Considerations when providing mental health first aid to an LGBTIQ person: a Delphi study

Figures & data

Video abstract

Read the transcript

Watch the video on Vimeo

Table 1. Definitions used in this research.

LGBTIQ stands for lesbian, gay, bisexual, transgender, intersex, and queer or questioning. Although not traditionally included, in this study LGBTIQ also includes people who are asexual

LGBTIQ experience refers to the way a person experiences sexual or romantic attraction (including asexuality and polysexuality), gender identity or intersex variation

Gender identity describes someone’s understanding of who they are with regard to their gender-related identity (e.g. woman, genderqueer, man, no gender, etc.), as distinct from their physical characteristics. This includes the way people express or present their gender and recognise that a person may not identify as a woman or a man

Sexuality describes a person’s emotional, romantic or sexual attractions towards others, often describing the gender of people with whom someone builds sexual or romantic relationships. Some people experience sexuality as fluid and changing across the lifespan rather than as an ‘orientation’

Intersex variation is an umbrella term for people with physical characteristics that are seen as different from what is typically thought of as ‘female’ and ‘male’ bodies. These physical characteristics are present at birth and may become more noticeable during physical development. Intersex variation is distinct from sexuality and gender identity. Therefore, intersex people may identify as male, female or another gender, and gay, lesbian, bisexual, heterosexual, etc.

Cisgender refers to the gender experiences of people whose gender identity is typically associated with the sex assigned to them at birth

Note: These definitions are based on those from the National LGBTI Health Alliance.

Figure 1. Summary of the literature search.

Table 2. Characteristics of panellists who completed all three rounds.

Gender, n (%)		Sexuality, n (%)		Lived experience of mental illness, n (%)
Female Male Trans female Trans male Gender queer Non-binary Agender/nongender	44 (58.7%) 21 (28.0%) 2 (2.7%) 4 (5.3%) 0 (0%) 4 (5.3%) 0 (0%)	Lesbian Gay Bisexual Heterosexual Same-gender attracted Pansexual Queer Asexual Other	19 (25.3%) 21 (28.0%) 5 (6.7%) 17 (22.7%) 1 (1.3%) 1 (1.3%) 8 (10.7%) 0 (0%) 3 (4.0%)	Yes No	54 (72.0%) 21 (28.0%)
Transgender experience, n (%)		Intersex variation, n (%)		Carer of an LGBTIQ person with mental illness, n (%)
Yes No	14 (18.7%) 61 (81.3%)	Yes No	2 (2.7%) 73 (97.3%)	Yes No	10 (13.3%) 65 (86.7%)

Table 3. Retention rates across all three rounds.

	Completed Round 1	Completed Round 2	Completed Round 3	Retention rate
Number of panellists	106	84	75	70.8%

Figure 2. Summary of the items rated, endorsed and rejected.