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- The evidence on mental health of LGB people is inconclusive partly because of the difficulty of defining or recruiting samples that are representative of all non-heterosexual people. The risk of 12 months prevalence of depression in LGB people on meta-analysis was at least twice that of heterosexual controls with little heterogeneity Figure 5.
- Siegelman M: Adjustment of male homosexuals and heterosexuals.
- Psychother Psychosom. The other studies were limited by selection of very young populations [ 17 , 28 , 30 , 33 , 26 ] or low participation rates [ 26 ].
- Journal of Homosexuality. Sexuality was defined in a number of ways even within the same study: four studies used same sex attraction [ 24 , 30 , 33 , 34 ]; 13 used same sex behaviour [ 9 , 10 , 12 , 14 , 17 — 19 , 21 , 24 , 29 — 31 , 34 , 35 ]; 15 used participant self identification [ 1 , 9 — 11 , 15 , 18 , 20 , 22 , 23 , 25 — 29 ]; and three used a score above zero on the Kinsey scale [ 1 , 28 , 34 ] see Additional file 1.
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The distinction between suicide attempt and DSH was often unclear. Thus, we chose these parameters as the most pragmatic and commonly used definitions for this review. We only included studies in which there was a concurrent heterosexual comparison group within either a cohort, case-control or cross sectional study.