Sexual-minority youth exhibit increased rates of psychiatric morbidity, subject to various social factors. We examine the impact of ethnicity and culture on these phenomena, with particular reference to Asian youth living in Western societies.
Conclusions:
Youth from minority ethnic groups who do not identify with their native gender and/or who are not exclusively heterosexual are known as ‘double minorities’. Available evidence suggests that such individuals are at particularly increased risk of depression and suicide, but that this may be mitigated by social support. More research is needed to understand the challenges faced by ‘double minorities’, notably their perception of and ability to access available clinical and social supports.
LucassenMFStasiakKSamraRet al. Sexual minority youth and depressive symptoms or depressive disorder: a systematic review and meta-analysis of population-based studies. Aust N Z J Psychiatry2017; 81: 774–787.
2.
HaasAPEliasonMMaysVMet al. Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: review and recommendations. J Homosex2010; 58: 10–51.
3.
MaguenSShipherdJC.Suicide risk among transgender individuals. Psychol Sex2010; 1: 34–43.
4.
TeradaSMatsumotoYSatoTet al. Suicidal ideation among patients with gender identity disorder. Psychiatry Res2011; 190: 159–162.
5.
RussellSTFishJN.Mental health in lesbian, gay, bisexual, and transgender (LGBT) youth. Annu Rev Clin Psychol2016; 12: 465–487.
6.
LeonardWLyonsABariolaE.A closer look at Private Lives 2 – addressing the mental health and wellbeing of lesbian, gay, bisexual, and transgender (LGBT) Australians. Monograph Series no. 103. Melbourne: The Australian Research Centre in Sex, Health & Society, La Trobe University, 2015.
7.
MeyerIH.Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull2003; 129: 674.
8.
PascoeEASmartRichman L.Perceived discrimination and health: a meta-analytic review. Psychol Bull2009; 135: 531.
9.
BauerGRScheimAIPyneJet al. Intervenable factors associated with suicide risk in transgender persons: a respondent driven sampling study in Ontario, Canada. BMC Public Health2015; 15: 525.
10.
RyanCRussellSTHuebnerDet al. Family acceptance in adolescence and the health of LGBT young adults. J Child Adolesc Psychiatr Nurs2010; 23: 205–213.
11.
SimonsLSchragerSMClarkLFet al. Parental support and mental health among transgender adolescents. J Adolesc Health2013; 53: 791–793.
12.
OlsonKRDurwoodLDeMeulesMet al. Mental health of transgender children who are supported in their identities. Pediatrics2016; 137: 984–991.
CarrollA.State Sponsored Homophobia 2016: a world survey of sexual orientation laws: criminalisation, protection and recognition. Geneva: International Lesbian, Gay, Bisexual, Trans and Intersex Association, 2016.
17.
DennySLucassenMFStuartJet al. The association between supportive high school environments and depressive symptoms and suicidality among sexual minority students. J Clin Child Adolesc Psychol2016; 45: 248–261.
18.
LucassenMFFlemingTMMerrySN.Tips for research recruitment: the views of sexual minority youth. J LGBT Youth2017; 14: 16–30.
19.
WhettenKLesermanJWhettenRet al. Exploring lack of trust in care providers and the government as a barrier to health service use. Am J Public Health2006; 96: 716–721.
