{ "schema_version": "uw.editorial_geo.v1", "representation_profile": "lossless_source_sections", "local_stage_only": true, "catalog_id": "DEP-19-N06", "article_index": "DEP-19-N06", "language": "en", "headline": "LGBTQ People and Addiction: Seeking Help Without Giving Up the Right to Be Yourself", "description": "LGBTQ People and Addiction: Seeking Help Without Giving Up the Right to Be Yourself", "short_answer": "**What this article is about.** If alcohol or another substance has become a concern, looking for help may carry another question: “How will they speak to me if they learn about my sexual orientation, gender identity, or relationships?” This article is for someone seeking support and for a person close to them who is willing to help with their consent. It offers a verifiable next contact without requiring disclosure of private life. If poisoning is suspected, contact the local emergency medical service immediately, even before symptoms appear; an admission, conversation, or the questions below must not delay the call. New sudden confusion on its own also calls for immediate contact with the local emergency medical service. Do not wait for it to become “severe” or for another sign ([NHS: poisoning](https://www.nhs.uk/conditions/poisoning/), [NHS: sudden confusion](https://www.nhs.uk/symptoms/confusion/)).", "short_answer_source": { "kind": "opening_after_h1", "role": "lead", "start_utf16": 87, "end_utf16": 1004, "sha256_utf8": "6e0e602acede27b6de37465cb20c0a254d42e18a5950ff92aeb1b9d648fdccd0" }, "headline_source": { "role": "h1_heading", "start_utf16": 2, "end_utf16": 85, "sha256_utf8": "d469b5fc571a0afdfb0b7ea61509464168aef23ba8d204da2e0ab33d1a089b83" }, "entities": [], "questions": [ { "q": "I. What question actually needs an answer", "a": "Sexual orientation, gender identity, gender expression, and a particular behaviour are different aspects of life. None of them is, by itself, a substance use disorder. Someone’s appearance, partner, or community label cannot tell you what they use, how they use it, or whether they need treatment. WHO distinguishes these concepts and explicitly does not classify transgender or gender-diverse identity as a mental illness ([WHO: concepts and rights](https://www.who.int/publications/m/item/frequently-asked-questions-on-sexual-and-gender-diversity--health-and-human-rights--an-introduction-to-key-concepts), [WHO: ICD FAQ](https://www.who.int/standards/classifications/frequently-asked-questions/gender-incongruence-and-transgender-health-in-the-icd)). A person may describe themselves in the words that fit, or use no label; neither choice should determine whether they receive care.\n\nThe subject of care is more specific: what is happening with substance use and its consequences, how health, sleep, work, relationships, or safety have changed, and whether other symptoms need professional assessment. A person can seek help after one worrying event without waiting for a confirmed diagnosis or “rock bottom.” A professional should address the concern, not offer to “correct” orientation or identity. A loved one is more useful asking what help is wanted than demanding a confession or a full life story.", "source_spans": [ { "role": "h2_heading", "start_utf16": 1009, "end_utf16": 1050, "sha256_utf8": "2eb3cdd299f545b10cafd3be11011e94f4a3b40c643b1658d3447e2d1c86be4f" }, { "role": "h2_answer", "start_utf16": 1052, "end_utf16": 2459, "sha256_utf8": "726e5d2d5e43f48af66fc29f4ee11ba97158c886b90f1527aa7c0cf5d2e6c3c2" } ], "block_ids": [ "p0004", "p0005" ], "source_segment_index": 1 }, { "q": "II. How added pressure may affect a request for help", "a": "Hostility, threats, bias in care, or expecting a humiliating response can make even a first call harder. WHO describes such access barriers in a public-health synthesis. Ilan Meyer’s minority-stress model considers social pressure, experiences of rejection, and vigilance as possible added burdens. It is a 2003 conceptual review of studied lesbian, gay, and bisexual populations, not a test for every present-day LGBTQ person or proof of why one person uses a substance ([WHO: synthesis](https://www.who.int/publications/m/item/frequently-asked-questions-on-sexual-and-gender-diversity--health-and-human-rights--an-introduction-to-key-concepts), [Meyer, 2003](https://pmc.ncbi.nlm.nih.gov/articles/PMC2072932/)).