{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:21:49Z","timestamp":1791361309991,"version":"4.3.1"},"update-to":[{"DOI":"10.1371\/journal.pmed.1004197","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2023,3,20]],"date-time":"2023-03-20T00:00:00Z","timestamp":1679270400000}}],"reference-count":54,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T00:00:00Z","timestamp":1678060800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Research fund of Vanke School of Public Health, Tsinghua University","award":["100009001"],"award-info":[{"award-number":["100009001"]}]}],"content-domain":{"domain":["www.plosmedicine.org"],"crossmark-restriction":false},"short-container-title":["PLoS Med"],"abstract":"\nBackground<\/jats:title>\nLGBTQ+ community\u2019s higher susceptibility to worse mental health outcomes and more help-seeking barriers compared to the cis<\/jats:italic>-heterosexual population. Despite the LGBTQ+ population facing higher mental health risks, there has been a dearth of research focusing on developing tailored interventions targeting them. This study aimed to assess the effectiveness of a digital multicomponent intervention in promoting help-seeking for mental health issues in LGBTQ+ young adults.<\/jats:p>\n<\/jats:sec>\n\nMethods and findings<\/jats:title>\nWe recruited LGBTQ+ young adults aged between 18 and 29 who scored moderate or above on at least 1 dimension of the Depression Anxiety Stress Scale 21 and did not have help-seeking experiences in the past 12 months. Participants (n<\/jats:italic> = 144) were stratified by gender assigned at birth (male\/female) and randomly allocated (1:1 ratio) to the intervention or active control parallel condition by generating a random number table, so they were blinded to the intervention condition. All participants received online psychoeducational videos, online facilitator-led group discussions, and electronic brochures in December 2021 and January 2022, with the final follow-up in April 2022. The contents of the video, discussion, and brochure are help-seeking for the intervention group and general mental health knowledge for the control group. The primary outcomes were help-seeking intentions for emotional problems and suicidal ideation and attitudes toward seeking help from mental health professionals at the 1-month follow-up. The analysis was performed by including all participants based on their randomized group regardless of adherence to the protocol. A linear mixed model (LMM) was used for analysis. All models were adjusted for baseline scores. Chinese Clinical Trial Registry: ChiCTR2100053248.<\/jats:p>\nA total of 137 (95.1%) participants completed a 3-month follow-up, and 4 participants from the intervention condition and 3 from the control condition did not complete the final survey. Compared with the control group (n<\/jats:italic> = 72), a significant improvement was found in help-seeking intentions for suicidal ideation in the intervention group (n<\/jats:italic> = 70) at post-discussion (mean difference = 0.22, 95% CI [0.09, 0.36], p<\/jats:italic> = 0.005), 1-month (mean difference = 0.19, 95% CI [0.06, 0.33], p<\/jats:italic> = 0.018), and 3-month follow-ups (mean difference = 0.25, 95% CI [0.11, 0.38], p<\/jats:italic> = 0.001). There was also a significant improvement in the intervention condition on the help-seeking intention for emotional problems at 1-month (mean difference = 0.17, 95% CI [0.05, 0.28], p<\/jats:italic> = 0.013) and 3-month follow-ups (mean difference = 0.16, 95% CI [0.04, 0.27], p<\/jats:italic> = 0.022) compared with the control group. Participants\u2019 depression and anxiety literacy and help-seeking encouragement related knowledge in intervention conditions showed significant improvements. There were no significant improvements in actual help-seeking behaviors, self-stigma toward seeking professional assistance, depression, and anxiety symptoms. No adverse events or side effects were observed. However, the follow-up time point was limited to 3 months which might not be long enough for drastic mindset and behavioral changes in help-seeking to occur.<\/jats:p>\n<\/jats:sec>\n\nConclusions<\/jats:title>\nThe current intervention was an effective approach in promoting help-seeking intentions, mental health literacy, and help-seeking encouragement-related knowledge. Its brief yet integrated intervention format could also be utilized in treating other imminent concerns confronted by LGBTQ+ young adults.<\/jats:p>\n<\/jats:sec>\n\nTrial Registration<\/jats:title>\nChictr.org.cn<\/jats:ext-link>, ChiCTR2100053248<\/jats:ext-link>.