People who are gay, lbian or bi have more mental health and substance e problems, survey fds | CNN

Contents:

• DEPRSN IS KILLG GAY MEN
• PEOPLE WHO ARE GAY, LBIAN OR BI HAVE MORE MENTAL HEALTH AND SUBSTANCE E PROBLEMS, SURVEY FDS
• DEPRSN AND SUICIDALY GAY MEN: IMPLITNS FOR HEALTH CARE PROVIRS
• GAY MEN’S DEPRSN COPG GUI
• HOMOSEXUALS AND DEPRSN: HELP FOR GAYS WH DEPRSN
• NEW DATA ON LBIAN, GAY AND BISEXUAL MENTAL HEALTH

DEPRSN IS KILLG GAY MEN

The 2013 fifth edn of the Amerin Psychiatric Associatn's Diagnostic and Statistil Manual (DSM) f prsn clilly as a prsive mood or loss of tert or pleasure nearly all activi over a two-week perd, along wh four of the symptoms: “chang appete or weight, sleep, and psychomotor activy; creased energy; feelgs of worthlsns or guilt; difficulty thkg, ncentratg, or makg cisns; or recurrent thoughts of ath or suicidal iatn or suici plans or attempts.

PEOPLE WHO ARE GAY, LBIAN OR BI HAVE MORE MENTAL HEALTH AND SUBSTANCE E PROBLEMS, SURVEY FDS

Mental health unselg and support groups that are sensive to the needs of gay and bisexual men n be pecially eful if you are g to terms wh your sexual orientatn or are experiencg prsn, anxiety, or other mental health problems.

While many gay, bisexual, and other men who have sex wh men may not seek re om a mental health provir bee of a fear of discrimatn or homophobia, is important to keep this as an optn and to fd a provir that is tstworthy and patible. “We see gay men who have never been sexually or physilly asslted wh siar post-trmatic strs symptoms to people who have been bat suatns or who have been raped, ” says Alex Kroghlian, a psychiatrist at the Fenway Instute’s Center for Populatn Rearch LGBT Health. For s, this is what psychologists thought, too: that the key stag inty formatn for gay men all led up to g out, that once we were fally fortable wh ourselv, we uld beg buildg a life wh a muny of people who’d gone through the same thg.

Rearchers say this kd of trag, liberately tryg to appear more mascule and takg on a different sex role, is jt one of the ways gay men prsure each other to atta “sexual pal, ” the equivalent of gog to the gym or pluckg our eyebrows. Usually when you hear about the shockg primacy of hookup apps gay life—Grdr, the most popular, says s average er spends 90 mut per day on —’s some panicked media story about murrers or homophob trawlg them for victims, or about the troublg “chemsex” scen that have spng up London and New York. Only around 30 percent of school districts the untry have anti-bullyg polici that specifilly mentn LGBTQ kids, and thoands of other districts have polici that prevent teachers om speakg about homosexualy a posive way.

DEPRSN AND SUICIDALY GAY MEN: IMPLITNS FOR HEALTH CARE PROVIRS

In the last five years, as evince of this ternnectedns has piled up, a few psychologists and epimlogists have started to treat alienatn among gay men as a “synmic”: A clter of health problems, none of which n be fixed on their own. Dpe creasg acceptance of the LGBTQ+ muny, at least some circl, adults who intify as gay, lbian or bisexual are more likely than those who intify as straight to have ser thoughts of suici and mental health ndns cludg major prsive episos, and they are more likely to mise substanc like alhol or dgs, acrdg to a new US ernment report. However, gay, bi and straight men seemed to have siar substance e patterns: There was no difference smokg between straight and gay mal, for example, and the rate of bge and heavy drkg the month before they took the survey was the same among gay, bi and straight men.

“LGBT dividuals experience addnal strs as a rult of discrimatn and stigma, stigma both at the societal level but also the way that livg a society that privileg heterosexualy that has homophobic laws and polici to sort of teach LGB people even to view themselv as ferr, ” Kidd said. “For stance, you n image beg environments that might be validatg of people who have gay and lbian inti but might eher not regnize bisexual inty – so they are sort of visible that space – or might be really validatg of dividuals wh bisexual inty, even while the environment is affirmg or at least a ltle more ntral to folks who are gay or lbian, ” Kidd said. Related to this, gay men’s health has often been fed by sexual practic, and poorly unrstood are the tersectns of gay men’s physil and mental health wh social termants of health cludg ethnicy, lole, tn level, and socenomic stat.

