Half of LGBT people (52 per cent) experienced depression in the last year
Research shows LGBT people face widespread discrimination in healthcare settings
One in seven LGBT people (14 per cent) avoid seeking healthcare for fear of discrimination from staff
New research from Stonewall, Britain’s leading charity for lesbian, gay, bi and trans equality, exposes alarming levels of poor mental health among LGBT people compared to the general population. Stonewall’s study also reveals a shockingly high level of hostility and unfair treatment faced by many LGBT people when accessing healthcare services.
The research, based on YouGov polling of over 5,000 LGBT people, shows more than half of LGBT people (52 per cent) have experienced depression in the last year, and three in five (61 per cent) had anxiety. This compares to one in six adults in England who faced a common mental health problem, such as anxiety and depression, according to Mind.
Experiences of anti-LGBT abuse and discrimination on the street, at home, and at work were also revealed to significantly increase the risk of poor mental health. Two-thirds of LGBT people who’ve been the victim of a hate crime (69 per cent) experienced depression, while three in four (76 per cent) reported having episodes of anxiety.
The situation is particularly concerning for trans people. In the last 12 months alone, more than one in 10 trans people (12 per cent) attempted to take their own life, compared to two per cent of LGB people who aren’t trans. Almost half of trans people (46 per cent) have also had thoughts about taking their own life.
Shockingly, almost one in four patients (23 per cent) had witnessed negative remarks about LGBT people from healthcare staff while accessing services. One in seven LGBT people (14 per cent) said they have avoided treatment altogether for fear of the discrimination they may face.
Of those who do seek support, one in eight (13 per cent) have experienced some form of unequal treatment from healthcare staff because they’re LGBT. A quarter of LGBT people (25 per cent) also faced a lack of understanding of their specific health needs; a figure that rises to 62 per cent for trans patients.
On the basis of this report, Stonewall is calling for better training for all health and social care staff, with specific guidance on how to meet the needs of LGBT patients. NHS England should also make mental health a key priority for the new National LGBT Health Adviser.
Paul Twocock, Director of Campaigns, Policy and Research at Stonewall, said: ‘Simply being lesbian, gay, bi or trans shouldn’t mean you’re at higher risk of experiencing poorer mental health or should have to expect unequal treatment from healthcare services in Britain today. Unfortunately, this report shows that for many, it still does.
‘Despite some outstanding progress by committed individuals and institutions, we are still seeing a bleak picture of LGBT health – both mental and physical – in 2018. Half of LGBT people (52 per cent) have experienced depression, while three in five (61 per cent) reported having episodes of anxiety.
‘And it’s no wonder this is the case: LGBT people still face routine discrimination in all areas of their lives. The Government’s annual hate crime report revealed a 32 per cent rise in anti-trans hate crimes in the last year, while those based on sexual orientation jumped by 27 per cent. What this new research shows is the devastating impact hate and abuse has on LGBT people’s mental health and well-being. Victims of anti-LGBT hate crime are at far greater risk of experiencing mental health problems compared to other LGBT people and the wider population.
‘We need the UK, Scottish and Welsh Governments and the NHS to take action and ensure health service staff at all levels understand the needs of all LGBT people and how to support them. The £1m fund announced by the UK Government to improve health and social care for LGBT people in England is an important first step. We look forward to working with the UK Government’s newly appointed National Adviser for LGBT healthcare in England, and alongside NHS Wales. In Scotland, we look forward to continuing our ongoing partnership with NHS Scotland. Across Britain, we want to help create a world where every LGBT person is supported to a lead a happy, healthy life.’
FOREWORD
Despite the strides we’ve made towards LGBT equality in recent years, many LGBT people still face significant barriers to leading healthy, happy and fulfilling lives in Britain today.
This report, part of our state-of-the-nation LGBT in Britain research series with YouGov, uncovers worryingly high rates of poor mental health experienced by LGBT people in Britain today, as well as the challenges many LGBT people face when accessing wider healthcare services.
In the last year alone, half of LGBT people have experienced depression and three in five have suffered from anxiety, far exceeding estimates for the general population. And our findings show that poor mental health is also higher among LGBT people who are young, Black, Asian or minority ethnic, disabled or from a socio-economically deprived background. It’s a shocking picture, that must serve as a wake up call for healthcare providers across the sector.
While there are committed individuals and organisations doing outstanding work, this report shows that instances of discrimination, hostility and unfair treatment in healthcare services are still commonplace. Many LGBT people – particularly those who are trans – continue to be ‘outed’ without their consent, treated with inappropriate curiosity and subjected to unequal treatment because of who they are. Mirroring the findings of the UK Government’s recent National LGBT Survey, a worrying proportion of LGBT people say they’ve been pressured to access damaging ‘conversion therapies’ to change their sexual orientation and gender identity.
This discrimination – both experienced and expected – can deter LGBT people from accessing help when they’re in need: one in seven LGBT people, including more than a third of trans people, have avoided treatment for fear of prejudice.
The persistence of these inequalities calls for leadership from the very top and action at all levels. The UK, Scottish and Welsh Governments must play an important role in this. For example, the UK Government implementing the commitments it made in the LGBT Action Plan, including ensuring that the National Adviser for LGBT healthcare in England has the remit and resources to drive change.
Knowing that we have somewhere to turn when our health is in crisis is crucial. These findings stand as a stark warning that for too many LGBT people, this still isn’t the case. With strong leadership across government and the NHS, building on the best practice of health and social care providers across the country, we can bring forward the day when every LGBT person gets the healthcare support they need to lead a happy, healthy life.
Ruth Hunt, Chief Executive