Discrimination, Mental Health, and Suicidal Ideation Among LGBTQ People of Color

Journal of Counseling Psychology

Volumn 63, Issue 1, 2016, Pages 98-105

  Sutter, Megan ^a   Perrin, Paul B ^a  

^a VIRGINIA COMMONWEALTH UNIVERSITY   (United States)

Author keywords

Discrimination; LGBTQ; Mental health; Racial ethnic minorities; Suicidal ideation

Indexed keywords

ADULT; ANXIETY DISORDER; BISEXUALITY; DEPRESSION; EPIDEMIOLOGY; ETHNOLOGY; FEMALE; GENDER IDENTITY; HUMAN; LESBIANISM; MALE; MALE HOMOSEXUALITY; MENTAL HEALTH; PSYCHOLOGY; QUESTIONNAIRE; RACISM; SOCIAL DISCRIMINATION; SUICIDAL IDEATION; TRANSGENDER; UNITED STATES; YOUNG ADULT;

ADULT; ANXIETY DISORDERS; BISEXUALITY; DEPRESSIVE DISORDER; FEMALE; GENDER IDENTITY; HOMOSEXUALITY, FEMALE; HOMOSEXUALITY, MALE; HUMANS; MALE; MENTAL HEALTH; RACISM; SOCIAL DISCRIMINATION; SUICIDAL IDEATION; SURVEYS AND QUESTIONNAIRES; TRANSGENDER PERSONS; UNITED STATES; YOUNG ADULT;

EID: 84954113193     PISSN: 00220167     EISSN: None     Source Type: Journal    
DOI: 10.1037/cou0000126     Document Type: Article

References (70)

