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Psychosocial Risk and Protective Factors for Depression Among Lesbian, Gay, Bisexual, and Queer Youth: A Systematic Review
Open accessAbstract
Many lesbian, gay, bisexual, or queer (LGBQ) youth suffer from depression. Identifying modifiable risk and protective factors for depression can inform the development of psychosocial interventions. The aim of this review is to evaluate the methodological characteristics and summarize the substantive findings of studies examining psychosocial risk and protective factors for depression among LGBQ youth. Eight bibliographic databases were searched, and 35 studies that met all inclusion criteria were included for review. Results show that prominent risk factors for depression include internalized LGBQ-related oppression, stress from hiding and managing a socially stigmatized identity, maladaptive coping, parental rejection, abuse and other traumatic events, negative interpersonal interactions, negative religious experiences, school bullying victimization, and violence victimization in community settings. Prominent protective factors include a positive LGBQ identity, self-esteem, social support from friends, and family support. LGBQ youth may face an array of threats to their mental health originating from multiple socioecological levels.
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“BOWS primarily focuses on internalized oppression as the intervention target, which research shows significantly contributes to depression in LGBTQ people [25,27,41,42].”
From Findings from a feasibility study of an adapted cognitive behavioral therapy group intervention to reduce depression among lgbtq (Lesbian, gay, bisexual, transgender, or queer) young people (2019) · cites this paper as [41]
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“A significant body of evidence has linked LGBTQ-specific internalized oppression and the outcome of depression [25,27,41,42], making it an appropriate target for intervention.”
From Findings from a feasibility study of an adapted cognitive behavioral therapy group intervention to reduce depression among lgbtq (Lesbian, gay, bisexual, transgender, or queer) young people (2019) · cites this paper as [41]
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Zullo, L., Rogers, M. L., & Taliaferro, L. A. (2023) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197611272.013.33 · Cited by 1
Putting Risk Factors in Context: an Anti-Oppression Approach
Gilbert, C., & Millyard, A. (2021) · CAND Journal · doi:10.54434/candj.17
Metadata
- Authors
- Hall, W. J.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Hall, William J.
- ORCID
- Hall, William J.
- Venue
- Journal of Homosexuality
- Publisher
- Informa UK Limited
- Published
- 2017-05-23
- Volume
- 65
- Issue
- 3
- Pages
- 263-316
- ISSN
- 0091-8369 (ISSN-L)
- 1540-3602
- PMC
- PMC5634914
- OpenAlex
- W2605795426
- Cited by
- 238
- References
- 157
- Citations by year
- 2026: 22 · 2025: 36 · 2024: 29 · 2023: 34 · 2022: 34 · 2021: 35 · 2020: 23 · 2019: 10 · 2018: 13 · 2017: 2
- FWCI
- 2.07
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Homosexuality (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (T32 MH019117)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Keywords
- depression, LGBQ youth, psychosocial risk factors, protective factors, internalized oppression, identity concealment, social stigma, maladaptive coping, parental rejection, school bullying, violent victimization, self-esteem, social support, family support, mental health
- MeSH terms
- Sexual and Gender Minorities, Adolescent, Depression, Female, Humans, Interpersonal Relations, Male, Social Identification, Stress, Psychological
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