Social Determinants of Health. As part of this work, we need to increase the number of nationally-representative health-related surveys that collect information on sexual orientation and gender identity SOGI. Stress, social support, and coping processes. The association between health risk behaviors and sexual orientation among a school-based sample of adolescents. Homosexuality, psychopathology, and suicidality. The relationship between suicide risk and sexual orientation: As noted above, despite these many differences among the populations that make up the LGBT community, there are important commonalities as well.
The classes of disorders excluded were disorders usually first diagnosed in infancy, childhood, or adolescence; delirium, dementia, and amnestic and other cognitive disorders; mental disorders due to a general medical condition; schizophrenia and other psychotic disorders; somatoform disorders; factitious disorders; dissociative disorders; sexual and gender identity disorders; eating disorders; sleep disorders; impulse-control disorders; adjustment disorders; and personality disorders.
I discuss other theoretical orientations that help explain minority stress below in reviewing specific minority stress processes. LGB people may conceal their sexual orientation in an effort to either protect themselves from real harm e. The model Figure 1 depicts stress and coping and their impact on mental health outcomes box i. The committee's approach to the literature is described below, followed by a discussion of the various frameworks applied in this study. Ken Cheung for statistical consultation. A Federal Government Web site managed by the U.
The relative silence of psychiatric epidemiological literature regarding the mental health of LGB populations may have aimed to remove stigma, but it has been misguided, leading to the neglect of this important issue. Psychiatric disorders in America: A handbook for the study of mental health. Bagley C, Tremblay P. A consequence of heterosexism, homophobia, and stigmatization. I proposed a minority stress model that explains the higher prevalence of mental disorders as caused by excess in social stressors related to stigma and prejudice.