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Study Links Conversion Practices to Increased Mental Health Risks in LGBTQ+ Adults

  • A comprehensive US-based PRIDE study of 4,426 sexual and gender minority adults reveals significant associations between conversion practices and adverse mental health outcomes.

  • Research shows participants who underwent both sexual orientation and gender identity conversion practices experienced higher rates of PTSD and suicidality, with 95% confidence intervals.

  • The study, led by Stanford University researchers, demonstrates distinct mental health impacts: orientation-related practices linked to PTSD and gender identity-related practices associated with increased depression.

A groundbreaking cross-sectional study has revealed compelling evidence linking conversion practices to deteriorating mental health outcomes among sexual and gender minority adults in the United States. The research, conducted through The PRIDE study at Stanford University School of Medicine, provides crucial insights into the differential impacts of various types of conversion practices.

Study Population and Methodology

The investigation encompassed 4,426 participants aged 18-84 years (mean age 31.7), with 92% identifying as White and 43.4% as transgender and gender diverse. Researchers employed validated assessment tools, including the Generalized Anxiety Disorder 7-item scale, Patient Health Questionnaire 9-item scale, and Post-Traumatic Stress Disorder Checklist, to evaluate mental health outcomes.

Key Findings and Statistical Evidence

The study revealed that 5.4% of participants reported exposure to conversion practices, with 3.4% experiencing sexual orientation-related interventions, 1% undergoing gender identity-related practices, and 1% subjected to both. Statistical analysis demonstrated significant correlations:
  • Combined conversion practices showed strong associations with PTSD (95% CI, 0.94-4.74) and suicidality (95% CI, 0.95-3.32)
  • Sexual orientation-related practices specifically linked to increased PTSD symptoms (95% CI, 0.22-1.98)
  • Gender identity-related interventions correlated with elevated depressive symptoms (95% CI, 1.03-5.46)

Clinical Implications and Expert Perspective

"Our findings add to a body of evidence that shows conversion practice is unethical and linked with poor mental health," stated lead investigator Dr. Nguyen K. Tran. The research underscores the necessity for comprehensive policy interventions and support systems for affected individuals.

Recommendations for Healthcare Policy

The study advocates for multi-pronged legislative actions at federal, state, and local levels to protect LGBTQ+ individuals. Key recommendations include:
  • Implementation of state and federal bans on conversion practices
  • Enhanced educational initiatives for families, religious leaders, and healthcare providers
  • Development of targeted mental health screening protocols for conversion practice survivors
  • Establishment of robust support networks for LGBTQ+ youth
The findings emphasize the urgent need for protective measures against conversion practices while highlighting the importance of specialized mental health support for those who have experienced such interventions.
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