1. Alegría, M., Mulvaney-Day, N., Torres, M., Polo, A., Cao, Z., & Canino, G. (2007). Prevalence of psychiatric disorders across Latino subgroups in the United States. American Journal of Public Health, 97, 68-75. http://dx.doi.org/10.2105/AJPH.2006.087205
2. Anderson, J. C., & Gerbing, D. W. (1988). Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin, 103, 411-423. http://dx.doi.org/10.1037/0033-2909.103.3.411
3. Araujo Dawson, B., & Panchanadeswaran, S. (2010). Discrimination and acculturative stress among first generation Dominicans. Hispanic Journal of Behavioral Sciences, 32, 216-231. http://dx.doi.org/10.1177/ 0739986310364750
4. Asparouhov, T., & Muthén, B. (2006). Robust Chi square difference testing with mean and variance adjusted test statistics (Mplus Web Notes: No. 10). Retieved from http://www.statmodel.com/download/ webnotes/webnote10.pdf
5. Brent, D. A., Perper, J. A., Moritz, G., Allman, C., Friend, A., Roth, C., . . . Baugher, M. (1993). Psychiatric risk factors for adolescent suicide: A case-control study. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 521-529. http://dx.doi.org/10.1097/ 00004583-199305000-00006
6. Brondolo, E., Gallo, L. C., & Myers, H. F. (2009). Race, racism and health: Disparities, mechanisms, and interventions. Journal of Behavioral Medicine, 32, 1-8. http://dx.doi.org/10.1007/s10865-008-9190-3
7. CDC. (2014, July 14). Deaths and mortality. Retrieved from http://www .cdc.gov/nchs/fastats/deaths.htm
8. Cheng, J. K. Y., Fancher, T. L., Ratanasen, M., Conner, K. R., Duberstein, P. R., Sue, S., & Takeuchi, D. (2010). Lifetime suicidal ideation and suicide attempts in Asian Americans. Asian American Journal of Psychology, 1, 18-30. http://dx.doi.org/10.1037/a0018799
9. Chu, J. P., Goldblum, P., Floyd, R., & Bongar, B. (2010). The cultural theory and model of suicide. Applied & Preventive Psychology, 14, 25-40. http://dx.doi.org/10.1016/j.appsy.2011.11.001
10. Clements-Nolle, K., Marx, R., Guzman, R., & Katz, M. (2001). HIV prevalence, risk behaviors, health care use, and mental health status of transgender persons: Implications for public health intervention. American Journal of Public Health, 91, 915-921. http://dx.doi.org/10.2105/ AJPH.91.6.915
11. Clements-Nolle, K., Marx, R., & Katz, M. (2006). Attempted suicide among transgender persons: The influence of gender-based discrimination and victimization. Journal of Homosexuality, 51, 53-69. http://dx .doi.org/10.1300/J082v51n03_04
12. Cochran, S. D., Keenan, C., Schober, C., & Mays, V. M. (2000). Estimates of alcohol use and clinical treatment needs among homosexually active men and women in the U.S. population. Journal of Consulting and Clinical Psychology, 68, 1062-1071. http://dx.doi.org/10.1037/0022- 006X.68.6.1062
13. Cochran, S. D., & Mays, V. M. (1994). Depressive distress among homosexually active African American men and women. The American Journal of Psychiatry, 151, 524-529. http://dx.doi.org/10.1176/ajp.151.4 .524
14. Cochran, S. D., Mays, V. M., Alegria, M., Ortega, A. N., & Takeuchi, D. (2007). Mental health and substance use disorders among Latino and Asian American lesbian, gay, and bisexual adults. Journal of Consulting and Clinical Psychology, 75, 785-794. http://dx.doi.org/10.1037/0022- 006X.75.5.785
15. Cochran, S. D., Sullivan, J. G., & Mays, V. M. (2003). Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology, 71, 53-61. http://dx.doi.org/10 .1037/0022-006X.71.1.53
16. Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19, 1-15. http://dx.doi.org/10.1002/ bs.3830190102
17. Díaz, R. M., Ayala, G., Bein, E., Henne, J., & Marin, B. V. (2001). The impact of homophobia, poverty, and racism on the mental health of gay and bisexual Latino men: Findings from 3 US cities. American Journal of Public Health, 91, 927-932. http://dx.doi.org/10.2105/AJPH.91.6.927
18. Einarsen, S., & Nielsen, M. B. (2015). Workplace bullying as an antecedent of mental health problems: A five-year prospective and representative study. International Archives of Occupational and Environmental Health, 88, 131-142. http://dx.doi.org/10.1007/s00420-014-0944-7
19. Evans, A. B. (2011). The relation of gender to racial discrimination experiences and achievement among black college students. Doctoral dissertation, University of Michigan, Ann Arbor.
20. Fawcett, J., Scheftner, W. A., Fogg, L., Clark, D. C., Young, M. A., Hedeker, D., & Gibbons, R. (1990). Time-related predictors of suicide in major affective disorder. The American Journal of Psychiatry, 147, 1189-1194. http://dx.doi.org/10.1176/ajp.147.9.1189
21. Fergusson, D. M., Horwood, L. J., Ridder, E. M., & Beautrais, A. L. (2005). Sexual orientation and mental health in a birth cohort of young adults. Psychological Medicine, 35, 971-981. http://dx.doi.org/10.1017/ S0033291704004222
22. Gilman, S. E., Cochran, S. D., Mays, V. M., Hughes, M., Ostrow, D., & Kessler, R. C. (2001). Risk of psychiatric disorders among individuals reporting same-sex sexual partners in the National Comorbidity Survey. American Journal of Public Health, 91, 933-939. http://dx.doi.org/10 .2105/AJPH.91.6.933
