Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-6bf8c574d5-rwnhh Total loading time: 0 Render date: 2025-02-21T18:32:21.479Z Has data issue: false hasContentIssue false

12 - Crisis and Trauma-Informed Care with LGBTQ+ Populations

from Part III - Assessment and Treatment in LGBTQ+ Affirmative Counseling

Published online by Cambridge University Press:  31 October 2024

By
Bailey M. Counterman ,
Jyotsana Sharma  and
Tonya R. Hammer
Edited by
Jeffry Moe ,
Amber L. Pope ,
Dilani M. Perera  and
Narketta Sparkman-Key
Jeffry Moe
Affiliation:
Old Dominion University, Virginia
Amber L. Pope
Affiliation:
William & Mary
Dilani M. Perera
Affiliation:
Fairfield University, Connecticut
Narketta Sparkman-Key
Affiliation:
James Madison University, Virginia
Get access

Summary

This chapter provides an overview of the impacts of crisis and trauma on the LGBTQ+ populations. Additionally, the authors review barriers to seeking mental health services as they particularly apply to sexual and gender-expansive clients. Discussion of suicide and self-harm and of individual, group, and community violence are also provided. Finally, as a specific example, a case study from the Pulse nightclub shooting is presented.

Keywords

CrisistraumaLGBTQ+sexual and gender-expansive identities
Type
Chapter
Information
LGBTQ+ Affirmative Counseling
A Student and Practitioner Handbook
 , pp. 216 - 232
Publisher: Cambridge University Press
Print publication year: 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abreu, R. L., Sostre, J. P., Gonzalez, K. A., Lockett, G. M., Matsuno, E., & Mosley, D. V. (2022). Impact of gender-affirming care bans on transgender and gender diverse youth: Parental figures’ perspective. Journal of Family Psychology, 36(5), 643–652. https://doi.org/10.1037/fam0000987CrossRefGoogle ScholarPubMed
Berke, D. S., Maples-Keller, J., & Richards, P. (2016). LGBTQ+ perceptions of psychotherapy: A consensual qualitative analysis. Professional Psychology: Research and Practice, 47(6), 373–382. https://doi.org/10.1037/pro0000099CrossRefGoogle Scholar
Bettergarcia, J., Matsuno, E., & Conover, K. J. (2021). Training mental health providers in queer-affirming care: A systematic review. Psychology of Sexual Orientation and Gender Diversity, 8(3), 365–377. https://doi.org/10.1037/sgd0000514CrossRefGoogle Scholar
Burish, E., Wilcox, M. M., Pollard, E. M., & Sims, K. N. (2023). Differentiating protective factors for transgender individuals who experience suicidality: The role of optimism as a mediator. Clinical Psychology & Psychotherapy, 30(3), 702–713. https://doi.org/10.1002/cpp.2833CrossRefGoogle ScholarPubMed
Cipriano, A., Cella, S., & Cotrufo, P. (2017). Non-suicidal self-injury: A systematic review. Frontiers in Psychology, 8, 1–14, https://doi.org/10.3389/fpsyg.2017.01946CrossRefGoogle Scholar
de Vries, B., Gutman, G., Humble, A., Gahagan, J., Chamberland, L., Aubert, P., Fast, J., & Mock, S. (2019). End-of-life preparations among LGBTQ+ older Canadian adults: The missing conversations. International Journal of Aging and Human Development, 88(4), 358–379. https://doi.org/10.1177/0091415019836738CrossRefGoogle ScholarPubMed
Eisenberg, M., Gower, A. L., McMorris, B. J., Rider, G. N., & Coleman, E. (2019). Emotional distress, bullying victimization, and protective factors among transgender and gender diverse adolescents in city, suburban, town and rural locations. Journal of Rural Health, 35(2), 270–281. https://doi/org/10.1111/jrh.12311CrossRefGoogle ScholarPubMed
Emile, W., Hossam, M., & Vogt, E. L. (2020). Reducing the treatment gap for LGBT mental health needs: The potential of telepsychiatry. Journal of Behavioral Health Services & Research, 47(3), 424–431. https://doi.org/10.1007/s11414-019-09677-1Google Scholar
Ferlatte, O., Salway, T., Rice, S., Oliffe, J. L., Rich, A. J., Knight, R., Morgan, J., & Ogrodniczuk, J. S. (2019). Perceived barriers to mental health services among Canadian sexual and gender minorities with depression and at risk of suicide. Community Mental Health Journal, 55(8), 1313–1321. https://doi.org/10.1007/s10597-019-00445-1CrossRefGoogle ScholarPubMed
Gilman, S., Cochran, S., Mays, V., Hughes, M., Ostrow, D., & Kessler, R. (2001). Risk of psychiatric disorders among individuals reporting same-sex partners in the National Comorbidity Survey. American Journal of Public Health (1971), 91(6), 933–939. https://doi.org/10.2105/AJPH.91.6.933Google ScholarPubMed
Gridley, S. J., Crouch, J. M., Evans, Y., Eng, W., Antoon, E., Lyapustina, M., Schimmel-Bristow, A., Woodward, J. Dundon, K., Schaff, R., McCarty, C., Ahrens, K., & Breland, D. J. (2016). Youth and caregiver perspectives on barriers to gender-affirming health care for transgender youth. Journal of Adolescent Health, 59(3), 254–261. https://doi.org/10.1016/j.jadohealth.2016.03.017CrossRefGoogle ScholarPubMed
