Inclusive Psychiatry: Mental Health of LGBTQ+ Individuals and Nursing Approach

Authors

DOI:

https://doi.org/10.5281/zenodo.19357266

Keywords:

LGBTQ, Minority Stress, Structural Discrimination, Inclusive Psychiatry, Cultural Competence

Abstract

LGBTQ+ individuals experience structural discrimination, stigmatization, and social exclusion due to differences in sexual orientation and gender identity, which are associated with increased psychiatric morbidity, including depression, anxiety, post-traumatic stress disorder, and elevated suicide risk. Inclusive psychiatry represents a holistic approach to mental health care that recognizes LGBTQ+ identities as natural and valuable aspects of human diversity and places structural inequalities at the center of clinical understanding and intervention. The nursing profession plays a critical role in the implementation of this paradigm through its functions as care provider, advocate, educator, and researcher. This review examines the factors influencing the mental health of LGBTQ+ individuals, the core principles of inclusive psychiatry, nursing interventions, and related clinical practices.

References

Alibudbud, R., 2023. Gender in mental health: toward an LGBTQ+ inclusive and affirming psychiatry and mental healthcare in the Philippines. Frontiers in Psychiatry, 14: 1-3.

American Psychological Association, 2024. Sexual orientation and gender diversity.

Budge, S.L., Adelson, J.L., Howard, K.A.S., 2013. Anxiety and depression in transgender individuals: the roles of transition status, loss, social support, and coping. Journal of Consulting and Clinical Psychology, 81(3): 545–557.

Burton, C.M., Marshal, M.P., Chisolm, D.J., Sucato, G.S., Friedman, M.S., 2013. Sexual minority-related victimization as a mediator of mental health disparities in sexual minority youth: a longitudinal analysis. Journal of Youth and Adolescence, 42(3): 394-402.

Correro, A.N., Nielson, K.A., 2020. A review of minority stress as a risk factor for cognitive decline in lesbian, gay, bisexual, and transgender (LGBT) elders. Journal of Gay & Lesbian Mental Health, 24(1): 2-19.

Fisher, C.M., Mustanski, B., 2019. High levels of external and internal stigma are associated with adverse mental health outcomes among gender minority adolescents. Journal of Adolescent Health, 64(6): 706–712.

Frazer, S., Howe, E., 2015. Transgender health and economic insecurity: a report from the 2015 LGBT health and human services needs assessment survey. New York, NY: Empire State Pride Agenda, 2-13

Hein, L.C., Mulkey, M.A., Weaver Toedtman, K.R., May, J.T., 2025. Best practices for person-centered nursing care of LGBTQ+ adults. The American Journal of Nursing, 125(9): 28-36.

Lee, J.S., Jang, M.H., Sun, M.J., 2024. Factors Influencing Person-Centered Care Among Psychiatric Nurses in Hospitals. Healthcare, 12(22): 2-10.

Medina Martínez, J., Saus-Ortega, C., Sánchez-Lorente, M.M., Sosa-Palanca, E.M., García-Martínez, P., Mármol-López, M.I., 2021. Health inequities in LGBT people and nursing interventions to reduce them: a systematic review. International journal of environmental research and public health, 18(22): 11801.

Mongelli, F., Perrone, D., BaLDUcci, J., Sacchetti, A., Ferrari, S., Mattei, G., Galeazzi, G.M., 2019. Minority stress and mental health among LGBT populations: An update on the evidence. Minerva psichiatrica, 60(1): 27-50.

Morland, I., Willox, D., 2017. Queer theory. Bloomsbury Publishing.

Olisaeloka, L., Valencia, E.J., Musengimana, G., Vigo, D., Karim, E., 2025. Intersectional disparities in mental healthcare utilization by sex and race/ethnicity among US adults: an NHANES study. PLOS Global Public Health, 5(10).

Puckett, J. A., Cleary, P., Rossman, K., Mustanski, B., Newcomb, M.E., 2018. Barriers to gender-affirming care for transgender and gender nonconforming individuals. Sexuality Research and Social Policy, 15(1): 48–59.

Putney, J.M., Keary, S., Hebert, N., Krinsky, L., Halmo, R., 2018. Fear runs deep: the anticipated needs of LGBT older adults in long-term care. Journal of gerontological social work, 61(8): 887-907.

Ryan, C., Russell, S. T., Huebner, D., Diaz, R., Sanchez, J., 2010. Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing, 23(4): 205–213.

Safer, J.D., Coleman, E., Feldman, J., Garofalo, R., Hembree, W., Radix, A., Sevelius, J., 2016. Barriers to healthcare for transgender individuals. Current Opinion in Endocrinology, Diabetes, and Obesity, 23(2): 168–171.

Skeldon, L., Jenkins, S., 2023. Experiences and attitudes of the LGBTQ+ community on care/nursing homes. Journal of Homosexuality, 70(13): 3075-3107.

White Hughto, J.M., Reisner, S.L., Pachankis, J.E., 2015. Transgender stigma and health: a critical review of stigma determinants, mechanisms, and interventions. Social Science &Medicine, 147: 222–231.

World Health Organization., 2024. Update on the Guideline Development Group on the health of trans and gender diverse people.

Published

2026-03-31

How to Cite

GÜNDÜZ, A., & UZUN, F. İlknur. (2026). Inclusive Psychiatry: Mental Health of LGBTQ+ Individuals and Nursing Approach. Ejons International Journal on Mathematic, Engineering and Natural Sciences, 10(1), 39–48. https://doi.org/10.5281/zenodo.19357266

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Section

Articles