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Predicting self-harm in an ethnically diverse sample of lesbian, gay and bisexual people in the United Kingdom
BACKGROUND: Poor mental health is prevalent in lesbian, gay and bisexual (LGB) people due in part to social stigma. The social, psychological and clinical risk factors for self-harm among LGB people are unclear, which limits our ability to predict when and how this will occur and, crucially, how to...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488821/ https://www.ncbi.nlm.nih.gov/pubmed/32122180 http://dx.doi.org/10.1177/0020764020908889 |
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author | Rehman, Zaqia Lopes, Barbara Jaspal, Rusi |
author_facet | Rehman, Zaqia Lopes, Barbara Jaspal, Rusi |
author_sort | Rehman, Zaqia |
collection | PubMed |
description | BACKGROUND: Poor mental health is prevalent in lesbian, gay and bisexual (LGB) people due in part to social stigma. The social, psychological and clinical risk factors for self-harm among LGB people are unclear, which limits our ability to predict when and how this will occur and, crucially, how to prevent it. AIMS: Drawing on the cognitive-behavioral approach in clinical psychology, this study identifies the predictors of self-harm in LGB people in the United Kingdom. RESULTS: Women, lesbians, those with lower income and younger people were more likely to engage in self-harm. Self-harmers exhibited much more discrimination, LGB victimization and, thus, internalized homophobia and depressive symptomatology than non-self-harmers. The structural equation model showed direct effects of age and gender, and indirect effects of income and sexual orientation, on self-harm, through the mediating variables of discrimination, LGB victimization and internalized homophobia. CONCLUSIONS: Consistent with the cognitive-behavioral model, the results indicate that exposure to situational stressors can increase the risk of developing a self-hatred and depressive psychological self-schema, resulting in greater risk of self-harm as a maladaptive coping strategy. An integrative clinical intervention for enhancing psychological wellbeing in LGB people is proposed to mitigate the risk of self-harm in this population. |
format | Online Article Text |
id | pubmed-7488821 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-74888212020-09-24 Predicting self-harm in an ethnically diverse sample of lesbian, gay and bisexual people in the United Kingdom Rehman, Zaqia Lopes, Barbara Jaspal, Rusi Int J Soc Psychiatry Original Articles BACKGROUND: Poor mental health is prevalent in lesbian, gay and bisexual (LGB) people due in part to social stigma. The social, psychological and clinical risk factors for self-harm among LGB people are unclear, which limits our ability to predict when and how this will occur and, crucially, how to prevent it. AIMS: Drawing on the cognitive-behavioral approach in clinical psychology, this study identifies the predictors of self-harm in LGB people in the United Kingdom. RESULTS: Women, lesbians, those with lower income and younger people were more likely to engage in self-harm. Self-harmers exhibited much more discrimination, LGB victimization and, thus, internalized homophobia and depressive symptomatology than non-self-harmers. The structural equation model showed direct effects of age and gender, and indirect effects of income and sexual orientation, on self-harm, through the mediating variables of discrimination, LGB victimization and internalized homophobia. CONCLUSIONS: Consistent with the cognitive-behavioral model, the results indicate that exposure to situational stressors can increase the risk of developing a self-hatred and depressive psychological self-schema, resulting in greater risk of self-harm as a maladaptive coping strategy. An integrative clinical intervention for enhancing psychological wellbeing in LGB people is proposed to mitigate the risk of self-harm in this population. SAGE Publications 2020-03-03 2020-06 /pmc/articles/PMC7488821/ /pubmed/32122180 http://dx.doi.org/10.1177/0020764020908889 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Articles Rehman, Zaqia Lopes, Barbara Jaspal, Rusi Predicting self-harm in an ethnically diverse sample of lesbian, gay and bisexual people in the United Kingdom |
title | Predicting self-harm in an ethnically diverse sample of lesbian, gay and bisexual people in the United Kingdom |
title_full | Predicting self-harm in an ethnically diverse sample of lesbian, gay and bisexual people in the United Kingdom |
title_fullStr | Predicting self-harm in an ethnically diverse sample of lesbian, gay and bisexual people in the United Kingdom |
title_full_unstemmed | Predicting self-harm in an ethnically diverse sample of lesbian, gay and bisexual people in the United Kingdom |
title_short | Predicting self-harm in an ethnically diverse sample of lesbian, gay and bisexual people in the United Kingdom |
title_sort | predicting self-harm in an ethnically diverse sample of lesbian, gay and bisexual people in the united kingdom |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488821/ https://www.ncbi.nlm.nih.gov/pubmed/32122180 http://dx.doi.org/10.1177/0020764020908889 |
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