\n\nA person can experience such stress without using substances. A person can have a substance use concern for reasons that this model cannot explain. Keeping personal information private may be necessary for safety, work, or housing; coming out is not a recovery exercise. A supportive community may be a chosen resource, but adopting a particular language, faith, group, or family account cannot be a prerequisite for medical help.", "source_spans": [ { "role": "h2_heading", "start_utf16": 2464, "end_utf16": 2516, "sha256_utf8": "3bf07865c99960f5d067e78b338b8404f5b93a30e709c4fe72b04ca50e936d65" }, { "role": "h2_answer", "start_utf16": 2518, "end_utf16": 3663, "sha256_utf8": "b432d2cd8b9fb5d62c606482bf3806142858b4d8711993ede741a6d0090b420b" } ], "block_ids": [ "p0007", "p0008" ], "source_segment_index": 2 }, { "q": "III. What to notice without diagnosing yourself", "a": "For an initial conversation, it is enough to describe the facts you are willing to share: which substance concerns you, what changed, when you became worried, whether there has been loss of control, injury, or worse sleep or mood, and which medicines have been prescribed. One sign does not establish a diagnosis; a prescribed medicine alone does not prove a substance use disorder. Do not use this article to decide on your own whether symptoms come from a substance, stress, another condition, or a combination. If mood, sleep, or past trauma also concerns you, professional assessment can consider these questions together; the US NIMH resource describes that possibility without assigning the reader a second diagnosis ([NIMH](https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health)).\n\nYou do not have to discuss a partner, past relationships, or identity at the first contact if these are not needed for the help requested or the channel is unsafe. When a question is clinically relevant, you can ask why the information is needed, who will see it, and which confidentiality exceptions apply. Age, consent, and professional duties depend on local rules. Absolute secrecy cannot be promised, and this article cannot predict how a particular service keeps records.", "source_spans": [ { "role": "h2_heading", "start_utf16": 3668, "end_utf16": 3715, "sha256_utf8": "e7eabf67bc5d6d9c866cff62312709587977d2f1b07fa2f7d0b76dd17eebf788" }, { "role": "h2_answer", "start_utf16": 3717, "end_utf16": 5000, "sha256_utf8": "0f8a0b4233fa6d4e28004c98b808dd8346f22e9ed95a0e5708f0d152d0fb6da7" } ], "block_ids": [ "p0010", "p0011" ], "source_segment_index": 3 }, { "q": "IV. A first contact you can verify", "a": "Start with one service or professional actually accessible where you live: local medical care, a substance use professional, or mental-health support. If an explicitly LGBTQ programme is unavailable, that is not a reason to postpone a competent professional willing to address your concern respectfully. If several concerns are present, ask for a coordinated assessment instead of being passed between services with conflicting explanations ([NIMH](https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health)). A peer group can add to care if you choose it, but group membership, faith, family reconciliation, or perfect abstinence must not be a ticket required for medical assessment.\n\nYou might begin briefly: “I need a consultation about substance use and safety. How can I contact you, what must I share first, and who will see the record?” If names or forms of address matter to you, add: “What name will you use for me in conversation, and what name will appear in documents?” These are possible questions, not a verbal test the service automatically passes. Check whether it accepts people of your age, in which language and at what price, when it is available, how long the wait is, who will actually see you, and what happens if a referral fails. Booking or sending a message is not yet receiving help.", "source_spans": [ { "role": "h2_heading", "start_utf16": 5005, "end_utf16": 5039, "sha256_utf8": "382e98f81eaa67706989e714989d796c9ebe625d72cb751d32ac2999fdea2af1" }, { "role": "h2_answer", "start_utf16": 5041, "end_utf16": 6364, "sha256_utf8": "fb062a27d2df00937ef4d74830c2395d738d4bb2629e7a38dc5c894c549a7d36" } ], "block_ids": [ "p0013", "p0014" ], "source_segment_index": 4 }, { "q": "V. Personal disclosure is a separate decision", "a": "Before sending sensitive information, check a channel you know is safe to use: whether someone else sees your messages and whether a private conversation or neutral way to book is available. Ask the service what data it collects and shares, how consent works, and what local exceptions apply. A person may request the name, form of address, and participants they prefer; the professional should explain actual limits rather than demand a public coming-out. A friendly sign alone does not guarantee competence, confidentiality, or an available appointment.\n\nA loved one can offer to find contacts, stay nearby during a call, or help with transport, within the scope agreed by the person seeking help. They need not discover a “true reason” for the use and should not spread private information through the family in the name of helping. If the person is below the local age of independent consent or depends on another adult, check access and protection under local rules and actual safety conditions. Do not promise that reporting is always required or never required everywhere.", "source_spans": [ { "role": "h2_heading", "start_utf16": 6369, "end_utf16": 6414, "sha256_utf8": "628c51b6a3d6481d335387fae2222ec68e6e08f5bc05ef7c3e14f7a1332ffc9d" }, { "role": "h2_answer", "start_utf16": 6416, "end_utf16": 7495, "sha256_utf8": "379d981c39087d514db15e090a456aae88567e320f8f3035615abde112f68dd6" } ], "block_ids": [ "p0016", "p0017" ], "source_segment_index": 5 }, { "q": "VI. If a child or another person needs care", "a": "An adult’s right to respect and privacy does not erase the need to arrange essential care where someone depends on that adult. If supervision, food, prescribed medicines, or a safe journey home is needed now, an actually capable adult or appropriate professional must provide it. A message to a service and a referral cannot replace someone who is there or will arrive and take responsibility for care. Check local duties and available arrangements rather than treating “boundaries” as a complete answer.\n\nA child should not interpret a medical discussion, carry private disclosures, monitor use, keep medicines, or rescue an adult. Even if the child happens to be present when danger arises, adults and emergency services take responsibility. If a child is at risk, real local protection and care are needed; do not wait until an adult agrees to discuss identity or substance use.", "source_spans": [ { "role": "h2_heading", "start_utf16": 7500, "end_utf16": 7543, "sha256_utf8": "8180159ac5706894e465b1c9b0baca1a8b433c29b6b93542fc5d1fea108370dd" }, { "role": "h2_answer", "start_utf16": 7545, "end_utf16": 8426, "sha256_utf8": "1a20b49e56408afab913ff270550adabc1c7b81d29a847eaf7054ebf1e1b7987" } ], "block_ids": [ "p0019", "p0020" ], "source_segment_index": 6 }, { "q": "VII. When an ordinary conversation is unsafe", "a": "Threats, violence, monitoring of messages, or forced disclosure call for a separate safe contact with a local protection or emergency service. Do not start a joint family discussion if that could increase danger. The UK NHS page shows that abuse can occur in relationships involving people of any gender and can affect LGBTQ people; UK phone numbers and procedures do not become services in another country ([NHS: domestic abuse](https://www.nhs.uk/live-well/getting-help-for-domestic-violence/)). Responsibility for violence does not shift to the person harmed, their identity, or their substance use. Check the actual local route, language, cost, data safeguards, and whether a safe reply is possible.