The journal of spinal cord medicine · 2026
Perceived mental health needs among LGBTQ+ adults living with spinal cord injuries and disorders.
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Neal Megan, Nevedal Andrea L, Lamba Shane, Warren Allison R, Goulet Joseph, Kiratli B Jenny
Аннотация
CONTEXT/OBJECTIVE: People living with spinal cord injuries and disorders (SCI/D) are at heightened risk for depression, anxiety, and post-traumatic stress disorder, yet frequently encounter barriers to mental health care. Lesbian, gay, bisexual, transgender, queer individuals and those with related identities (LGBTQ+) also experience elevated mental health disparities and marginalization in clinical settings. As no prior studies have assessed the mental health of LGBTQ+ people with SCI/D, this study sought to examine how members of this population describe their mental health needs, including barriers and facilitators to fulfilling them.
DESIGN: Qualitative, exploratory study using rapid directed content analysis.
SETTING: Community-based sample across the US.
PARTICIPANTS: Thirty-two LGBTQ+ adults with SCI/D.
INTERVENTIONS: Semi-structured interviews.
OUTCOME MEASURES: Interviews addressing mental health needs.
RESULTS: Participants emphasized the need for affirming clinical and social support that addressed their LGBTQ+ identities and disability experiences. They stressed the importance of providers who saw them as individuals through an intersectional lens. Competence with both LGBTQ+ and SCI/D issues was considered essential. Providers who were members of the LGBTQ+ and/or SCI/D communities were valued for their relatability and deeper understanding. Participants also requested therapeutic support groups that addressed both LGBTQ+ and SCI/D concerns. Social support from friends, partners, families (i.e. chosen, legal, and/or biological), and communities was also crucial. Peers with shared lived experiences provided companionship as well as invaluable emotional, informational, and tangible support.
CONCLUSION: LGBTQ+ adults living with SCI/D identified affirming clinical care and social support as critical to their mental health. Findings highlight the importance of developing intersectional, person-centered clinical and social resources that meet this unique population's needs holistically.
DESIGN: Qualitative, exploratory study using rapid directed content analysis.
SETTING: Community-based sample across the US.
PARTICIPANTS: Thirty-two LGBTQ+ adults with SCI/D.
INTERVENTIONS: Semi-structured interviews.
OUTCOME MEASURES: Interviews addressing mental health needs.
RESULTS: Participants emphasized the need for affirming clinical and social support that addressed their LGBTQ+ identities and disability experiences. They stressed the importance of providers who saw them as individuals through an intersectional lens. Competence with both LGBTQ+ and SCI/D issues was considered essential. Providers who were members of the LGBTQ+ and/or SCI/D communities were valued for their relatability and deeper understanding. Participants also requested therapeutic support groups that addressed both LGBTQ+ and SCI/D concerns. Social support from friends, partners, families (i.e. chosen, legal, and/or biological), and communities was also crucial. Peers with shared lived experiences provided companionship as well as invaluable emotional, informational, and tangible support.
CONCLUSION: LGBTQ+ adults living with SCI/D identified affirming clinical care and social support as critical to their mental health. Findings highlight the importance of developing intersectional, person-centered clinical and social resources that meet this unique population's needs holistically.