Perceived Barriers to Mental Health Services Among Canadian Sexual and Gender Minorities with Depression and at Risk of Suicide.

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Abstract

This study examines barriers to mental health services among sexual and gender minorities (SGM) who screened positive for depression and risk of suicide. Data from an online survey of SGM (N = 2778) are analyzed. 37.5% met criteria for depression and 73.6% screened for being at risk of suicide. The most frequently cited barriers to mental health services access were inability to pay (62.3%), insufficient insurance (52.2%), a preference for 'waiting' for the problems to go away (51.5%), discomfort discussing emotions (45.7%), and feeling embarrassed and ashamed about mental health challenges (42.5%). Policy and practices implications of these findings are discussed.

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Author and article information

Journal

Journal ID (iso-abbrev): Community Ment Health J

Title: Community mental health journal

Publisher: Springer Science and Business Media LLC

ISSN (Electronic): 1573-2789

ISSN (Print): 0010-3853

Publication date (Electronic): November 2019

Volume: 55

Issue: 8

Affiliations

[1 ] Department of Social and Preventative Medicine, School of Public Health, University of Montreal, CP 6128, succursale Centre-Ville, Montreal, QC, H3C 3J7, Canada. olivier.ferlatte@umontreal.ca.

[2 ] British Columbia Centre for Disease Control, Vancouver, Canada.

[3 ] School of Population and Public Health, University of British Columbia, Vancouver, Canada.

[4 ] Orygen, The National Centre of Excellence in Youth Mental Health, Parkville, Australia.

[5 ] Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.

[6 ] School of Nursing, University of British Columbia, Vancouver, Canada.

[7 ] Department of Medicine, University of British Columbia, Vancouver, Canada.

[8 ] British Columbia Centre on Susbtance Use, Vancouver, Canada.

[9 ] Department of Psychiatry, University of British Columbia, Vancouver, Canada.

Article

Publisher Item ID: 10.1007/s10597-019-00445-1

DOI: 10.1007/s10597-019-00445-1

PubMed ID: 31327106

SO-VID: c941c740-2dbf-49cc-82cc-4da3d1349e5b

Keywords: Depression,LGBTQ,Mental health,Sexual and gender minorities,Suicide

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Keywords: Depression, LGBTQ, Mental health, Sexual and gender minorities, Suicide

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