Evidence map›Paper›PMID 31427462›Full record

SynthesisPediatrics2019

Mental Health, Drug, and Violence Interventions for Sexual/Gender Minorities: A Systematic Review.

Robert W S Coulter, James E Egan, Suzanne Kinsky, M Reuel Friedman, Kristen L Eckstrand, Jessica Frankeberger, Barbara L Folb, Christina Mair, Nina Markovic, Anthony Silvestre and 2 more

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
15.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  6. Article
  7. Article
  8. Article
  9. Lived Experiences of Transgender Inmates in Barcelona Prisons: An Interpretative Phenomenological Study.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025
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  10. Article
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  16. Review
  17. The social determinants of mental health and disorder: evidence, prevention and recommendations.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024
    Article
  18. Article
  19. A Case-Based, Longitudinal Curriculum in Pediatric Behavioral and Mental Health.MedEdPORTAL : the journal of teaching and learning resources · 2024
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Robert W S CoulterDepartments of Behavioral and Community Health Sciences and.
James E EganDepartments of Behavioral and Community Health Sciences and.
Suzanne KinskyDepartments of Behavioral and Community Health Sciences and.
M Reuel FriedmanCenter for LGBT Health Research, Graduate School of Public Health, and.
Kristen L EckstrandDepartment of Psychiatry University of Pittsburgh, Pittsburgh, Pennsylvania.
Jessica FrankebergerDepartments of Behavioral and Community Health Sciences and.
Barbara L FolbDepartments of Behavioral and Community Health Sciences and.
Christina MairDepartments of Behavioral and Community Health Sciences and.
Nina MarkovicCenter for LGBT Health Research, Graduate School of Public Health, and.
Anthony SilvestreCenter for LGBT Health Research, Graduate School of Public Health, and.
Ron StallDepartments of Behavioral and Community Health Sciences and.
Elizabeth MillerDepartments of Behavioral and Community Health Sciences and.
University of Pittsburgh · USChildren's Hospital of Pittsburgh · USUniversity of Dental Medicine · MMUPMC Center for High Value Health Care · US

Funding

NRSA Training CoreTL1TR001858 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RADOMSKI, THOMAS, RUBIO, DORIS M · 2016 to 2025
$11.1M
Tailoring Clinical Interventions for Adolescent Relationship AbuseK24HD075862 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MILLER, ELIZABETH · 2014 to 2018
$872k
Developing and Piloting a School Staff-Based Intervention to Reduce Alcohol and Drug Use Among Sexual Minority YouthK01AA027564 · NIAAA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI COULTER, ROBERT W.S. · 2019 to 2023
$744k
Tobacco and Alcohol Use Trajectories in Sexual-Minority Emerging AdultsF31DA037647 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI COULTER, ROBERT W.S. · 2014 to 2016
$129k
NCATS NIH HHS TL1 TR001858NIAAA NIH HHS K01 AA027564NICHD NIH HHS K24 HD075862NIDA NIH HHS F31 DA037647NIMHD NIH HHS L60 MD013160
6 · The paper itself

Abstract

contextCompared with cisgender (nontransgender), heterosexual youth, sexual and gender minority youth (SGMY) experience great inequities in substance use, mental health problems, and violence victimization, thereby making them a priority population for interventions.

objectiveTo systematically review interventions and their effectiveness in preventing or reducing substance use, mental health problems, and violence victimization among SGMY. DATA SOURCES: PubMed, PsycINFO, and Education Resources Information Center. STUDY SELECTION: Selected studies were published from January 2000 to 2019, included randomized and nonrandomized designs with pretest and posttest data, and assessed substance use, mental health problems, or violence victimization outcomes among SGMY. DATA EXTRACTION: Data extracted were intervention descriptions, sample details, measurements, results, and methodologic rigor.

resultsWith this review, we identified 9 interventions for mental health, 2 for substance use, and 1 for violence victimization. One SGMY-inclusive intervention examined coordinated mental health services. Five sexual minority-specific interventions included multiple state-level policy interventions, a therapist-administered family-based intervention, a computer-based intervention, and an online intervention. Three gender minority-specific interventions included transition-related gender-affirming care interventions. All interventions improved mental health outcomes, 2 reduced substance use, and 1 reduced bullying victimization. One study had strong methodologic quality, but the remaining studies' results must be interpreted cautiously because of suboptimal methodologic quality. LIMITATIONS: There exists a small collection of diverse interventions for reducing substance use, mental health problems, and violence victimization among SGMY.

conclusionsThe dearth of interventions identified in this review is likely insufficient to mitigate the substantial inequities in substance use, mental health problems, and violence among SGMY.

Indexed as

Crime VictimsHealthcare DisparitiesHealth PolicyHumansMental DisordersMental Health ServicesSexual and Gender MinoritiesSubstance-Related DisordersUnited StatesViolence

Identifiers

PMID31427462
PMCPMC6855817
OpenAlexW2969533968

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.