{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T03:39:12Z","timestamp":1777952352548,"version":"3.51.4"},"reference-count":52,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["LGBT Health"],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>We examined the associations of sexual orientation and gender identity change efforts (SOGICE), both experienced over the lifetime and before adulthood, with demographic characteristics and a wide range of mental health outcomes in a sample of lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      The analytic sample was 3023 LGBTQ+ adults (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      <jats:sub>age<\/jats:sub>\n                      = 31.59) from a cross-sectional survey conducted in 2024 in North Carolina. Participants reported SOGICE experiences during their lifetime and before age 18, past-year mental health conditions (i.e., depression, bipolar disorder, post-traumatic stress disorder, anxiety disorder, gender dysphoria, eating disorder, nonsuicidal self-injury, suicidal thought, and suicide attempt), and past-2-week anxiety and depressive symptoms. Bivariate regression models and multivariate regression models were tested on the associations between SOGICE experiences and mental health conditions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Reports of SOGICE experiences were higher among those assigned male at birth compared with those assigned female at birth, Black participants compared with White participants, and transgender and gender-diverse participants compared with cisgender participants. In multivariate models, lifetime SOGICE was associated with three out of nine mental health conditions. In multivariate models, experiencing SOGICE before age 18 was associated with higher odds of five out of nine mental health conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our study demonstrates that SOGICE experiences, particularly before adulthood, were associated with multiple severe mental health conditions. These findings reinforce calls from professional organizations to end SOGICE due to its threat to LGBTQ+ well-being and to support legislative efforts to ban such practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23258292251413624","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T12:27:26Z","timestamp":1769776046000},"page":"85-92","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sexual Orientation and Gender Identity Change Efforts Before Age 18: Demographic Correlates and Associations with Mental Health Conditions"],"prefix":"10.1177","volume":"13","author":[{"given":"Yinuo","family":"Xu","sequence":"first","affiliation":[{"name":"School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA."},{"name":"T. Denny Sanford School of Social and Family Dynamics, Arizona State University, Tempe, Arizona, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William J.","family":"Hall","sequence":"additional","affiliation":[{"name":"School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana","family":"Wilson","sequence":"additional","affiliation":[{"name":"North Carolina Department of Health and Human Services, Durham, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen T.","family":"Russell","sequence":"additional","affiliation":[{"name":"T. Denny Sanford School of Social and Family Dynamics, Arizona State University, Tempe, Arizona, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/07067437211030498"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1037\/0000266-011"},{"key":"e_1_3_4_4_2","volume-title":"Report of the American Psychological Association Task Force on appropriate therapeutic responses to sexual orientation","author":"American Psychological Association","year":"2009","unstructured":"American Psychological Association. Report of the American Psychological Association Task Force on appropriate therapeutic responses to sexual orientation. 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Available from: https:\/\/www.aacap.org\/AACAP\/Policy_Statements\/2018\/Conversion_Therapy.aspx [Last accessed: June7 2025]."},{"key":"e_1_3_4_11_2","unstructured":"American Medical Association. LGBTQ change efforts. Chicago IL; 2019. Available from: https:\/\/www.ama-assn.org\/system\/files\/2019-03\/transgender-conversion-issue-brief.pdf [Last accessed: June7 2025]."},{"key":"e_1_3_4_12_2","unstructured":"American Psychiatric Association. APA reiterates strong opposition to conversion therapy. Washington DC; 2019. Available from: https:\/\/www.psychiatry.org\/newsroom\/news-releases\/apa-reiterates-strong-opposition-to-conversion-therapy [Last accessed: June7 2025]."},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20340"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2022.0042"},{"key":"e_1_3_4_15_2","unstructured":"Movement Advancement Project. Conversion therapy. Boulder CO; 2025. 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