Stigma and negative mental health outcomes in sexual/gender minority youth in Utah

McGraw, James S.; Angoff, Harrison D.; Chinn, Jay R.; Barnhart, Wesley R.; Lee, Brinna N.; Diggins, Eileen; Jordan, Amy K.; Branch, Jared; Docherty, Meagan

doi:10.1007/s12144-021-01919-w

Cited by 4 publications

(3 citation statements)

References 38 publications

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“…While this finding is consistent with multiple reports (Runkle et al., 2022), it is important to note the relatively large effect on suicide ideation severity observed compared to other sociodemographic factors considered in this study (see Table 3). It is possible that youth in this study may experience increased social stressors and bullying compared to other locations given widespread conservative views on sexuality and gender norms present across much of Utah (McGraw et al., 2023). Finally, non‐White youth in this study showed more severe suicide ideation and greater odds of suicide attempt.…”

Section: Discussionmentioning

confidence: 99%

Examining area‐ and individual‐level differences in suicide ideation severity and suicide attempt among youth

Cambron,

Jaggers

2023

J of Research on Adolesc

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Youth suicide is a pressing problem and suicide rates are not equally distributed across geographic areas or socioeconomic status (SES). Death by suicide is often preceded factors including hopelessness and suicide ideation, planning, and attempt. The current study examined area‐ and individual‐level differences in suicide ideation severity and suicide attempt in a state‐representative sample of youth from 2019 (N = 78,740) and 2021 (N = 61,396). Youth from higher SES and rural areas showed lower suicide ideation severity and odds of suicide attempt. After including individual‐level covariates, SES differences in ideation severity and suicide attempt persisted for 2019 but not 2021. Rural differences for ideation severity persisted across years but not for suicide attempt. Further research on geographic variation in suicide risk is needed.

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Section: Discussionmentioning

confidence: 99%

Examining area‐ and individual‐level differences in suicide ideation severity and suicide attempt among youth

Cambron,

Jaggers

2023

J of Research on Adolesc

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“…[9][10][11][12][13] Studies have found that LGBTQ+ young people are reluctant to access mental health services because of experiences of homophobia, biphobia, and transphobia; cis-heteronormativity (fear that their sexual orientation or gender identity would be scrutinized or blamed for their mental health problems); racism; difficulties disclosing their sexual and/or gender identity; fears of being misunderstood or judged by adults because they were young; stigma related to having mental health problems; issues of accessibility; previous experiences of mental health services; and a lack of understanding of intersectional LGBTQ+ lives. [13][14][15][16] These barriers to accessing mental health support are further exacerbated for LGBTQ+ youth of color because services are usually not culturally or linguistically appropriate, and providers can have racist and discriminatory attitudes. [17][18][19] Research suggests in order to access mental health support, LGBTQ+ youth of color have to navigate social norms related to cultural background and religion that may stigmatize mental health help-seeking.…”

mentioning

confidence: 99%

“What Works” to Support LGBTQ+ Young People's Mental Health: An Intersectional Youth Rights Approach

McDermott,

Eastham,

Hughes

et al. 2024

International Journal of Social Determinants of Health and Heal

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Despite overwhelming international evidence of elevated rates of poor mental health in LGBTQ+ youth compared to their cis-heterosexual peers, we know relatively little about effective mental health services for this population group. This study aims to produce the first early intervention model of “what works” to support LGBTQ+ youth with emerging mental health problems. Utilizing a mixed method case study, we collected data across 12 UK mental health service case study sites that involved: ( a) interviews with young people, parents, and mental health practitioners (n = 93); ( b) documentary analysis; ( c) nonparticipant observation. The data analysis strategy was theoretical using the “explanation-building” analytical technique. Our analysis suggests an intersectional youth rights approach with 13 principles that must be enacted to provide good mental health services as advocated by the United Nations Convention on the Rights of the Child and World Health Organization. This approach should address the multiple forms of marginalization and stigmatization that LGBTQ+ youth may experience, enable informed independent decision-making, and uphold the right to freedom of safe self-expression. A rights-based approach to mental health services for LGBTQ+ young people is not prominent. This needs to change if we are to tackle this mental health inequality and improve the mental well-being of LGBTQ+ youth worldwide.

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“…The majority of those living in Utah (known colloquially as Utahns) are affiliated with the Church of Jesus Christ of Latter-day Saints (Church of Jesus Christ of Latter-day Saints, 2021), a conservative Christian religion that is frequently considered one of the least affirming of sexual minoritized individuals in the US (Barringer, 2019). As such, sexual minoritized Utahns may face religiously based stigma both generally (Lefevor, Skidmore, et al, 2022; McGraw, Angoff, et al, 2021) as well as when thinking about seeking help from family, healthcare providers, or others (McGraw, Chinn, & Mahoney, 2021; Skidmore et al, 2022).…”

mentioning

confidence: 99%

Exploring mental health and help-seeking attitudes among sexual minoritized adults in Utah.

McGraw¹,

Oakey-Frost²,

Lefevor³

et al. 2023

Psychology of Sexual Orientation and Gender Diversity

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Sexual minoritized individuals living in Utah face unique social challenges that may adversely affect their mental health and ability to seek help for mental health problems. Due to the large social presence of the Church of Jesus Christ of Latter-day Saints, sexual minoritized individuals living in Utah may face religious-based stigma that negatively impacts their mental health and creates barriers to getting help from family, mental health professionals, physicians/healthcare providers, and clergy. Using a representative sample of Utah adults (N = 10,921) we explored the prevalence of bad mental health days and help-seeking attitudes, and tested how sexual minority identity, religious affiliation, and demographic controls affect these experiences. Results from linear and logistic regressions suggest that sexual minoritized individuals in Utah experience more bad mental health days, a greater likelihood of feeling they could not seek help for mental health problems because of fear of judgment/discrimination, and were less likely to seek support for an emotional problem or suicidal thoughts from family members, physicians/healthcare providers, and clergy. Conversely, being a member of the dominant religious group (i.e., Latter-day Saints), regardless of sexual orientation, was associated with fewer bad mental health days, a lower likelihood of feeling they could not seek help for mental health problems because of fear of judgment/discrimination, and a greater likelihood of seeking support for an emotional problem or suicidal thoughts from family members, physicians/healthcare providers, and clergy. Implications for how religious affiliation and sexual minority identity may create barriers to mental health and help-seeking are discussed.

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Stigma and negative mental health outcomes in sexual/gender minority youth in Utah

Cited by 4 publications

References 38 publications

Examining area‐ and individual‐level differences in suicide ideation severity and suicide attempt among youth

Examining area‐ and individual‐level differences in suicide ideation severity and suicide attempt among youth

“What Works” to Support LGBTQ+ Young People's Mental Health: An Intersectional Youth Rights Approach

Exploring mental health and help-seeking attitudes among sexual minoritized adults in Utah.

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