (4) frustration arising from external experiences with the flaws of LGBTQ community inclusivity. Results reflected a continuous theme of identity exploration and struggle through both adolescence and emerging adulthood, highlighting the need for future research to replicate similar experiences from other intersectional individuals during emerging adulthood stage, a developmental stage that is considered in between Erikson’s adolescent and young adulthood developmental stage.

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Racial/ethnic differences in the bullying victimization‐suicidality link among LGBQ high school students in the United States

Hong,

Valido,

Espelage

et al. 2024

American J of Comm Psychol

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Although the relationship between bullying victimization and suicidal behaviors of lesbian, gay, bisexual, transgender, and questioning (i.e., unsure of their sexual orientation) students has been well documented in research, few studies have focused on how bullying victimization might be related to suicidal behaviors among youth with intersectional identities. This study examines associations between bullying victimization and suicidal behaviors across racial/ethnic groups in a sample of lesbian, gay, bisexual, and questioning (LGBQ) students. Data for this cross‐sectional study were derived from the Center for Disease Control and Prevention's Youth Risk Behavior Survey combined data set (2003–2019), with a sample of 95,603 students who identified as LGBQ. Analyses included descriptive statistics and logistic regression. We found that homophobic bullying victimization was associated with higher odds of suicidal ideation and plans among the total sample and Black and Hispanic students. School‐based bullying victimization was associated with higher odds of suicidal ideation, plans, and attempts among white and Hispanic students and higher suicidal ideation among multiracial–non‐Hispanic students. Cyberbullying victimization was not associated with suicidal behavior among Asian students, but it was associated with all forms of suicidal behavior among youth of other racial/ethnic identities. Addressing bullying victimization and suicidality with culturally relevant, evidence‐based violence prevention strategies is critical.

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Future Directions in Understanding and Addressing Mental Health among LGBTQ Youth

Abstract: 1 A quick note on language; I use "LGBTQ" and "sexual and gender minority" interchangeably, intentionally, and in variation (e.g., "sexual minority" or "LGB" and "gender minority") to reflect differences across study samples and measurement.

Cited by 69 publications

References 119 publications

Q Chat Space: Assessing the Feasibility and Acceptability of an Internet-Based Support Program for LGBTQ Youth

Q Chat Space: Assessing the Feasibility and Acceptability of an Internet-Based Support Program for LGBTQ Youth

Thematic Analysis of My “Coming Out” Experiences Through an Intersectional Lens: An Autoethnographic Study

Racial/ethnic differences in the bullying victimization‐suicidality link among LGBQ high school students in the United States

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