Hilgeman, M. M., Lange, T. M., Bishop, T., & Cramer, R. J. (2023). Spreading pride in all who served: A health education program to improve access and mental health outcomes for sexual and gender minority veterans. Psychological Services, 20(3), 596–608. https://doi.org/10.1037/ser0000604CrossRefGoogle ScholarPubMed
Holt, N. R., Botelho, E., Wolford-Clevenger, C., & Clark, K. A. (2024). Previous mental health care and help-seeking experiences: Perspectives from sexual and gender minority survivors of near-fatal suicide attempts. Psychological Services, 21(1), 24–33. https://doi.org/10.1037/ser0000745CrossRefGoogle ScholarPubMed
Hopwood, R. A., & Witten, T. M. (2017). Handbook of trans-affirmative counseling and psychological practice. Washington, DC: American Psychological Association.Google Scholar
Jackson-Cherry, L. R. & Erford, B. T. (2018). Crisis assessment intervention and prevention. (3rd edition). Hoboken, NJ: Pearson Merrill Prentice Hall.Google Scholar
King, K. A., Vidourek, R. A., & Strader, J. L. (2008). University students’ perceived self-efficacy in identifying suicidal warning signs and helping suicidal friends find campus intervention resources. Suicide & Life-Threatening Behavior, 38(5), 608–617. https://doi.org/10.1521/suli.2008.38.5.608CrossRefGoogle ScholarPubMed
Knutson, D., Kertz, S., Chambers-Baltz, S., Christie, M. B., Harris, E., & Perinchery, R. (2021). A pilot test of a text message-based transgender and nonbinary affirmative cognitive-behavioral intervention for anxiety and depression. Psychology of Sexual Orientation and Gender Diversity, 8(4), 440–450. https://doi.org/10.1037/sgd0000438CrossRefGoogle Scholar
Levenson, J. S., Craig, S. L., & Austin, A. (2023). Trauma-informed and affirmative mental health practices with LGBTQ+ clients. Psychological Services, 20, 134–144. https://doi.org/10.1037/ser0000540CrossRefGoogle ScholarPubMed
Lucassen, M. F., Stasiak, K., Samra, R., Frampton, C. M., & Merry, S. N. (2017). Sexual minority youth and depressive symptoms or depressive disorder: A systematic review and meta-analysis of population-based studies. Australian & New Zealand Journal of Psychiatry 51(8), 774–787. https://doi.10.1177/0004867417713664CrossRefGoogle ScholarPubMed
Merrick, M. T., Ford, D. C., Ports, K. A., & Guinn, A. S. (2018). Prevalence of adverse childhood experiences from the 2011–2014 Behavioral Risk Factor Surveillance System in 23 states. JAMA Pediatrics, 172(11), 1038–1044. https://doi.org/10.1001/jamapediatrics.2018.2537CrossRefGoogle ScholarPubMed
Moody, C., Fuks, N., Peláez, S., & Smith, N. G. (2015). “Without this, I would for sure already be dead”: A qualitative inquiry regarding suicide protective factors among trans adults. Psychology of Sexual Orientation and Gender Diversity, 2(3), 266–280. https://doi.org/10.1037/sgd0000130CrossRefGoogle Scholar
Moore, K., Camacho, D., & Spencer-Suarez, K. (2021). A mixed-methods study of social identities in mental health care among LGBTQ+ young adults of color. American Journal of Orthopsychiatry, 91(6), 724–737. https://doi.org/10.1037/ort0000570CrossRefGoogle ScholarPubMed
National Child Traumatic Stress Network. (2012). PFA: Psychological First Aid. www.nctsn.org/resources/psychological-first-aid-pfa-onlineGoogle Scholar
Poquiz, J., Moser, C. N., Grimstad, F., Boman, K., Sonneville, S. A., Turpin, A., & Egan, A. M. (2021). Gender-affirming care in the Midwest: Reaching rural populations. Journal of Rural Mental Health, 45(2), 121–128. https://doi.org/10.1037/rmh0000174CrossRefGoogle Scholar
Ryan, C., Huebner, D., Diaz, R. M., & Sanchez, J. (2009). Family rejection as a predictor of negative health outcomes in White and Latino lesbian, gay, and bisexual young adults. Pediatrics, 123(1), 346–352. https://doi.org/10.1542/eds.2007-3524CrossRefGoogle ScholarPubMed
Salerno, J. P., Williams, N. D., & Gattamorta, K. A. (2020). LGBTQ+ populations: Psychologically vulnerable communities in the COVID-19 pandemic. Psychological Trauma: Theory, Research, Practice, and Policy, 12, S239–S242. https://doi.org/10.1037/tra0000837CrossRefGoogle ScholarPubMed
Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s Concept of trauma and guidance for a trauma-informed approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Author.Google Scholar
Sutter, M., & Perrin, P. B. (2016). Discrimination, mental health, and suicidal ideation among LGBTQ+ people of color. Journal of Counseling Psychology, 63(1), 98–105. https://doi.org/10.1037/cou0000126CrossRefGoogle ScholarPubMed
Whittington, C., Hadfield, K., & Calderon, C. (2020). The lives and livelihoods of many in the LGBTQ+ community are at risk amidst COVID-19 crisis. Washington, DC: Human Rights Campaign Foundation.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×