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Administrators' Perceptions of Family-Based Treatment Needs, Barriers, and Facilitators for LGBTQ+ Youth With Suicidal Ideation and Behavior.

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Title: Administrators' Perceptions of Family-Based Treatment Needs, Barriers, and Facilitators for LGBTQ+ Youth With Suicidal Ideation and Behavior.
Authors: Winter, Samuel L. (AUTHOR), Russon, Jody M. (AUTHOR), Craig, Abigail (AUTHOR)
Source: Contemporary Family Therapy: An International Journal. Dec2025, Vol. 47 Issue 4, p477-491. 15p.
Subjects: Family psychotherapy, Health services accessibility, Executives, Suicidal ideation, Qualitative research, Research funding, LGBTQ+ people, Interviewing, Descriptive statistics, Suicidal behavior, Thematic analysis, Research methodology, Medical needs assessment, Data analysis software
Abstract: LGBTQ+ youth are at disproportionate risk for suicidal ideation and behavior (SIB). Family relationships within this population act as both a risk and protector factor for SIB, yet family-based treatments are rarely utilized at LGBTQ+ community centers. Prior research has explored the perceptions of LGBTQ+ youth, caregivers, and treatment providers on the use of family based treatment. Notably, no research has explored perceptions of another key stakeholder group: administrators. The present study used semi-structured interviews with administrators (N = 10) supporting LGBTQ+ community centers regarding implementation of family-based services for LGBTQ+ youth with SIB. Semi-structured interviews explored (1) the needs of LGBTQ+ youth, (2) where a program that includes family-based interventions should be housed, and (3) how a program could be sustained. Interviews were transcribed and analyzed using thematic analysis. Results include nine needs, nine barriers, and 12 facilitators of family-based services for LGBTQ+ youth with SIB. Administrators generally found family-based services to be important, beneficial, and needed. They described missing, necessary factors (needs), existing barriers to implementation, and existing facilitative factors. Administrators generally described a need for additional education on affirmative practice, professionals to examine their own biases, and an improvement in standardization of care. They identified implementation barriers related to youth rejection from caregivers, lack of affirming healthcare, and logistical concerns. Lastly, they described inner-agency collaboration, family interventions, youth driven care, and resources for clinicians as facilitative implementation factors. [ABSTRACT FROM AUTHOR]
Copyright of Contemporary Family Therapy: An International Journal is the property of Springer Nature 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: Administrators' Perceptions of Family-Based Treatment Needs, Barriers, and Facilitators for LGBTQ+ Youth With Suicidal Ideation and Behavior.
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  Data: <searchLink fieldCode="JN" term="%22Contemporary+Family+Therapy%3A+An+International+Journal%22">Contemporary Family Therapy: An International Journal</searchLink>. Dec2025, Vol. 47 Issue 4, p477-491. 15p.
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  Data: LGBTQ+ youth are at disproportionate risk for suicidal ideation and behavior (SIB). Family relationships within this population act as both a risk and protector factor for SIB, yet family-based treatments are rarely utilized at LGBTQ+ community centers. Prior research has explored the perceptions of LGBTQ+ youth, caregivers, and treatment providers on the use of family based treatment. Notably, no research has explored perceptions of another key stakeholder group: administrators. The present study used semi-structured interviews with administrators (N = 10) supporting LGBTQ+ community centers regarding implementation of family-based services for LGBTQ+ youth with SIB. Semi-structured interviews explored (1) the needs of LGBTQ+ youth, (2) where a program that includes family-based interventions should be housed, and (3) how a program could be sustained. Interviews were transcribed and analyzed using thematic analysis. Results include nine needs, nine barriers, and 12 facilitators of family-based services for LGBTQ+ youth with SIB. Administrators generally found family-based services to be important, beneficial, and needed. They described missing, necessary factors (needs), existing barriers to implementation, and existing facilitative factors. Administrators generally described a need for additional education on affirmative practice, professionals to examine their own biases, and an improvement in standardization of care. They identified implementation barriers related to youth rejection from caregivers, lack of affirming healthcare, and logistical concerns. Lastly, they described inner-agency collaboration, family interventions, youth driven care, and resources for clinicians as facilitative implementation factors. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Contemporary Family Therapy: An International Journal is the property of Springer Nature 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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        Value: 10.1007/s10591-025-09737-z
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        Text: English
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        PageCount: 15
        StartPage: 477
    Subjects:
      – SubjectFull: Family psychotherapy
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Executives
        Type: general
      – SubjectFull: Suicidal ideation
        Type: general
      – SubjectFull: Qualitative research
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      – SubjectFull: Research funding
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      – SubjectFull: LGBTQ+ people
        Type: general
      – SubjectFull: Interviewing
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Suicidal behavior
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      – SubjectFull: Thematic analysis
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      – SubjectFull: Research methodology
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      – SubjectFull: Medical needs assessment
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      – SubjectFull: Data analysis software
        Type: general
    Titles:
      – TitleFull: Administrators' Perceptions of Family-Based Treatment Needs, Barriers, and Facilitators for LGBTQ+ Youth With Suicidal Ideation and Behavior.
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              M: 12
              Text: Dec2025
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