Mount Sinai St. Luke's Hospital, Icahn School of Medicine at Mount Sinai, 411 West 114th Street, 2nd Floor, New York, NY 10025, USA.
THRIVE Gender Development Program, Nationwide Children's Hospital, The Ohio State University College of Medicine, 555 South 18th Street, Columbus, OH 43205, USA.
Child Adolesc Psychiatr Clin N Am. 2019 Jul;28(3):509-521. doi: 10.1016/j.chc.2019.02.016. Epub 2019 Apr 4.
Lesbian, gay, bisexual, and transgender (LGBT) youth have unique risk factors that predispose them to depression at higher rates than their non-LGBT peers. Family rejection, bullying, and lack of societal acceptance can contribute to negative health outcomes. Additionally, youth with gender dysphoria may need or benefit from medical interventions. LGBT youth also have the same risk factors as non-LGBT youth, requiring clinicians to decipher risk factors associated with sexual and gender minority identity status, general risk factors, and relationships among them. Assessment of these risk factors and implementation of targeted interventions are important when treating depression in LGBT youth.
女同性恋、男同性恋、双性恋和跨性别 (LGBT) 青年有独特的风险因素，使他们比非 LGBT 同龄人更容易抑郁。家庭拒绝、欺凌和缺乏社会认可可能导致不良健康后果。此外，有性别焦虑的年轻人可能需要或受益于医疗干预。LGBT 青年也与非 LGBT 青年有相同的风险因素，这要求临床医生辨别与性和性别少数群体身份状况、一般风险因素以及它们之间的关系相关的风险因素。在治疗 LGBT 青年的抑郁症时，评估这些风险因素并实施有针对性的干预措施非常重要。