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pmed.1004197","type":"journal-article","created":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T18:32:43Z","timestamp":1678127563000},"page":"e1004197","update-policy":"https:\/\/doi.org\/10.1371\/journal.pmed.corrections_policy","source":"Crossref","is-referenced-by-count":16,"title":["A multicomponent digital intervention to promote help-seeking for mental health problems and suicide in sexual and gender diverse young adults: A randomized controlled trial"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6408-224X","authenticated-orcid":true,"given":"Meng","family":"Han","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5182-6529","authenticated-orcid":true,"given":"Yinzhe","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanwen","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2141-4056","authenticated-orcid":true,"given":"Yuanyuan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0611-7715","authenticated-orcid":true,"given":"Jianjun","family":"Ou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6433-4937","authenticated-orcid":true,"given":"Daixi","family":"Ren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengxi","family":"Cai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunxu","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7817-5757","authenticated-orcid":true,"given":"Runan","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7624-9468","authenticated-orcid":true,"given":"Jin","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2145-8630","authenticated-orcid":true,"given":"Runsen","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,3,6]]},"reference":[{"issue":"1","key":"pmed.1004197.ref001","first-page":"1","article-title":"Mapping out a spectrum of the Chinese public\u2019s discrimination toward the LGBT community: results from a national survey.","volume":"20","author":"Y Wang","year":"2020","journal-title":"BMC Public Health"},{"issue":"10","key":"pmed.1004197.ref002","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.22796","article-title":"Mental health status of cisgender and gender-diverse secondary school students in China","volume":"3","author":"Y Wang","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"9","key":"pmed.1004197.ref003","doi-asserted-by":"crossref","first-page":"1344","DOI":"10.1001\/jamainternmed.2016.3432","article-title":"Comparison of health and health risk factors between lesbian, gay, and bisexual adults and heterosexual adults in the United States: Results from the National Health Interview Survey.","volume":"176","author":"G Gonzales","year":"2016","journal-title":"JAMA Intern Med"},{"issue":"3","key":"pmed.1004197.ref004","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1037\/sgd0000048","article-title":"Transdiagnostic psychopathology factors and sexual minority mental health: evidence of disparities and associations with minority stressors.","volume":"1","author":"NR Eaton","year":"2014","journal-title":"Psychol Sex Orientat Gend Divers"},{"key":"pmed.1004197.ref005","first-page":"1487","article-title":"Mental health challenges of lesbian, gay, bisexual and transgender people: An integrated literature review.","volume":"26","author":"MM Moagi","year":"2021","journal-title":"Health SA"},{"key":"pmed.1004197.ref006","first-page":"1","article-title":"Minority stress among LGB people: Investigating relations among distal and proximal stressors.","author":"RP Douglass","year":"2020","journal-title":"Curr Psychol."},{"issue":"5","key":"pmed.1004197.ref007","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1037\/0033-2909.129.5.674","article-title":"Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence.","volume":"129","author":"IH Meyer","year":"2003","journal-title":"Psychol Bull"},{"issue":"1","key":"pmed.1004197.ref008","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1007\/s13178-020-00446-w","article-title":"The Moderating Effect of Filial Piety on the Relationship Between Perceived Public Stigma and Internalized Homophobia: a National Survey of the Chinese LGB Population.","volume":"18","author":"F Liu","year":"2021","journal-title":"Sex Res Social Policy."},{"issue":"5","key":"pmed.1004197.ref009","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1080\/00918369.2017.1422946","article-title":"The One-Child Policy, Elder Care, and LGB Chinese: A Social Policy Explanation for Family Pressure","volume":"66","author":"T. Hildebrandt","year":"2019","journal-title":"J Homosex"},{"issue":"2","key":"pmed.1004197.ref010","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1080\/19359705.2019.1568946","article-title":"Multiple minority stress: The role of proximal and distal stress on mental health outcomes among lesbian, gay, and bisexual people of color.","volume":"23","author":"JL Ramirez","year":"2019","journal-title":"J Gay Lesbian Ment Health"},{"issue":"3","key":"pmed.1004197.ref011","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1080\/00224499.2014.886321","article-title":"Gender minority social stress in adolescence: disparities in adolescent bullying and substance use by gender identity.","volume":"52","author":"SL Reisner","year":"2015","journal-title":"J Sex Res"},{"key":"pmed.1004197.ref012","doi-asserted-by":"crossref","DOI":"10.23736\/S0391-1772.18.01995-7","article-title":"Minority stress and mental health among LGBT populations: An update on the evidence.","volume":"60","author":"F Mongelli","year":"2019","journal-title":"Minerva Psichiatr."