The health and well-being of LGBTQ serving and ex-serving personnel: a narrative review.

The relaxation of discriminatory policies against lesbian, gay, bisexual, transgender, and queer (LGBTQ) service personnel has led to increased diversity among military populations. Given this increase, it is important to assess sexual and gender minority groups' health and well-being in the context of military service. This narrative review assessed these outcomes in LGBTQ military personnel. The electronic databases OVID Medline, PsycInfo, and Embase were searched for papers published between January 2000 and July 2018. Thirty papers were included. In line with life course model, studies aligned with four themes: (1) mental health and well-being; (2) stigma and healthcare utilization; (3) sexual trauma; and (4) physical health. These themes highlighted that LGBTQ military personnel and veterans have poorer mental health and well-being; report more stigma and barriers to mental healthcare, which reduces uptake of accessed healthcare services; experience more sexual trauma; and have poorer physical health than heterosexual military personnel and veterans. However, there are substantial gaps in the current evidence for this population. Future research should aim to address limitations of the literature, and to ensure that data on LGBTQ personnel and veterans is collected as standard.

Childhood sexual abuse and current suicidal ideation among adolescents: Problem-focused and emotion-focused coping skills.

INTRODUCTION: The present study aims to investigate whether problem-focused and emotion-focused coping skills were associated with suicidal ideation. In addition, we examined whether childhood maltreatment (i.e. physical, psychological, sexual abuse, and neglect) is a risk factor for later-on suicidal ideation. METHODS: Youths aged 16 or 18 (n = 307, 56% females) from San Diego and Seattle at Wave 6 and Wave 7 of the LONGSCAN were included in the study. We used hierarchical logistic regression. RESULTS & CONCLUSIONS: 17.6% reported suicidal ideation. Those who reported better emotion-focused coping were .80 times less likely to report suicidal ideation. However, even after controlling for coping skills, adolescents with sexually abuse histories were 3.08 times more likely to report suicidal ideation. Our findings suggest implications for early intervention efforts. Building youth assets through promotion of positive youth development may serve as a driving force to reduce negative outcomes in youth who have experienced sexual abuse.