ArticlePsychology and psychotherapy2020
Sexual minority status and symptoms of psychosis: The role of bullying, discrimination, social support, and drug use - Findings from the Adult Psychiatric Morbidity Survey 2007.
Article in Psychology and psychotherapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 21 citations in OpenAlex.
- Paranoid Ideation in Gay Men: The Roles of Psychological Emptiness, Identity Loss, Loneliness, and Identity Resilience.Healthcare (Basel, Switzerland) · 2026Article
- Examining Psychosis Risk in Sexual Minority Youth: Increased Exposure to and Differential Impact of the Social Envirome in Early Adolescence.Schizophrenia bulletin · 2026Article
- An identity-based cognitive model of self-schemata, perceived social support and paranoid ideation: data from lesbian, gay and bisexual individuals.Cogent mental health · 2026Article
- Substance Use, Suicidal Behavior, and Other Mental Health Outcomes Among Youth With Intersectional Sexual and Gender Diverse Identities.JAACAP open · 2025Article
- Article
- The association between sexual orientation and psychotic like experiences during adolescence: a prospective cohort study.Social psychiatry and psychiatric epidemiology · 2024Article
- Sexual and Reproductive Health in Adolescents and Young Adults With Psychotic Disorders: A Scoping Review.Schizophrenia bulletin · 2023Article
- Being more satisfied with romantic relationship status is associated with increased mental wellbeing in people with experience of psychosis.Frontiers in psychiatry · 2023Article
- Sexual orientation and psychotic-like experiences among Chinese college students: the role of gender.Frontiers in psychiatry · 2023Article
- The victim-bully cycle of sexual minority school adolescents in China: prevalence and the association of mood problems and coping strategies.Epidemiology and psychiatric sciences · 2020Article
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5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveSexual minorities have an increased risk of psychosis, potentially explained by experiences of social adversity. Sexual minorities may also have a specific risk of paranoid symptoms. The current study aimed to determine whether sexual minorities have increased risk of psychosis, whether they have a specific increased risk of paranoia when compared to auditory verbal hallucinations (AVHs), and whether social adversity such as bullying, recent discrimination, lack of social support, and drug use can explain this risk.
methodsThe study used data from the Adult Psychiatric Morbidity Survey 2007 (n = 7,403), exploring both sexual identity and past sexual behaviour. Associations between sexual minority status and probable psychosis, paranoia, and AVH were analysed using logistic regression. Mediation analysis was also conducted using the Karlson-Holm-Breen method, with bullying, recent discrimination, social support, and drug use as mediators assessing pathways between sexual minority status and paranoia/AVH. Socio-demographic confounders were included in analyses.
resultsSexual minority status did not significantly predict probable psychosis. Findings generally indicated a specific association between sexual minority status and paranoia when contrasted with AVH. However, sexual behaviour remained significantly associated with AVH in logistic regression models. Bullying, lack of social support, and drug use partially mediated the association between sexual minority status and paranoia.
conclusionsSexual minority status appears to have a specific association with paranoia symptoms, which may be partially explained by experiences of social adversity. However, the cross-sectional nature of the study limits direct inference about causality of such symptoms. PRACTITIONER POINTS: Sexual minority groups may be more likely to experience symptoms of paranoia. It may be important to consider experiences of social adversity such as bullying, lack of social support, and also history of drug use in the context of paranoia within these groups.
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