\n\nUrgent medical care comes before those checks. If poisoning is suspected, contact the local emergency medical service at once, before symptoms and without searching for proof. Do the same for new sudden confusion, without a “severity” threshold or second sign. If the caregiving adult cannot provide essential care safely, arrange an actually capable adult or professional at the same time; finding that person must not delay the emergency call. Do not select doses, attempt home “detox,” or abruptly stop prescribed medicines based on this article.", "source_spans": [ { "role": "h2_heading", "start_utf16": 8431, "end_utf16": 8475, "sha256_utf8": "6404cb8c2dfbd705434aacebadb6e6215b8842e5b6fdca73b7410b8fa9c4eaa1" }, { "role": "h2_answer", "start_utf16": 8477, "end_utf16": 9731, "sha256_utf8": "2eba7226e9d02d055838672e7ecbce9d531714331cc359b304808cc0ec9b514a" } ], "block_ids": [ "p0022", "p0023" ], "source_segment_index": 7 }, { "q": "VIII. If the first door is closed", "a": "A refusal, a wait, a language barrier, or a price is information about that particular service’s access, not a judgment of your identity or evidence that treatment is useless. Ask for the nearest alternative: who can see you now, to whom a request can be passed with your consent, when you can expect a reply, and which coverage or price applies. If a professional is disrespectful, you can seek another contact and, if safe, ask about local complaint routes; an urgent medical need still requires assessment while you seek a better fit.\n\nAfter the first conversation, check what actually happened: whether an appointment exists, whether the terms are clear, who will answer the next question, and whether support is available for you as a person. If you need help with substance use and mood, ask available providers to coordinate rather than assuming every institution can do everything. The next small step is one contact through a safe channel and a note of the actual reply in your own words. Personal history can be shared gradually where needed and within real safeguards.", "source_spans": [ { "role": "h2_heading", "start_utf16": 9736, "end_utf16": 9769, "sha256_utf8": "bf4663d2a5d33e60f203fa814e2636520ab3ac3ca1def0f959b02afa046d671c" }, { "role": "h2_answer", "start_utf16": 9771, "end_utf16": 10850, "sha256_utf8": "cc6e2614268467fa90ff40a924cdccf9a9325034d3397ee020ddaf858e050f8d" } ], "block_ids": [ "p0025", "p0026" ], "source_segment_index": 8 }, { "q": "IX. Five optional questions before reaching out", "a": "These questions are for an adult reader; they are not a form, a score, a diagnosis, or a condition of admission. Choose one or answer none.\n\n1. What do I actually want to discuss now—substance use, its effects, sleep, mood, safety, or something else?\n2. What name, form of address, and involvement from a loved one would I like to agree on, if safe and possible?\n3. Which contact channel do I already know is safe, and what information should I avoid sending through it for now?\n4. What do I need to learn about age eligibility, language, price, wait, records, confidentiality exceptions, and the person who will really see me?\n5. If the chosen service cannot take me, what is the next available contact, and when will I check the reply?\n\nYou need not complete the list before reaching out. If danger is urgent, use local emergency medical or protection help immediately; decisions about identity disclosure must not delay it.", "source_spans": [ { "role": "h2_heading", "start_utf16": 10855, "end_utf16": 10902, "sha256_utf8": "690f529e5c6ae7b4717f248984d8b5c701011d0b760f4fb0c41da072038a298e" }, { "role": "h2_answer", "start_utf16": 10904, "end_utf16": 11830, "sha256_utf8": "70b5ddc5fbc8da4c9f1f2c9935bd172f9ebd50eb0dce998a34d1879eb8802798" } ], "block_ids": [ "p0028", "p0029", "p0030" ], "source_segment_index": 9 }, { "q": "Sources and limits", "a": "- [WHO: Sexual and gender diversity FAQ](https://www.who.int/publications/m/item/frequently-asked-questions-on-sexual-and-gender-diversity--health-and-human-rights--an-introduction-to-key-concepts) — technical document, second edition dated 15 October 2024; distinctions and described barriers, not diagnosis or country-specific access. Only a brief original synthesis of read passages appears here; the document has not been translated and WHO has not endorsed this article.\n- [WHO: Gender incongruence and transgender health in the ICD](https://www.who.int/standards/classifications/frequently-asked-questions/gender-incongruence-and-transgender-health-in-the-icd) — classification FAQ, no date displayed on this separate page; identity is not mental illness, and the classification’s intended effect does not guarantee local insurance.