School of Nursing and Midwifery, Trinity College, University of Dublin, Dublin, Ireland.
School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.
J Psychiatr Ment Health Nurs. 2021 Jun;28(3):430-443. doi: 10.1111/jpm.12680. Epub 2020 Sep 6.
WHAT IS KNOWN ON THE SUBJECT?: Bisexual people experience significantly poorer mental health and higher rates of self-harm and suicidality than their gay, lesbian or heterosexual counterparts. Although little is understood about why these disparities exist, bisexual people have been found to have unique life experiences that separate them from other sexual minority groups. Despite these health disparities and unique experiences, in research and in clinical settings, bisexual people are often incorporated under the LGBTQI+ umbrella and their needs are not seen as being different to those of other sub-groups. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This paper brings together the findings of the small but growing body of literature reporting on the psychosocial support needs of bisexual people. The findings reported on herein provide novel insights, collated and synthesized that will prove valuable to policy makers, service providers and researchers. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This paper clearly illustrates that bisexual people experience significant barriers to accessing the support services they need and that current competent service provision for this population is severely limited. The findings presented in this paper shed light on the unique psychosocial needs of bisexual people and highlight the need for practice change to reduce barriers to service access and ensure inclusive and culturally competent care for this community. ABSTRACT: Introduction Despite consistent evidence of poor mental health among what is a relatively large population group, research examining bisexual mental health remains sparse. Aim To identify the psychosocial needs of people who are bisexual and establish factors that may support or inhibit access to appropriate psychosocial interventions and supports. Method A qualitative evidence syntheses of the empirical evidence. Results A total of 15 papers were included in the review. The PRISMA process was used. Following data analysis, four main themes emerged that were (a) experiences of being bisexual, (b) mental health experiences and concerns, (c) service access and responses and (iv) communities and supports. Discussion Bisexual people have unique and specific psychosocial support needs that relate to, but are also different from, the needs of the broader LGBTIQ+ community. This study provides valuable insights into how future policy, practice, education and training and research can better address the needs of this highly vulnerable group. Implications for Practice This study highlights the psychosocial complexities associated with bisexuality and provides evidence for the need for improvement in current support services to ensure inclusivity and culturally competent care.
双性恋者的心理健康状况明显差于同性恋者、双性恋者或异性恋者，他们自残和自杀的比例也更高。尽管人们对这些差异存在的原因知之甚少，但双性恋者的生活经历独特，使他们与其他性少数群体不同。尽管存在这些健康差异和独特的经历，但在研究和临床环境中，双性恋者通常被归入 LGBTQI+保护伞下，他们的需求被认为与其他亚群体不同。本文的贡献：本文汇集了报告双性恋者的心理社会支持需求的少量但不断增长的文献的研究结果。本文报告的研究结果提供了新颖的见解，对政策制定者、服务提供者和研究人员具有重要价值。对实践的影响：本文清楚地表明，双性恋者在获得所需支持服务方面面临重大障碍，而且目前针对这一人群的服务能力严重受限。本文提出的研究结果阐明了双性恋者独特的心理社会需求，并强调需要改变实践，以减少服务获取障碍，确保为这一群体提供包容和文化上适当的关怀。摘要：引言尽管有大量证据表明双性恋者的心理健康状况较差，但有关双性恋者心理健康的研究仍然很少。目的确定双性恋者的心理社会需求，并确定支持或抑制获得适当心理社会干预和支持的因素。方法对实证证据进行定性证据综合。结果共纳入 15 篇论文。使用 PRISMA 流程。数据分析后，出现了四个主要主题，分别是（a）双性恋经历，（b）心理健康经历和关注，（c）服务获取和反应，以及（iv）社区和支持。讨论双性恋者有独特而具体的心理社会支持需求，这些需求与更广泛的 LGBTIQ+社区的需求相关，但也有所不同。本研究为未来的政策、实践、教育和培训以及研究如何更好地满足这一高度脆弱群体的需求提供了有价值的见解。对实践的影响：本研究强调了与双性恋相关的心理社会复杂性，并为改善当前支持服务提供了证据，以确保包容性和文化上适当的关怀。