},{"issue":"4","key":"pmed.1004197.ref013","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1037\/sgd0000141","article-title":"Psychological help-seeking attitudes and intentions of lesbian, gay, and bisexual individuals: The role of sexual minority identity and perceived counselor sexual prejudice.","volume":"2","author":"ES Spengler","year":"2015","journal-title":"Psychol Sex Orientat Gend Divers"},{"key":"pmed.1004197.ref014","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/978-3-030-44762-5_8","article-title":"Help-seeking barriers among sexual and gender minority individuals who experience intimate partner violence victimization.","author":"JR Scheer","year":"2020","journal-title":"Intimate partner violence and the LGBT+ community."},{"issue":"3\u20134","key":"pmed.1004197.ref015","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1080\/09540261.2022.2075256","article-title":"Barriers in care pathways and unmet mental health needs in LGBTIQ\u2009+\u2009communities.","volume":"34","author":"G Silveri","year":"2022","journal-title":"Int Rev Psychiatry."},{"issue":"1","key":"pmed.1004197.ref016","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1111\/jonm.13186","article-title":"LGBT + young people\u2019s perceptions of barriers to accessing mental health services in Ireland.","volume":"29","author":"A Higgins","year":"2021","journal-title":"J Nurs Manag"},{"issue":"6","key":"pmed.1004197.ref017","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1089\/lgbt.2021.0383","article-title":"Effects of \u201cIt Gets Better\u201d Suicide Prevention Videos on Youth Identifying as Lesbian, Gay, Bisexual, Transgender, Queer, or Other Sexual or Gender Minorities: A Randomized Controlled Trial.","volume":"9","author":"S Kirchner","year":"2022","journal-title":"LGBT Health"},{"issue":"4","key":"pmed.1004197.ref018","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/j.jadohealth.2021.03.027","article-title":"Feasibility of a Web-Accessible Game-Based Intervention Aimed at Improving Help Seeking and Coping Among Sexual and Gender Minority Youth: Results From a Randomized Controlled Trial.","volume":"69","author":"JE Egan","year":"2021","journal-title":"J Adolesc Health."},{"issue":"4","key":"pmed.1004197.ref019","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1080\/09638237.2020.1818701","article-title":"What responses do people at risk of suicide find most helpful and unhelpful from professionals and non-professionals?","volume":"31","author":"A Nicholas","year":"2022","journal-title":"J Ment Health"},{"issue":"1","key":"pmed.1004197.ref020","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1186\/s12888-020-03010-3","article-title":"Counselling and psychotherapy service use in Chinese sexual minority populations: a nationwide survey.","volume":"21","author":"Y Wang","year":"2021","journal-title":"BMC Psychiatry."},{"issue":"2","key":"pmed.1004197.ref021","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1080\/19317611.2021.2014014","article-title":"Social Support, Stress and Emotional Symptoms Among LGBTQ+\u2009College Students in Chile.","volume":"34","author":"CAA Chambi-Mart\u00ednez","year":"2022","journal-title":"Int J Sex Health."},{"issue":"7","key":"pmed.1004197.ref022","first-page":"66","article-title":"mHealth: New horizons for health through mobile technologies.","volume":"64","author":"M Kay","year":"2011","journal-title":"World Health Organization"},{"issue":"8","key":"pmed.1004197.ref023","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1007\/s10597-019-00445-1","article-title":"Perceived Barriers to Mental Health Services Among Canadian Sexual and Gender Minorities with Depression and at Risk of Suicide.","volume":"55","author":"O Ferlatte","year":"2019","journal-title":"Community Ment Health J."},{"issue":"1","key":"pmed.1004197.ref024","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1080\/00050067.2021.1890981","article-title":"Mental health help-seeking and barriers to service access among lesbian, gay, and bisexual Australians.","volume":"56","author":"TJ Cronin","year":"2021","journal-title":"Aust Psychol"},{"issue":"3","key":"pmed.1004197.ref025","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.jadohealth.2017.03.008","article-title":"Mental health service utilization among lesbian, gay, bisexual, and questioning or queer college students.","volume":"61","author":"MS Dunbar","year":"2017","journal-title":"J Adolesc Health"},{"issue":"2","key":"pmed.1004197.ref026","first-page":"e5324","article-title":"The preference for internet-based psychological interventions by individuals without past or current use of mental health treatment delivered online: a survey study with mixed-methods analysis.","volume":"3","author":"EEK Wallin","year":"2016","journal-title":"JMIR Ment Health"},{"issue":"1","key":"pmed.1004197.ref027","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1002\/wps.20083","article-title":"Advantages and limitations of Internet-based interventions for common mental disorders.","volume":"13","author":"G Andersson","year":"2014","journal-title":"World Psychiatry."