Evidence map›Paper›PMID 39141104›Full record

SynthesisEuropean child & adolescent psychiatry2025

Prevalence, severity and risk factors for mental disorders among sexual and gender minority young people: a systematic review of systematic reviews and meta-analyses.

Jonathan O'Shea, Rebecca Jenkins, Dasha Nicholls, James Downs, Lee D Hudson

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Mental health disparities in LGBTQIA+ populations: an umbrella review of systematic reviews and meta-analyses.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
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  13. [Sex/Gender in psychotherapy].Der Nervenarzt · 2026
    Review
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  16. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jonathan O'SheaPopulation, Policy and Practice Department, Great Ormond Street UCL Institute of Child Health, London, UK. jonathan.o'shea.18@ucl.ac.uk.
Rebecca JenkinsHull York Medical School, University of York, University Road, Heslington, York, UK.
Dasha NichollsDivision of Psychiatry, Department of Brain Sciences, Imperial College London, London, UK.
James DownsIndependent Researcher and Expert by Experience, Cardiff, UK.
Lee D HudsonPopulation, Policy and Practice Department, Great Ormond Street UCL Institute of Child Health, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence suggests heightened prevalence and severity of mental disorders among sexual minority (SM) and gender minority (GM) young people. Several risk factors have been associated with these disparities. A systematic review of systematic reviews and meta-analysis was conducted to provide a comprehensive overview of the literature and to determine the field's current position. MEDLINE, PsycInfo, Scopus and Web of Science were searched in March 2022 and updated January 2024. Eligibility criteria were systematic reviews or meta-analyses assessing contemporaneous prevalence, severity and/or risk factors of mental disorders among SM or GM young people aged 25 and under. 42 reviews were included, all of which were low quality. The prevalence of depression among SM was 26% (95% CI 21-32%), and among GM was 46% (95% CI 36-56%). Greater depression severity was found among SM compared to heterosexual young people, with a significant albeit small effect size (Hedges' g = 0.38, 95% CI = 0.25 to 0.50); effect sizes were similar when separating by gender. GM also reported greater symptom severity compared to cisgender young people. Other mental disorders were more prevalent compared to those reported in the general population, and of greater severity compared to heterosexual/cisgender young people. Several proximal and distal risk factors were focused upon within the systematic reviews identified. Past systematic reviews consistently indicate a heightened risk of mental disorders among SM and GM young people. Services need to be aware of these disparities and adapt their care accordingly.

Indexed as

Mental DisordersSexual and Gender MinoritiesAdolescentFemaleHumansMalePrevalenceRisk FactorsSeverity of Illness IndexYoung AdultAdolescentBisexualChildDepressionGayLesbianLGBTQ+Mental disorderTransgenderYoung adult

Identifiers

PMID39141104
PMCPMC11909030

What OpenQuestion holds

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Registered trials

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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.