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Rehman, Z., Lopes, B. and Jaspal, R. 
ORCID: 0000-0002-8463-9519,
2020.
Predicting self-harm in an ethnically diverse sample of lesbian, gay and bisexual people in the United Kingdom.
International Journal of Social Psychiatry, 66 (4), pp. 349-360.
ISSN 0020-7640
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Abstract
Background: Poor mental health is prevalent in lesbian, gay and bisexual (LGB) people due in part to social stigma. The social, psychological and clinical risk factors for self-harm among LGB people are unclear, which limits our ability to predict when and how this will occur and, crucially, how to prevent it.
Aims: Drawing on the cognitive-behavioral approach in clinical psychology, this study identifies the predictors of self-harm in LGB people in the United Kingdom.
Results: Women, lesbians, those with lower income and younger people were more likely to engage in self-harm. Self-harmers exhibited much more discrimination, LGB victimization and, thus, internalized homophobia and depressive symptomatology than non-self-harmers. The structural equation model showed direct effects of age and gender, and indirect effects of income and sexual orientation, on self-harm, through the mediating variables of discrimination, LGB victimization and internalized homophobia.
Conclusions: Consistent with the cognitive-behavioral model, the results indicate that exposure to situational stressors can increase the risk of developing a self-hatred and depressive psychological self-schema, resulting in greater risk of self-harm as a maladaptive coping strategy. An integrative clinical intervention for enhancing psychological wellbeing in LGB people is proposed to mitigate the risk of self-harm in this population.
| Item Type: | Journal article | ||||||
|---|---|---|---|---|---|---|---|
| Publication Title: | International Journal of Social Psychiatry | ||||||
| Creators: | Rehman, Z., Lopes, B. and Jaspal, R. | ||||||
| Publisher: | Sage | ||||||
| Date: | 1 June 2020 | ||||||
| Volume: | 66 | ||||||
| Number: | 4 | ||||||
| ISSN: | 0020-7640 | ||||||
| Identifiers: |
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| Divisions: | Schools > School of Social Sciences | ||||||
| Record created by: | Linda Sullivan | ||||||
| Date Added: | 02 Apr 2020 15:07 | ||||||
| Last Modified: | 17 Aug 2020 13:01 | ||||||
| URI: | https://irep.ntu.ac.uk/id/eprint/39541 |
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