Keywords: gay men’s health, prsn, suicidaly, men’s health, men’s help seekgIntroductnDeprsn is prevalent among gay men, where gay men are three tim more likely to experience prsn pared wh the general adult populatn (Cox, 2006; Kg et al., 2008). Wh this ntext, there is strong evince that gay men are more likely than heterosexual men to experience suicidaly (Brennan, Ross, Dobson, Veldhuizen, & Steele, 2010; Hott, Bogaert, Rhos, Brennan, & Gk, 2016; Kg et al., 2008). In terms of potential of prsn and suicidaly gay men, relatnship problems, acceptg one’s homosexualy, experiencg homophobia, stutnal discrimatn, and alienatn om gay muni have been reported as unrpng issu (Cox, 2006; Haas et al., 2011; Wang, Plörl, Hӓermann, & Weiss, 2015) rearch exists about gay men’s health beyond sexual health issu, most often HIV (Hott, Ferlatte, & Gk, 2014).

GAY MEN’S DEPRSN COPG GUI

Though gay men self-report that they rank mental health as one of their top health ncerns (Grov, Ventuneac, Renda, Jimenez, & Parsons, 2013) prsn and suicidaly the liv of gay men are poorly unrstood (Haas et al., 2011; Kg et al., 2008). DeprsnDeprsn is fed clilly as the experience of a prsive mood or loss of tert or pleasure nearly all activi over a 2-week perd, along wh four of the followg symptoms: “chang appete or weight, sleep, and psychomotor activy; creased energy; feelgs of worthlsns or guilt; difficulty thkg, ncentratg, or makg cisns; or recurrent thoughts of ath or suicidal iatn or suici plans or attempts” (Amerin Psychiatric Associatn, 2013). (2008) noted that general practners ed anxiety-related symptoms to intify addnal signs of prsn gay terms of e–effect and triggers for prsn, a range of factors have been tailed, many of which are tertwed wh the strs that n acpany beg part of socially margalized gay muni (Mays & Cochran, 2001; Meyer, 1995, 2003).

In the specific ntext of prejudice events, which refers to the multiple forms of antigay vlence and discrimatn (Meyer, 2003), a Canadian study reported that 47% of gay men had experienced harassment, 42% bullyg, 16. Young gay men n experience prejudice their fay the form of rejectn, often after disclosg their sexual orientatn durg adolcence, which turn n heighten young men’s risk for prsn (Ryan, Huebner, Diaz, & Sanchez, 2009) expectatns of discrimatn and homophobic rejectn n also negatively affect gay men’s mental health (Hatzenbuehler, 2009; Meyer, 2003).

Self-acceptance is therefore a cril element for gay men’s well-beg, as is beg accepted by others (Ash & Mackereth, 2013) addn to the four factors tailed Meyer’s (1995, 2003) mory strs mol, a lack of acceptance and rejectn om the gay muny n also crease the risk for gay men’s prsn.

HOMOSEXUALS AND DEPRSN: HELP FOR GAYS WH DEPRSN

Particularly at risk of rejectn om other gay men are men livg wh HIV (Courtenay-Quirk, Wolski, Parsons, Gómez, & Seroposive Urban Men’s Study Team, 2006) as well as men om racial/ethnic mory groups (Bowleg, 2012; Haile, Rowell-Cunsolo, Parker, Padilla, & Hansen, 2014; Riggs, 2012). Gay men livg wh HIV are also at creased risk for prsn across the entire illns trajectory cludg diagnosis of HIV, iatn of HIV treatment, treatment failure, diagnosis of AIDS, and/or havg a iend diagnosed wh AIDS (Körner et al., 2008). Health re provirs workg wh HIV posive gay men have nfirmed that the isolatn and loss of social relatnships and fay support experienced as a rult of this health stat are signifint triggers for prsn (Körner et al., 2008) men who belong to an ethnic mory are at higher risk for prsn.

Prsure to nform to such rigid genr norms creat unique discrimatory environments (Guareno, 2007), and gay Hispanic men report higher rat of fay rejectn and negative mental health out pared wh their Csian male unterparts (Ryan et al., 2009). An Amerin study of gay Hispanic men reported homophobic experienc durg childhood, cludg beg told that gays are not normal people (91%), amid harborg beliefs that their sexual orientatn would hurt and embarrass their fay (70%; Diaz et al., 2001). A study by De Santis, Col, Vasquez, and McCa (2008) wh predomantly gay Hispanic (75%) men reported siar issu notg that gay Hispanic men who had prsive symptoms were likely to engage sexual practic wh high risks for exposure to HIV.

NEW DATA ON LBIAN, GAY AND BISEXUAL MENTAL HEALTH

Rearch regardg HIV posive gay men and/or ethnic mory gay men is emergent (De Santis et al., 2008) and future work might efully foc on intifyg and addrsg the unique prsn risk factors among the vulnerable subgroups as a means to improvg their mental and physil health. Prejudice events, cludg the experience of verbal threats and sults, havg property damaged, and beg physilly or sexually asslted, has been intified as risk factors for suici among gay youth (Mtanski & Liu, 2012) and adults (Ferlatte et al., 2015).