{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:33:53Z","timestamp":1792802033001,"version":"4.5.0"},"reference-count":41,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"\n OBJECTIVES<\/jats:title>\n To apply an intersectional lens to disparities in emotional distress among youth, including multiple social positions and experiences with bias-based bullying.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n Data are from the 2019 Minnesota Student Survey (n = 80\u2009456). Social positions (race and ethnicity, sexual orientation, gender) and 2 forms of bias-based bullying (racist, homophobic or transphobic) were entered into decision tree models for depression, anxiety, self-injury, suicidal ideation, and suicide attempts. Groups with the highest prevalence are described. Rates of emotional distress among youth with matching social positions but no bias-based bullying are described for comparison.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n LGBQ identities (90%) and transgender, gender diverse, and questioning identities (54%) were common among the highest-prevalence groups for emotional distress, often concurrently; racial and ethnic identities rarely emerged. Bias-based bullying characterized 82% of the highest-prevalence groups. In comparable groups without bias-based bullying, emotional distress rates were 20% to 60% lower (average 38.8%).<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Findings highlight bias-based bullying as an important point for the intervention and mitigation of mental health disparities, particularly among lesbian, gay, bisexual, transgender, gender-diverse, queer, and questioning adolescents. Results point to the importance of addressing bias-based bullying in schools and supporting lesbian, gay, bisexual, transgender, gender-diverse, queer, and questioning students at the systemic level as a way of preventing emotional distress.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/peds.2023-061647","type":"journal-article","created":{"date-parts":[[2024,1,26]],"date-time":"2024-01-26T03:06:46Z","timestamp":1706238406000},"source":"Crossref","is-referenced-by-count":21,"title":["Emotional Distress Disparities Across Multiple Intersecting Social Positions: The Role of Bias-Based Bullying"],"prefix":"10.1542","volume":"153","author":[{"given":"Marla E.","family":"Eisenberg","sequence":"first","affiliation":[{"name":"aDivision of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha E.","family":"Lawrence","sequence":"additional","affiliation":[{"name":"aDivision of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota"},{"name":"bUniversity of Connecticut, School of Social Work, Hartford, CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hana-May","family":"Eadeh","sequence":"additional","affiliation":[{"name":"aDivision of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malavika","family":"Suresh","sequence":"additional","affiliation":[{"name":"cUniversity of Minnesota Medical School, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. 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