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Heterosexual adolescents with same-sex sexual partners may be at increased risk for psychological distress from victimization; this may lead to suicidality. We tested if sexual identity modified the association between bullying at school and suicide planning among adolescents with the same-sex sexual partners. We sampled 924 youth with same-sex sexual partners from the 2015 Youth Risk Behavior Survey, testing the association between bullying and suicide planning using log-binomial regression with sexual identity interactions. Sexual identity modified this association, with the greatest association among heterosexual participants (PR = 4.01, 95% CI 2.60--6.18). Anti-homophobia messaging and intervention programs that target these youth may be needed.

Background: The consumption of alcohol is ubiquitous on many college and university campuses. For some freshmen students, drinking may even be considered a "right of passage." Purpose: This study examined college freshmen who intentionally drink alcohol to get drunk (DTGD). Methods: Survey data from 307 incoming freshmen college students living in freshmen residence halls who reported drinking alcohol in the last 30 days were analyzed. Results: The majority (76.9%) of these self-reported drinkers reported DTGD. Relative to other freshmen drinkers, those who reported DTGD were significantly more likely to have consumed alcohol before going out to a party or bar, participated in a drinking game, drank heavily on a non-school night but not on a school night, used liquor, used beer, combined alcohol and drugs, experienced a hangover, vomited, passed out, and/or blacked out. Discussion: The associations support DTGD as a measure of pre-meditated, controlled and intentional consumption of alcohol to reach a state of inebriation. Translation to Health Education Practice: Common intentional drunkenness as observed in this study population may have implications for college alcohol risk reduction programs. (Contains 2 tables.)

Mental and behavioral health professional organizations use their governing documents to set expectations of provider competence in working with LGBTQ + clients. The codes of ethics and training program accreditation guidelines of nine mental and behavioral health disciplines (n = 16) were analyzed using template analysis. Coding resulted in five themes: mission and values, direct practice, clinician education, culturally competent professional development, and advocacy. Expectations for provider competency vary greatly across disciplines. Having a mental and behavioral health workforce that is uniformly competent in meeting the unique needs of LGBTQ populations is key for supporting the mental and behavioral health of LGBTQ persons. [ABSTRACT FROM AUTHOR]

Lesbian, gay, bisexual, transgender, queer/questioning and other sexual and gender diverse (LGBTQ+) persons frequently lack access to mental health service organizations (MHOs) and therapists who are competent with LGBTQ+ clients. Existing continuing education programmes to better equip therapists to work with LGBTQ+ clients are often not widely accessible or skills focused, evaluated for effectiveness and inclusive of MHO administrators who can address the organizational climate needed for therapist effectiveness. A virtual, face‐to‐face, multi‐level (administrators and therapists) and multi‐strategy (technical assistance, workshop and clinical consultations) LGBTQ+ cultural competence training—the Sexual and Gender Diversity Learning Community (SGDLC)—was tested in a pilot randomized controlled trial. Ten organizations were randomly assigned to the intervention (SGDLC plus free online videos) or control (free online videos only) group. Pretest/posttest Organization LGBTQ+ Climate Surveys (n = 10 MHOs) and pretest/posttest Therapist LGBTQ+ Competence Self‐Assessments (n = 48 therapists) were administered. Results showed that at pretest, average ratings across organization LGBTQ+ climate survey items were low; twice as many items improved on average in the intervention (10/18 items) than control (5/18 items) group organizations. At pretest, therapist average scores (range 0–1) were highest for knowledge (0.88), followed by affirmative attitudes (0.81), practice self‐efficacy (0.81), affirmative practices (0.75) and commitment to continued learning (0.69). Pretest/posttest change scores were higher for the intervention relative to the control group regarding therapist self‐reported affirmative attitudes (cumulative ordinal ratio [OR] = 3.29; 95% confidence interval [CI] = 1.73, 6.26), practice self‐efficacy (OR = 5.28, 95% CI = 2.00, 13.93) and affirmative practices (OR = 3.12, 95% CI = 1.18, 8.25). Average therapist and administrator satisfaction scores were high for the SGDLC. These findings suggest the SGDLC training can affect organizational‐ and therapist‐level changes that may benefit LGBTQ+ clients. [ABSTRACT FROM AUTHOR]

