Evidence map›Paper›PMID 39367674›Full record

ArticlePsychology and psychotherapy2025

Adult stakeholders' perspectives on supporting or undermining the mental health of sexual and gender minoritised adolescents.

Rajvinder Samra, Mathijs F G Lucassen, Alicia Núñez-García, Katherine E Brown, Katharine A Rimes, Louise M Wallace

Abstract read
In one paragraph

Article in Psychology and psychotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

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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

3 citing papers in PubMed.

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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

6 authors.

Rajvinder SamraDepartment of Health and Social Care, School of Health, Wellbeing and Social Care, The Open University, Milton Keynes, UK.ORCID 0000-0002-5255-4238
Mathijs F G LucassenDepartment of Nursing, School of Health and Psychological Sciences, City St George's, University of London, London, UK.ORCID 0000-0001-6958-3468
Alicia Núñez-GarcíaDepartment of Health and Social Care, School of Health, Wellbeing and Social Care, The Open University, Milton Keynes, UK.
Katherine E BrownPublic Health and Applied Behaviour Change Laboratory (PHAB Lab), School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK.ORCID 0000-0003-2472-5754
Katharine A RimesDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0003-2634-455X
Louise M WallaceDepartment of Health and Social Care, School of Health, Wellbeing and Social Care, The Open University, Milton Keynes, UK.ORCID 0000-0003-3770-0580

Funding

Medical Research Council (UK) MR/V031449/1
6 · The paper itself

Abstract

objectivesTo explore adult stakeholders' perspectives on what supports or undermines the mental health of sexual and gender minoritised adolescents (SGMA) in everyday life in order to better understand how to foster supportive psychosocial environments for SGMA.

designDescriptive qualitative study design, using framework analysis.

methodsSemi-structured interviews were conducted remotely with 16 UK-based adult stakeholders which included parents of SGMA, health and social care professionals, community-based professionals, and professionals who commission services related to adolescent health and well-being.

resultsNine themes were identified that represented barriers and enablers of fostering psychosocial environments that are supportive of SGMA mental health. Example barrier themes include SGMA 'facing chronic and acute safety threats and stress', 'psychological responses to social connection losses and navigating alienation', 'digital exposure and online risk and vulnerability' and 'conflicting messages, resulting divisions and adult distancing'. Example enablers include 'exploring, owning, and changing (personal) identities', 'advocating alongside adolescents whilst containing oneself as the adult in the situation' and 'personally fostering adolescents' psychological safety and inclusion'.

conclusionsAdult stakeholders report that SGMA are often exposed to environments hostile to key aspects of their identity which then by extension undermines their mental health. These experiences can threaten their sense of safety and evolving identity. Practitioners in particular should be aware of the stressors relating to SGMA identity and minoritisation experiences in order to develop the psychological safety and sense of inclusion needed for SGMA to trust in the relationship and the support offered.

Indexed as

Mental HealthSexual and Gender MinoritiesSocial SupportStakeholder ParticipationAdolescentAdultFemaleHumansMaleQualitative ResearchUnited KingdomYoung Adultadolescentsadult perspectivesgendergender minorityLGBTQ+mental well‐beingsexualitysexual minoritysupport

Identifiers

PMID39367674
PMCPMC12065056

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