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

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Title: Adult stakeholders' perspectives on supporting or undermining the mental health of sexual and gender minoritised adolescents.
Authors: Samra, Rajvinder, Lucassen, Mathijs F. G., Núñez‐García, Alicia, Brown, Katherine E., Rimes, Katharine A., Wallace, Louise M.
Source: Psychology & Psychotherapy: Theory, Research & Practice. Jun2025, Vol. 98 Issue 2, p256-274. 19p.
Subjects: Mental health, Qualitative research, Interprofessional relations, Medical personnel, Group identity, Patient safety, Human sexuality, Interviewing, Social context, Attitude (Psychology), Personality, Research methodology, Conceptual structures, Stakeholder analysis, Sexual minorities, Social support, Psychology of parents, Psychosocial factors, Well-being, Adults
Geographic Terms: United Kingdom
Abstract: Objectives: To 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. Design: Descriptive qualitative study design, using framework analysis. Methods: Semi‐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. Results: Nine 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'. Conclusions: Adult 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. [ABSTRACT FROM AUTHOR]
Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Adult stakeholders' perspectives on supporting or undermining the mental health of sexual and gender minoritised adolescents.
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  Data: <searchLink fieldCode="AR" term="%22Samra%2C+Rajvinder%22">Samra, Rajvinder</searchLink><br /><searchLink fieldCode="AR" term="%22Lucassen%2C+Mathijs+F%2E+G%2E%22">Lucassen, Mathijs F. G.</searchLink><br /><searchLink fieldCode="AR" term="%22Núñez‐García%2C+Alicia%22">Núñez‐García, Alicia</searchLink><br /><searchLink fieldCode="AR" term="%22Brown%2C+Katherine+E%2E%22">Brown, Katherine E.</searchLink><br /><searchLink fieldCode="AR" term="%22Rimes%2C+Katharine+A%2E%22">Rimes, Katharine A.</searchLink><br /><searchLink fieldCode="AR" term="%22Wallace%2C+Louise+M%2E%22">Wallace, Louise M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Psychology+%26+Psychotherapy%3A+Theory%2C+Research+%26+Practice%22">Psychology & Psychotherapy: Theory, Research & Practice</searchLink>. Jun2025, Vol. 98 Issue 2, p256-274. 19p.
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  Data: <searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel%22">Medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Group+identity%22">Group identity</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+safety%22">Patient safety</searchLink><br /><searchLink fieldCode="DE" term="%22Human+sexuality%22">Human sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Social+context%22">Social context</searchLink><br /><searchLink fieldCode="DE" term="%22Attitude+%28Psychology%29%22">Attitude (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Personality%22">Personality</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Stakeholder+analysis%22">Stakeholder analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Sexual+minorities%22">Sexual minorities</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+parents%22">Psychology of parents</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Well-being%22">Well-being</searchLink><br /><searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: To 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. Design: Descriptive qualitative study design, using framework analysis. Methods: Semi‐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. Results: Nine 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'. Conclusions: Adult 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychology & Psychotherapy: Theory, Research & Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1111/papt.12548
    Languages:
      – Code: eng
        Text: English
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        PageCount: 19
        StartPage: 256
    Subjects:
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Interprofessional relations
        Type: general
      – SubjectFull: Medical personnel
        Type: general
      – SubjectFull: Group identity
        Type: general
      – SubjectFull: Patient safety
        Type: general
      – SubjectFull: Human sexuality
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      – SubjectFull: Interviewing
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      – SubjectFull: Social context
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      – SubjectFull: Attitude (Psychology)
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      – SubjectFull: Conceptual structures
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      – SubjectFull: Stakeholder analysis
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      – SubjectFull: Sexual minorities
        Type: general
      – SubjectFull: Social support
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      – SubjectFull: Psychology of parents
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      – SubjectFull: United Kingdom
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      – TitleFull: Adult stakeholders' perspectives on supporting or undermining the mental health of sexual and gender minoritised adolescents.
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              Text: Jun2025
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              Y: 2025
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