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{
    "pk": 8191,
    "title": "Screening for Sexual Orientation in Psychiatric Emergency Departments",
    "subtitle": null,
    "abstract": "Introduction: \nOur goal was to explore whether emergency department (ED) patients would disclose their sexual orientation in a research evaluation and to examine demographic and clinical characteristics of patients by self-identified sexual orientation.\nMethods: \nParticipants (n=177) presented for psychiatric treatment at three urban EDs in New York City, Rochester, NY, and Philadelphia, PA. Participants were interviewed in the context of a larger study of a standardized suicide risk assessment. We assessed participants’ willingness to answer questions regarding sexual orientation along three dimensions: a self-description of sexual orientation, a self-description of sexual attraction, and the gender of any prior sexual partners.\nResults: \nNo participants (0/177) refused to respond to the categorical question about sexual orientation, 168/177 (94.9%) agreed to provide information about prior sexual partners, and 100/109 (91.7%) provided information about current sexual attraction toward either gender. Of all 177 participants, 154 (87.0%) self-identified as heterosexual, 11 (6.2%) as bisexual, 10 (5.6%) as gay or lesbian, and 2 (1.1%) indicated they were not sure. As compared with heterosexual patients, lesbian, gay and bisexual (LGB) patients were significantly younger and more likely to be non-white, but did not differ significantly in terms of education, income, employment, or religious affiliation or participation. Further, LGB participants did not differ from self-identified heterosexual participants for lifetime suicide attempt rate or lifetime history of any mood, substance-related, psychotic spectrum, or other Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) Axis I disorder. Of self-identified heterosexual participants 5.6% (5/89) reported sexual attraction as other than ‘only opposite sex,’ and 10.3% (15/142) of sexually active ‘heterosexual’ participants reported previous same-gender sexual partners.\nConclusion: \nAssessing patients’ sexual orientation in the ED by a three-question approach appeared feasible in the ED and acceptable to ED patients. However, since many patients have sexual experiences not suggested by simple labels, self-report of sexual identity alone may not inform clinicians of health risks inherent in same or opposite gender sexual contact. [West J Emerg Med. 2015;16(1):–0.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Emergency Medicine, Sexual Orientation, Patient Screening"
        }
    ],
    "section": "Behavioral Health",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/3598g0n8",
    "frozenauthors": [
        {
            "first_name": "Glenn",
            "middle_name": "W.",
            "last_name": "Currier",
            "name_suffix": "",
            "institution": "University of Rochester Medical Center, Department of Psychiatry, Rochester, New York; University of Rochester Medical Center, Department of Emergency Medicine, Rochester, New York",
            "department": "None"
        },
        {
            "first_name": "Gregory",
            "middle_name": "",
            "last_name": "Brown",
            "name_suffix": "",
            "institution": "University of Pennsylvania School of Medicine, Department of Psychiatry, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Patrick",
            "middle_name": "",
            "last_name": "Walsh",
            "name_suffix": "",
            "institution": "University of Rochester",
            "department": "None"
        },
        {
            "first_name": "Shari",
            "middle_name": "",
            "last_name": "Jager-Hyman",
            "name_suffix": "",
            "institution": "University of Pennsylvania School of Medicine, Department of Psychiatry, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Sadia",
            "middle_name": "",
            "last_name": "Chaudhury",
            "name_suffix": "",
            "institution": "Columbia University School of Medicine, Department of Psychiatry, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Barbara",
            "middle_name": "",
            "last_name": "Stanley",
            "name_suffix": "",
            "institution": "Columbia University School of Medicine, Department of Psychiatry, New York, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2014-03-31T19:20:12Z",
    "date_accepted": "2014-03-31T19:20:12Z",
    "date_published": "2015-01-07T00:45:26Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/8191/galley/4713/download/"
        }
    ]
}