23. Gomez, J., Miranda, R., & Polanco, L. (2011). Acculturative stress, perceived discrimination, and vulnerability to suicide attempts among emerging adults. Journal of Youth and Adolescence, 40, 1465-1476. http://dx.doi.org/10.1007/s10964-011-9688-9
24. Haas, A. P., Eliason, M., Mays, V. M., Mathy, R. M., Cochran, S. D., D'Augelli, A. R., . . . Clayton, P. J. (2010). Suicide and suicide risk in lesbian, gay, bisexual, and transgender populations: Review and recommendations. Journal of Homosexuality, 58, 10-51. http://dx.doi.org/10 .1080/00918369.2011.534038
25. Harrell, S. P. (1994). The racism and life experience scales. Unpublished manuscript.
26. Harris, E. C., & Barraclough, B. (1997). Suicide as an outcome for mental disorders. A meta-analysis. The British Journal of Psychiatry, 170, 205-228. http://dx.doi.org/10.1192/bjp.170.3.205
27. Herek, G. M., & Berrill, K. (1992). Hate crimes: Confronting violence against lesbians and gay men. Thousand Oaks, CA: Sage.
28. Herek, G. M., Gillis, J. R., & Cogan, J. C. (1999). Psychological sequelae of hate-crime victimization among lesbian, gay, and bisexual adults. Journal of Consulting and Clinical Psychology, 67, 945-951. http://dx .doi.org/10.1037/0022-006X.67.6.945
29. Hovey, J. D., & King, C. A. (1996). Acculturative stress, depression, and suicidal ideation among immigrant and second-generation Latino adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1183-1192. http://dx.doi.org/10.1097/00004583- 199609000-00016
30. Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1-55. http://dx.doi.org/10.1080/ 10705519909540118
31. IBM Corp. (2014). IBM SPSS Statistics for Mac, Version 22.0. Armonk, NY: Author.
32. Joiner, T. E., Jr., & Walker, R. L. (2002). Construct validity of a measure of acculturative stress in African Americans. Psychological Assessment, 14, 462-466. http://dx.doi.org/10.1037/1040-3590.14.4.462
33. Kim, J., & Choi, N. G. (2010). Twelve-month prevalence of DSM-IV mental disorders among older Asian Americans: Comparison with younger groups. Aging & Mental Health, 14, 90-99. http://dx.doi.org/ 10.1080/13607860903046461
34. King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8, 70. http://dx.doi.org/10.1186/1471-244X-8-70
35. Krieger, N., & Sidney, S. (1996). Racial discrimination and blood pressure: The CARDIA Study of young black and white adults. American Journal of Public Health, 86, 1370-1378. http://dx.doi.org/10.2105/AJPH.86.10 .1370
36. Krieger, N., & Sidney, S. (1997). Prevalence and health implications of anti-gay discrimination: A study of black and white women and men in the CARDIA cohort. Coronary Artery Risk Development in Young Adults. International Journal of Health Services, 27, 157-176. http://dx .doi.org/10.2190/HPB8-5M2N-VK6X-0FWN
37. Lazarus, R. S., DeLongis, A., Folkman, S., & Gruen, R. (1985). Stress and adaptational outcomes. The problem of confounded measures. American Psychologist, 40, 770-779. http://dx.doi.org/10.1037/0003-066X.40.7 .770
38. Lewis, R. J., Derlega, V. J., Griffin, J. L., & Krowinski, A. C. (2003). Stressors for gay men and lesbians: Life stress, gay-related stress, stigma consciousness, and depressive symptoms. Journal of Social and Clinical Psychology, 22, 716 -729. http://dx.doi.org/10.1521/jscp.22.6.716 .22932
39. Linehan, M. M. (1996). Suicide Behaviors Questionnaire. Seattle, WA: SBQ.
40. Lombardi, E. L., Wilchins, R. A., Priesing, D., & Malouf, D. (2002). Gender violence: Transgender experiences with violence and discrimination. Journal of Homosexuality, 42, 89-101. http://dx.doi.org/10 .1300/J082v42n01_05
41. Lutgendorf, S. K., Antoni, M. H., Ironson, G., Starr, K., Costello, N., Zuckerman, M., . . . Schneiderman, N. (1998). Changes in cognitive coping skills and social support during cognitive behavioral stress management intervention and distress outcomes in symptomatic human immunodeficiency virus (HIV)-seropositive gay men. Psychosomatic Medicine, 60, 204 -214. http://dx.doi.org/10.1097/00006842- 199803000-00017
42. Mays, V. M., & Cochran, S. D. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91, 1869-1876. http://dx.doi.org/10.2105/AJPH.91.11.1869
43. Mays, V. M., Cochran, S. D., & Rhue, S. (1993). The impact of perceived discrimination on the intimate relationships of black lesbians. Journal of Homosexuality, 25, 1-14. http://dx.doi.org/10.1300/J082v25n04_01
44. Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674-697.
45. Meyer, I. H., Dietrich, J., & Schwartz, S. (2008). Lifetime prevalence of mental disorders and suicide attempts in diverse lesbian, gay, and bisexual populations. American Journal of Public Health, 98, 1004- 1006. http://dx.doi.org/10.2105/AJPH.2006.096826
46. Mollica, R. F., Wyshak, G., de Marneffe, D., Khuon, F., & Lavelle, J. (1987). Indochinese versions of the Hopkins Symptom Checklist-25: A screening instrument for the psychiatric care of refugees. American Journal of Psychiatry, 144, 497-500. http://dx.doi.org/10.1176/ajp.144 .4.497
47. Moyerman, D. R., & Forman, B. D. (1992). Acculturation and adjustment: A meta-analytic study. Hispanic Journal of Behavioral Sciences, 14, 163-200. http://dx.doi.org/10.1177/07399863920142001