The authors sought to determine whether Black sexual minority individuals were more likely than White sexual minority individuals to postpone or avoid professional mental health care (PMHC) and, if so, to identify the reasons for postponing or avoiding care. Analyses were conducted with a subsample of cisgender Black (N=78) and White (N=398) sexual minority individuals from a larger survey of U.S. adults administered via MTurk in 2020 (N=1,012). Logistic regression models were used to identify racial differences in overall postponement or avoidance of care as well as differences in the prevalence of each of nine reasons for postponing or avoiding care. Black sexual minority individuals were more likely than their White counterparts to report ever postponing or avoiding PMHC (average marginal effect [AME]=13.7 percentage points, 95% CI=5.4–21.9). Black sexual minority people also were more likely than their White counterparts to cite beliefs that they should work out their problems on their own (AME=13.1 percentage points, 95% CI=1.2–24.9) or with family and friends (AME=17.5 percentage points, 95% CI=6.0–29.1) and to cite providers' refusal to treat them (AME=17.4 percentage points, 95% CI=7.6–27.1) as reasons for postponing or avoiding care. Black sexual minority individuals were more likely than their White counterparts to report delaying or avoiding PMHC. Personal beliefs about managing mental health and providers' refusal to offer treatment influenced Black sexual minority individuals' willingness or ability to seek PMHC. [ABSTRACT FROM AUTHOR]

Minority populations are underrepresented in fields of science, perhaps limiting scientific perspectives. Informed by recent studies using social cognitive career theory, this study examined whether three conceptual constructs: self-efficacy, perceived adult support, and perceived barriers, along with several discrete and immutable variables, were associated with intent to pursue college health science education in a sample (N = 134) of minority youth (67.2% African American). A paper-and-pencil survey about pursuit of college health science was administered to 10th graders with a B- or better grade point average from six high schools in an underserved community. Results indicated that the three conceptual constructs were bivariate correlates of intent to pursue college health science. Only perceived adult support and knowing whether a parent received college education were significant predictors in a multiple regression model. These results build on previous research and provide further insight into youth decision-making regarding pursuit of college health science.

Intercession into collegiate alcohol misuse by the Department of Resident Life (DRL) in freshmen dormitories at one large Mid-Atlantic, diverse, public university was examined. Freshmen dormitory resident drinkers (n = 357), 71% of whom reported alcohol misuse, were surveyed. Student self-report and DRL documentation, respectively, revealed that 6.4% and 7.8% ([Kappa] = 0.77) of drinkers were documented with an alcohol violation, 4.2% and 3.4% ([Kappa] = 0.81) lost housing priority points, 1.4% and 0.6% ([Kappa] = 0.28) were referred for alcohol counseling, and 1.4% and 0.3% ([Kappa] = 0.33) were taken to the emergency room. DRL infrequently interceded into alcohol misuse, perhaps because most misuse occurred off campus. (Contains 1 figure and 1 table.)

This study examined the relationship between drinking motivations and college students' experiences with unwanted sexual advances. Undergraduates, from a public university in the mid-Atlantic region, who reported recent (30 day) alcohol use (n = 289) completed an online survey midway through the spring 2007 academic semester. Experiencing an unwanted sexual advance was the outcome of interest for the present study. The independent variables included sociodemographics and a three-factor (social ease, social image or reputation, emotional distress) drinking motivation measure. Prevalence estimates as well as unadjusted and adjusted odds ratios (OR) were produced. A strong relationship was found between having an unwanted sexual advance and recent binge drinking as well as drinking to remove emotional distress (OR = 3.40 and 2.73, respectively, for the total sample; OR = 7.27 and 2.82 for females). Findings suggest that experiencing an unwanted sexual advance is associated with specific drinking motivations and more likely to occur among females. Further research is needed to fully understand pathways and implications. (Contains 3 tables.)

