Prevalence and Factors Predicting Depression among LGBTQ+ Adolescents in Southern Thailand: A Cross-Sectional Study.

Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, and other (LGBTQ+) adolescents face a higher risk of depression than their heterosexual and cisgender peers, necessitating targeted mental health interventions. This study examined the prevalence of depression and its associated factors among L...

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Publicado en:Pacific Rim International Journal of Nursing Research Vol. 29; no. 3; pp. 493 - 510
Autores principales: Saithanwanitkul, Montha, Pensuksan, Wipawan Chaoum, Aekwarangkoon, Saifon
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Thailand Nursing & Midwifery Council Jul-Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul-Sep2025
      vid: 29
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      pub: Thailand Nursing & Midwifery Council
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        10.60099/prijnr.2025.273147
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        atl: Prevalence and Factors Predicting Depression among LGBTQ+ Adolescents in Southern Thailand: A Cross-Sectional Study.
      aug:
        au:
          Saithanwanitkul, Montha
          Pensuksan, Wipawan Chaoum
          Aekwarangkoon, Saifon
        affil: Assistant Professor, Division of Psychiatric and Mental Health Nursing, Faculty of Nursing, Suratthani Rajabhat University, 84100 Thailand
      sug:
        subj:
          Depression Epidemiology
          Depression Risk Factors
          LGBTQ+ Persons In Adolescence
          Adolescent Behavior
          Sexual and Gender Minorities
          Self Concept
          Mental Health
          Healthcare Disparities
          Population
          Human
          Thailand
          Cross Sectional Studies
          Family Relations
          Bullying
          Mental Health Services
          Prevalence
          Male
          Female
          Adolescence
          Transgender Persons
          Heterosexuality
          Gender Identity
          Family Support
          Hardiness
          Logistic Regression
          Descriptive Statistics
          Comparative Studies
          Descriptive Research
          Spearman's Rank Correlation Coefficient
          Data Analysis Software
          Questionnaires
          Coefficient alpha
          Rosenberg Self Esteem Scale
          Content Validity
          Queer Persons
          Stratified Random Sample
          Randomized Controlled Trials
          Random Assignment
          Adolescent: 13-18 years
          Male
          Female
      ab: Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, and other (LGBTQ+) adolescents face a higher risk of depression than their heterosexual and cisgender peers, necessitating targeted mental health interventions. This study examined the prevalence of depression and its associated factors among LGBTQ+ adolescents in Southern Thailand, using the Minority Stress Model as a framework to explain how chronic stressors contribute to mental health disparities in this population. Specifically, it explored the association of distal stressors, such as bullying, discrimination, and family relationships, as well as proximal stressors including self-esteem and gender identity confidence, with depression. A cross-sectional study was conducted among 958 adolescents aged 13-18 who openly identified as LGBTQ+. Participants were recruited from four secondary schools through stratified random sampling from the Secondary Educational Service Area Office 11. Data were collected using the Patient Health Questionnaire for Adolescents, the Rosenberg's Self-Esteem Scale, the Experience of Discrimination Scale, and the Revised Olweus Bully/Victim Questionnaire. Analyses included descriptive statistics, Spearman's rank correlation test, and ordinal logistic regression. Results showed that 84.8% of participants experienced depressive symptoms ranging from mild to severe. Low self-esteem emerged as a significant risk factor, while supportive family relationships served as a protective factor. These findings underscore the high prevalence of depression in this population and the need to strengthen self-esteem, promote family acceptance, and implement inclusive school and community policies. Culturally sensitive, trauma-informed nursing interventions can reduce mental health disparities and promote resilience among LGBTQ+ adolescents in Thailand and similar contexts by fostering self-esteem, strengthening family support, and promoting inclusivity.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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