eCite Digital Repository

Psychological distress, resilience, and help-seeking experiences of LGBTIQA+ people in rural Australia


Reynish, T and Hoang, H and Bridgman, H and Easpaig, BNG, Psychological distress, resilience, and help-seeking experiences of LGBTIQA+ people in rural Australia, International Journal of Environmental Research and Public Health, 20, (4) pp. 1-11. ISSN 1660-4601 (2023) [Refereed Article]

Pending copyright assessment - Request a copy

DOI: doi:10.3390/ijerph20042842


The aims of this paper were to explore mental health, the aspects associated with psychological distress and resilience, and the help-seeking experiences of LGBTIQA+ people. This research used a mixed-method approach using a survey and semi-structured interviews. The study was conducted in rural and remote Tasmania, Australia. Sixty-six participants completed the survey, and 30 participated in interviews. Participants reported a range of mental health concerns and varied experiences of accessing care and support in rural Australia. Depression and anxiety were the most common among participants. Almost half of all participants had attempted suicide in their lifetime, and just over a fifth had self-harmed. Two-thirds of the sample had high/very high psychological distress. For respondents, lacking social support was associated with increased psychological distress and low level of resilience. Public acceptance and social support enhanced interviewees’ resilience. Interviewees experienced a lack of nearby mental health professionals, were unimpeded by operating hours, and trusted mental health professionals, which impacted help seeking and mental health. The findings indicate that acceptance, access and proximity to care, and mental health professionals’ cultural competence would benefit rural Tasmanian LGBTIQA+ peoples’ mental health. There is a need to improve public education, improve mental health professionals’ curricula, and provide inclusive and tailored mental health care.

Item Details

Item Type:Refereed Article
Keywords:health services, health services for transgender persons, mental health, rural health services, sexual and gender minorities, social support.
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Rural and remote health services
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Mental health services
UTAS Author:Reynish, T (Ms Tamara Reynish)
UTAS Author:Hoang, H (Dr Ha Hoang)
UTAS Author:Bridgman, H (Dr Heather Bridgman)
ID Code:155330
Year Published:2023
Deposited By:UTAS Centre for Rural Health
Deposited On:2023-02-13
Last Modified:2023-02-14

Repository Staff Only: item control page