Objective: The current study examined the dimensionality of a protective behavioral strategies (PBS) measure among undergraduate, predominantly freshmen (92.5%) college students reporting recent alcohol use (n = 320). Method: Participants completed a web-based survey assessing 22 PBS items. Factor analyses determined the underlying factor structure of the items. Congruence of the factor structure among gender and racial sub-groups was examined by rotating the sub-groups' matrices via the Procrustes rotation method. Reliability analyses determined internal consistency. Results: A 2-factor solution was retained utilizing 17 of the original items. Both PBS sub-scales (Limits and Avoidance) had acceptable internal consistency across all samples. Conclusions: This PBS Scale was determined to be bi-dimensional and reliable. The dimensions suggest two underlying foci: ways to limit alcohol intake and ways to avoid alcohol intake while socializing. Practical implications of these findings are discussed. (Contains 4 tables.)

Objective: The authors examined the secondhand effects among college freshmen of others' alcohol use and related student characteristics, and perceptions about residence hallmates. Participants: The authors surveyed 509 incoming freshmen residing in predominantly freshman residence halls. Methods: The authors administered a Web-based survey 2 months into the 2006 fall academic semester. Results: Most (80%) students experienced at least 1 secondhand effect. Participants' perceptions of wingmates' acceptance and expectation of alcohol use and participants' perceived inability to protect themselves against alcohol problems were related to experiencing secondhand effects, as were being a female and a drinker. Conclusions: Incoming college freshmen frequently experienced secondhand effects of alcohol use. Involving residence halls in norms-based interventions aimed at reducing secondhand effects warrants evaluation. Further research is also needed to examine skill building among college students to avoid and intervene into others' drinking and to examine resident advisor roles as both engenderers of trust and cooperation as well as enforcers of alcohol rules. (Contains 3 tables.)

Objectives: To examine variable frequencies and relationships between students' intentions and confidence with their intervention. Methods: Incoming freshmen (509 of 1155 students responded) completed a survey 2 months into college. Results: Most (75.2%) students intervened into others' drinking, usually as a caretaker. Students reported more intention to intervene with others with whom they had more affiliation, and confidence with less intrusive intervention. Intention to intervene (b = 0.36, SE = 0.10, P less than 0.001) and intervention confidence (b = 0.27, SE = 0.06, P less than 0.001) correlated with intervention. Conclusions: With education to enhance their intention and confidence to intervene, first-year college students might be encouraged to intervene into others' social drinking.

Using a cross-sectional survey, data were collected from 265 first-year college students to determine if parent-student alcohol communication is associated with college drinking or drinking consequences and if this relationship is mediated by students' parental subjective norms, attitudes toward drinking, and perceived risk. Structural equation modeling was used to test hypotheses. Students whose parents talked with them more about the negative effects of alcohol reported more extensive college drinking ([beta] = 0.12, p less than 0.05). Favorable alcohol attitudes were significantly related to both more extensive college drinking ([beta] = 0.49, p less than 0.05) and more drinking consequences ([beta] = 0.39, p less than 0.05). Lower reported perceived risk was significantly related to more drinking consequences ([beta] = -0.24, p less than 0.05). Findings indicate that parental communication regarding the negative effects of alcohol may be ineffective at reducing college drinking or drinking consequences. (Contains 3 tables and 3 figures.)