48. Muthén, B. O. (1984). A general structural equation model with dichotomous, ordered categorical, and continuous latent variable indicators. Psychometrika, 49, 115-132. http://dx.doi.org/10.1007/BF02294210
49. Muthén, L. K., & Muthén, B. O. (1998 -2012). Mplus user's guide (7th ed.). Los Angeles, CA: Muthén & Muthén.
50. Nock, M., Hwang, I., Sampson, N., Kessler, R. C., Angermeyer, M., Beautrais, A., . . . Williams, D. R. (2009). Cross-national analysis of the associations among mental disorders and suicidal behavior: Findings from the WHO World Mental Health Surveys. PLoS Medicine. Advance online publication.
51. Ong, A. D., Fuller-Rowell, T., & Burrow, A. L. (2009). Racial discrimination and the stress process. Journal of Personality and Social Psychology, 96, 1259-1271. http://dx.doi.org/10.1037/a0015335
52. Pachankis, J. E. (2007). The psychological implications of concealing a stigma: A cognitive-affective-behavioral model. Psychological Bulletin, 133, 328-345. http://dx.doi.org/10.1037/0033-2909.133.2.328
53. Pascoe, E. A., & Smart Richman, L. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135, 531-554. http://dx.doi.org/10.1037/a0016059
54. Paul, J. P., Catania, J., Pollack, L., Moskowitz, J., Canchola, J., Mills, T., . . . Stall, R. (2002). Suicide attempts among gay and bisexual men: Lifetime prevalence and antecedents. American Journal of Public Health, 92, 1338-1345. http://dx.doi.org/10.2105/AJPH.92.8.1338
55. Pavot, L., & Diener, E. (1993). Review of the satisfaction with life scale. Psychological Assessment, 5, 164-172. http://dx.doi.org/10.1037/1040- 3590.5.2.164
56. Phillips, M. R., Yang, G., Zhang, Y., Wang, L., Ji, H., & Zhou, M. (2002). Risk factors for suicide in China: A national case-control psychological autopsy study. The Lancet, 360, 1728-1736. http://dx.doi.org/10.1016/ S0140-6736(02)11681-3
57. Pokorny, A. D. (1983). Prediction of suicide in psychiatric patients. Report of a prospective study. Archives of General Psychiatry, 40, 249-257. http://dx.doi.org/10.1001/archpsyc.1983.01790030019002
58. Polanco-Roman, L., & Miranda, R. (2013). Culturally related stress, hopelessness, and vulnerability to depressive symptoms and suicidal ideation in emerging adulthood. Behavior Therapy, 44, 75-87. http://dx.doi.org/ 10.1016/j.beth.2012.07.002
59. Ryan, C., Huebner, D., Diaz, R. M., & Sanchez, J. (2009). Family rejection as a predictor of negative health outcomes in White and Latino lesbian, gay, and bisexual young adults. Pediatrics, 123, 346-352. http://dx.doi .org/10.1542/peds.2007-3524
60. Schraufnagel, T. J., Wagner, A. W., Miranda, J., & Roy-Byrne, P. P. (2006). Treating minority patients with depression and anxiety: What does the evidence tell us? General Hospital Psychiatry, 28, 27-36. http://dx.doi.org/10.1016/j.genhosppsych.2005.07.002
61. Sellers, R. M., Copeland-Linder, N., Martin, P. P., & L'Heureux Lewis, R. (2006). Racial identity matters: The relationship between racial discrimination and psychological functioning in African American Adolescents. Journal of Research on Adolescence, 16, 187-216. http://dx.doi.org/10 .1111/j.1532-7795.2006.00128.x
62. Silenzio, V. M. B., Pena, J. B., Duberstein, P. R., Cerel, J., & Knox, K. L. (2007). Sexual orientation and risk factors for suicidal ideation and suicide attempts among adolescents and young adults. American Journal of Public Health, 97, 2017-2019. http://dx.doi.org/10.2105/AJPH.2006 .095943
63. Szymanski, D. M. (2006). Does internalized heterosexism moderate the link between heterosexist events and lesbians' psychological distress? Sex Roles, 54, 227-234. http://dx.doi.org/10.1007/s11199-006-9340-4
64. Szymanski, D. M., & Chung, Y. B. (2001). The Lesbian Internalized Homophobia Scale: A rational/theoretical approach. Journal of Homosexuality, 41, 37-52. http://dx.doi.org/10.1300/J082v41n02_03
65. Szymanski, D. M., Chung, Y. B., & Balsam, K. F. (2001). Psychosocial correlates of internalized homophobia in lesbians. Measurement & Evaluation in Counseling & Development, 34, 27-38.
66. Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Needham Heights, MA: Allyn & Bacon.
67. Williams, C. L., & Berry, J. W. (1991). Primary prevention of acculturative stress among refugees. Application of psychological theory and practice. American Psychologist, 46, 632-641. http://dx.doi.org/10.1037/0003- 066X.46.6.632
68. Williams, D. R., González, H. M., Neighbors, H., Nesse, R., Abelson, J. M., Sweetman, J., & Jackson, J. S. (2007). Prevalence and distribution of major depressive disorder in African Americans, Caribbean blacks, and non-Hispanic whites: Results from the National Survey of American Life. Archives of General Psychiatry, 64, 305-315. http://dx.doi.org/10 .1001/archpsyc.64.3.305
69. Wilson, P. A., & Yoshikawa, H. (2004). Experiences of and responses to social discrimination among Asian and Pacific Islander gay men: Their relationship to HIV risk. AIDS Education and Prevention, 16, 68-83. http://dx.doi.org/10.1521/aeap.16.1.68.27724
70. Yu, C. Y. (2002). Evaluating cutoff criteria of model fit indices for latent variable models with binary and continuous outcomes. Doctoral dissertation, University of California, Los Angeles.