},{"issue":"3","key":"pmed.1004197.ref028","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1111\/j.1468-2850.2009.01170.x","article-title":"Current directions in videoconferencing tele-mental health research.","volume":"16","author":"LK Richardson","year":"2009","journal-title":"Clin Psychol Sci Pract"},{"key":"pmed.1004197.ref029","first-page":"02537176211034578","article-title":"Technology-Based Interventions to Improve Help-Seeking for Mental Health Concerns: A Systematic Review.","author":"JA Johnson","year":"2021","journal-title":"Indian J Psychol Med"},{"key":"pmed.1004197.ref030","unstructured":"Chinese Clinical Trial Registry [cited 2022 Nov 2]. Available from: http:\/\/www.chictr.org.cn\/index.aspx."},{"key":"pmed.1004197.ref031","doi-asserted-by":"crossref","first-page":"100524","DOI":"10.1016\/j.invent.2022.100524","article-title":"Internet-based interventions to promote help-seeking for mental health in LGBTQ+ young adults: protocol for a randomized controlled trial","volume":"28","author":"D Ren","year":"2022","journal-title":"Internet Interv"},{"key":"pmed.1004197.ref032","article-title":"Measurement invariance of the Depression, Anxiety, and Stress Scale (DASS-21) across cisgender sexual minority and transgender and nonbinary individuals.","author":"L Lindley","year":"2022","journal-title":"Psychology of Sexual Orientation and Gender Diversity"},{"key":"pmed.1004197.ref033","article-title":"A guide to the depression, anxiety and stress scale (DASS 21).","author":"F. Gomez","year":"2016","journal-title":"Central and Eastem Sydney primary health networks"},{"key":"pmed.1004197.ref034","doi-asserted-by":"crossref","first-page":"114356","DOI":"10.1016\/j.psychres.2021.114356","article-title":"The effects of a video-based randomized controlled trial intervention on depression stigma and help-seeking attitudes in university students.","volume":"308","author":"V Concei\u00e7\u00e3o","year":"2022","journal-title":"Psychiatry Res"},{"key":"pmed.1004197.ref035","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.bodyim.2020.08.015","article-title":"The effectiveness of brief animated films as a scalable micro-intervention to improve children\u2019s body image: a randomised controlled trial.","volume":"35","author":"EL Matheson","year":"2020","journal-title":"Body Image"},{"key":"pmed.1004197.ref036","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1016\/j.psychres.2018.10.080","article-title":"Seeking professional help for suicidal ideation: A comparison between Chinese and Australian university students.","volume":"270","author":"J Han","year":"2018","journal-title":"Psychiatry Res"},{"issue":"1","key":"pmed.1004197.ref037","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1080\/15538605.2021.1868373","article-title":"Barriers and facilitators to professional mental health help-seeking behavior: perspective of Malaysian LGBT individuals.","volume":"15","author":"MK Zay Hta","year":"2021","journal-title":"J LGBTQ Issues Couns"},{"issue":"2","key":"pmed.1004197.ref038","first-page":"113","article-title":"The effect of using animation video for mentally retarded students in vocabulary mastery.","volume":"1","author":"D Pitaloka","year":"2021","journal-title":"J English Educ Entrep"},{"key":"pmed.1004197.ref039","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.invent.2017.11.002","article-title":"Development and pilot evaluation of an online psychoeducational program for suicide prevention among university students: A randomised controlled trial","volume":"12","author":"J Han","year":"2018","journal-title":"Internet Interv"},{"issue":"14","key":"pmed.1004197.ref040","first-page":"2410","article-title":"Study on reliability and validity of the Chinese version of the Attitudes toward Seeking Professional Psychological Help Scale-Short Form for community population in China.","volume":"33","author":"S Fang","year":"2019","journal-title":"Chin Nurs Res"},{"key":"pmed.1004197.ref041","unstructured":"Han J. Professional help seeking for suicidal ideation among Chinese and Australian university students. PhD. Thesis. The Australian National University. 2017. Available from: https:\/\/openresearch-repository.anu.edu.au\/handle\/1885\/141152."},{"issue":"4","key":"pmed.1004197.ref042","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1192\/bjp.185.4.342","article-title":"Effect of web-based depression literacy and cognitive\u2013behavioural therapy interventions on stigmatising attitudes to depression: Randomised controlled trial.","volume":"185","author":"KM Griffiths","year":"2004","journal-title":"Br J Psychiatry."