Evidence-based interventions (EBIs) are used in public health to prevent HIV infection among youth and other groups. EBIs include core elements, features that are thought to be responsible for the efficacy of interventions. The authors evaluate experiences of organizations that adopted an HIV-prevention EBI, Focus on Kids (FOK), and their fidelity to the intervention's eight core elements. A cross-sectional telephone survey was administered to 34 staff members from organizations that had previously implemented FOK. Questions assessed how the organization adhered to, adapted, dropped, or altered the intervention. None of the organizations implemented all eight core elements. This study underscores the importance for HIV intervention researchers to clearly identify and describe core elements. More effort is needed to reflect the constraints practitioners face in nonresearch settings. To ensure intervention effectiveness, additional research and technical assistance are needed to help organizations implement HIV prevention EBIs with fidelity. (Contains 3 tables.)

An intervention to reduce college alcohol use and secondhand effects was tested. Freshmen dormitory wings at a large Mid-Atlantic public university were assigned to single-gender (SG) or mixed-gender (MG) Information-Motivation-Behavior (IMB) workshops implemented during the first weeks of school, or a control condition. Students were surveyed before school began and at 2- and 6-month follow-up. Analyses indicated that, among males, the adjusted mean weekly alcohol use was lower in the SG than the control condition (1.89 vs. 2.72, p = 0.041). Among females, the adjusted mean weekly alcohol use was lower in the MG than the SG (1.60 vs. 2.44, p = 0.021) and control condition (1.60 vs. 2.27, p = 0.056). Further research should identify underlying mechanisms for effective alcohol behavior change among male and female wing-mates. (Contains 2 tables and 2 figures.)

This study examined the psychosocial correlates of alcohol-related sexual assault. Undergraduate students (N = 551) were recruited to complete a web-based survey. The outcome was a composite of 2 items: "experienced an unwanted sexual advance" or "was the victim of sexual assault or date rape" as a result of another's alcohol use. The predictors were substance use, other alcohol-related interpersonal violence victimization, and alcohol-related protective behaviors. Multivariate logistic regression analyses were conducted. Females reported higher prevalence of alcohol-related sexual assault than did males (20.4% vs. 6.6%). Females who reported binge drinking (OR = 7.74) and other alcohol-related interpersonal violence (OR = 5.03) were more likely to report alcohol-related sexual assault whereas only other alcohol-related interpersonal violence was associated with alcohol-related sexual assault (OR = 43.75) among males. The findings suggest that alcohol-related sexual assault is associated with other risk factors that deserve further attention through longitudinal research and intervention efforts.

Objective: In this qualitative study, the authors examined how students attempt to minimize harm to themselves and others when drinking. Participants: The authors recruited freshmen at a large, mid-Atlantic US public university during the fall semester of 2005 to participate in 8 focus groups. Methods: The moderator's guide was developed through an iterative process that included input from experts and pilot testing. The researchers audiotaped focus group conversations, transcribed them, and subjected them to an interrater reliability check. Analysis was based on the framework of Information-Motivation-Behavioral Skills Model and a phenomenological approach. Results: College students have a repertoire of coping strategies they use in an attempt to safeguard themselves and their friends from harm when drinking. Strategies encompass planning a safe context for drinking, using safety measures to minimize harm when drinking, and taking care of someone who has consumed too much alcohol. Conclusions: A harm-reduction focus that acknowledges and builds on existing protective strategies may be a promising avenue for alcohol interventions. (Contains 1 note.)

There is a paucity of research investigating the impact that parents may have on college drinking. In this study, the authors investigated the relationship between students' perceptions of parent approval of drinking and problem drinking occurrence. They conducted a Web-based survey of 265 first-year students living on campus during their second semester. The authors used logistic regression to examine the relationship between students' perceptions of their mothers' and fathers' attitudes toward their drinking, their mothers' and fathers' drinking habits, and problem drinking since they had begun college. Sixty-nine percent of respondents reported experiencing at least 1 drinking problem. Over one third of students perceived that their parents would approve of them drinking occasionally. Students perceiving more parental approval for their drinking were more likely to report at least 1 drinking problem. Student perceptions of parental approval of drinking warrant further investigation as a potentially mutable correlate of problem drinking. (Contains 1 figure and 3 tables.)