{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T16:40:53Z","timestamp":1757608853986,"version":"3.44.0"},"reference-count":33,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T00:00:00Z","timestamp":1750291200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002241","name":"Japan Science and Technology Agency","doi-asserted-by":"publisher","award":["JPMJPF2017"],"award-info":[{"award-number":["JPMJPF2017"]}],"id":[{"id":"10.13039\/501100002241","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["20K10467","20K13721","20K19633","21H04856"],"award-info":[{"award-number":["20K10467","20K13721","20K19633","21H04856"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatry Clin Neurosci"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Sexual and gender minorities (SGMs) are known to experience mental health disparities. Outing, the non\u2010consensual disclosure of one's sexual orientation or gender identity, has been suggested to exacerbate these issues. This study aimed to investigate the mental health status, outing experiences and their associations among SGMs in Japan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional study used data from \u2018the Japan COVID\u201019 and Society Internet Survey\u2019 conducted in September\u2013October 2022, analyzing SGMs aged 18\u201379. Outing experiences were assessed across family, friends and school\/workplace. Mental health was measured using the Kessler 6\u2010Item Psychological Distress Scale (K6) and self\u2010reported suicidal ideation within the past year. Modified Poisson regression was used to estimate prevalence ratios for mental health outcomes associated with outing experiences and the outing ranges within communities while adjusting for sociodemographic factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 2596 SGM participants analyzed, 50.8% exhibited moderate\u2010to\u2010high K6 scores and 9.3% reported experiencing outings, with transgender and gender non\u2010binary individuals being the most affected. Outing experience was significantly associated with moderate\u2010to\u2010high K6 scores (adjusted prevalence ratios [aPR], 1.43; 95% confidence interval [CI], 1.33\u20131.55), high K6 scores (aPR, 1.36; 95% CI, 1.10\u20131.68) and suicidal ideation within the past year (aPR, 1.39; 95% CI, 1.17\u20131.66). Additionally, experiencing outings within broader communities showed a dose\u2010dependent association with higher levels of mental distress (aPR of moderate\u2010to\u2010high K6 for one to three communities: 1.31, 1.52 and 1.58, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Outings can be a significant minority stressor among SGMs in Japan, contributing to elevated psychological distress and suicidal ideation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pcn.13858","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T02:00:08Z","timestamp":1750384808000},"page":"572-579","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mental health of sexual and gender minorities and its association with outings in Japan: A web\u2010based cross\u2010sectional study"],"prefix":"10.1111","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2363-4877","authenticated-orcid":false,"given":"Yusuke","family":"Kanakubo","sequence":"first","affiliation":[{"name":"Division of Clinical Epidemiology, Research Center for Medical Sciences The Jikei University School of Medicine  Tokyo Japan"},{"name":"Nijiiro Doctors  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8522-6935","authenticated-orcid":false,"given":"Yoshifumi","family":"Sugiyama","sequence":"additional","affiliation":[{"name":"Division of Clinical Epidemiology, Research Center for Medical Sciences The Jikei University School of Medicine  Tokyo Japan"},{"name":"Division of Community Health and Primary Care, Center for Medical Education The Jikei University School of Medicine  Tokyo 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