},{"issue":"3","key":"pmed.1004197.ref043","doi-asserted-by":"crossref","first-page":"e1864","DOI":"10.2196\/jmir.1864","article-title":"Internet-based interventions to promote mental health help-seeking in elite athletes: an exploratory randomized controlled trial","volume":"14","author":"A Gulliver","year":"2012","journal-title":"J Med Internet Res"},{"key":"pmed.1004197.ref044","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.3389\/fpsyg.2019.01249","article-title":"Cross-cultural measurement invariance of scales assessing stigma and attitude to seeking professional psychological help.","volume":"10","author":"Y Zhou","year":"2019","journal-title":"Front Psychol"},{"key":"pmed.1004197.ref045","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.jad.2014.06.047","article-title":"Evaluation of an online psychoeducation intervention to promote mental health help seeking attitudes and intentions among young adults: randomised controlled trial","volume":"168","author":"E Taylor-Rodgers","year":"2014","journal-title":"J Affect Disord"},{"issue":"5","key":"pmed.1004197.ref046","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1017\/S0033291719000606","article-title":"\u201cTell Your Story\u201d: a randomized controlled trial of an online intervention to reduce mental health stigma and increase help-seeking in refugee men with posttraumatic stress.","volume":"50","author":"A Nickerson","year":"2020","journal-title":"Psychol Med"},{"issue":"16","key":"pmed.1004197.ref047","doi-asserted-by":"crossref","first-page":"2658","DOI":"10.1017\/S0033291718001265","article-title":"Effectiveness of interventions to promote help-seeking for mental health problems: systematic review and meta-analysis.","volume":"48","author":"Z Xu","year":"2018","journal-title":"Psychol Med."},{"key":"pmed.1004197.ref048","doi-asserted-by":"crossref","first-page":"103566","DOI":"10.1016\/j.ijnurstu.2020.103566","article-title":"Barriers to older adults seeking sexual health advice and treatment: A scoping review.","volume":"107","author":"I Ezhova","year":"2020","journal-title":"Int J Nurs Stud"},{"issue":"2","key":"pmed.1004197.ref049","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1080\/19359701003622875","article-title":"Transgender clients: Identifying and minimizing barriers to mental health treatment.","volume":"14","author":"JC Shipherd","year":"2010","journal-title":"J Gay Lesbian Ment Health"},{"issue":"4","key":"pmed.1004197.ref050","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1080\/10538720.2014.953660","article-title":"Stress, stigma, and sexual minority status: The intersectional ecology model of LGBTQ health","volume":"26","author":"MD Mink","year":"2014","journal-title":"J Gay Lesbian Soc Serv"},{"issue":"S","key":"pmed.1004197.ref051","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1037\/2376-6972.1.S.18","article-title":"Internalized stigma among sexual minority adults: Insights from a social psychological perspective.","volume":"1","author":"GM Herek","year":"2015","journal-title":"Stigma Health."},{"issue":"1","key":"pmed.1004197.ref052","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1037\/pst0000428","article-title":"Clients\u2019 experience of LGBQ affirmative and nonaffirmative practice in China: An interpretative phenomenological analysis.","volume":"59","author":"F Liu","year":"2022","journal-title":"Psychotherapy."},{"issue":"1","key":"pmed.1004197.ref053","doi-asserted-by":"crossref","first-page":"e27939","DOI":"10.2196\/27939","article-title":"Effectiveness of Live Health Professional-Led Group eHealth Interventions for Adult Mental Health: Systematic Review of Randomized Controlled Trials.","volume":"24","author":"CL Currie","year":"2022","journal-title":"J Med Internet Res"},{"issue":"4","key":"pmed.1004197.ref054","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1191\/1740774504cn032oa","article-title":"Are missing outcome data adequately handled? A review of published randomized controlled trials in major medical journals","volume":"1","author":"AM Wood","year":"2004","journal-title":"Clin Trials"}],"updated-by":[{"DOI":"10.1371\/journal.pmed.1004197","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2023,3,20]],"date-time":"2023-03-20T00:00:00Z","timestamp":1679270400000}}],"container-title":["PLOS Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pmed.1004197","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,20]],"date-time":"2023-03-20T17:30:26Z","timestamp":1679333426000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pmed.1004197"}},"subtitle":[],"editor":[{"given":"Charlotte","family":"Hanlon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2023,3,6]]},"references-count":54,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,3,6]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pmed.1004197","relation":{"new_version":[{"id-type":"doi","id":"10.1371\/journal.pmed.1004197","asserted-by":"object"}]},"ISSN":["1549-1676"],"issn-type":[{"value":"1549-1676","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,6]]}}}