\n- [Meyer: Prejudice, Social Stress, and Mental Health](https://pmc.ncbi.nlm.nih.gov/articles/PMC2072932/) — conceptual review and meta-analysis concerning studied LGB populations, journal publication September 2003, author manuscript in PMC since November 2007; not a present-day worldwide LGBTQ sample or individual causation.\n- [NIMH: Co-Occurring Substance Use and Mental Disorders](https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health) — US public resource reviewed March 2025; professional assessment of overlapping concerns, without diagnosis from an article or a local programme guarantee.\n- [NHS: Sudden confusion](https://www.nhs.uk/symptoms/confusion/) — UK public medical page reviewed 28 May 2024; immediate route for new sudden confusion without a severity threshold.\n- [NHS: Poisoning](https://www.nhs.uk/conditions/poisoning/) — UK public medical page reviewed 12 June 2025; immediate contact if poisoning is suspected because symptoms can be delayed.\n- [NHS: Domestic violence and abuse](https://www.nhs.uk/live-well/getting-help-for-domestic-violence/) — UK public page reviewed 23 June 2026; safety when abuse occurs, without exporting UK numbers or procedures.\n\nThese are orientation points, not a local legal opinion or a promise of admission. Only passages identified in the research notes were read; underlying studies in reviews, full protected pages, forms, tables, and figures were not imported. Rights, confidentiality, consent, age rules, cost, and actual access must be checked with the specific local service.", "source_spans": [ { "role": "h2_heading", "start_utf16": 11835, "end_utf16": 11853, "sha256_utf8": "f91f16500d95114ea5dd62762b302ab95f247ca4f49fe0affb04993b09f0a299" }, { "role": "h2_answer", "start_utf16": 11855, "end_utf16": 14250, "sha256_utf8": "e1767b3ea161cc296f0eeff8a8f05c3aef2edac081508534771f4506c004ebc8" } ], "block_ids": [ "p0032", "p0033" ], "source_segment_index": 10 }, { "q": "Tags", "a": "LGBTQ people; substance use; addiction; minority stress; respectful care; stigma; confidentiality; safe disclosure; treatment access; support from loved ones; child safety; emergency care.", "source_spans": [ { "role": "h2_heading", "start_utf16": 14255, "end_utf16": 14259, "sha256_utf8": "1331275bc537b4c2bf1e46f7275677967515342e30b572e6852fa6f51b831fe8" }, { "role": "h2_answer", "start_utf16": 14261, "end_utf16": 14449, "sha256_utf8": "2c65f419736ec5af2e70289fdf0607e968434f639486e9bc69a435696008a480" } ], "block_ids": [ "p0035" ], "source_segment_index": 11 }, { "q": "About the authors", "a": "Andrey Zarinsh — author and founder of United Wisdom. He explores inner transformation, the unity of traditions, intercultural dialogue, and contemporary spiritual discipline. Instagram: @andrey.zarinsh.\n\nMaria Evilkut — co-author of United Wisdom. Alongside her research, she seeks to test these ideas in practice and observe how principles of unity and mutual understanding work in real life between people and cultures. Instagram: @ilkutki.", "source_spans": [ { "role": "h2_heading", "start_utf16": 14454, "end_utf16": 14471, "sha256_utf8": "e120452a2b9952200310f55df00e52d0bbd068d32bba8a322511ed65e3d4967d" }, { "role": "h2_answer", "start_utf16": 14473, "end_utf16": 14916, "sha256_utf8": "a909a5be3206496a5832c139d32d3d32c2d2720a0cd4d5a3c8cd4f315e84ac24" } ], "block_ids": [ "p0037", "p0038" ], "source_segment_index": 12 }, { "q": "Content date", "a": "15 October 2026. English version.", "source_spans": [ { "role": "h2_heading", "start_utf16": 14921, "end_utf16": 14933, "sha256_utf8": "0b4439ddd5cf5901a6626e46431a42b0114014556a963f1537c3e62581bca78e" }, { "role": "h2_answer", "start_utf16": 14935, "end_utf16": 14968, "sha256_utf8": "b4e735d6d15c79b3c9e320265c4af7a828ee6131981d3479ef95403933cfe376" } ], "block_ids": [ "p0040" ], "source_segment_index": 13 } ], "claims": [], "claims_policy": "no_reclassified_claims", "sources": [ { "id": "src_10790fb1fab48f9a", "title": "NHS: Poisoning", "url": "https://www.nhs.uk/conditions/poisoning/", "source_spans": [ { "role": "markdown_link", "start_utf16": 879, "end_utf16": 937, "sha256_utf8": "4d85af2a7956996aa04bd18e26aa19fa39877d98a0b764fbba72d74397509d87" }, { "role": "markdown_link", "start_utf16": 13495, "end_utf16": 13553, "sha256_utf8": "d11f2b5b840044e49f6718a906aec79a03c23553e6efec8cd01cdedd9150efd7" } ], "read_scope": "- [NHS: Poisoning](https://www.nhs.uk/conditions/poisoning/) — UK public medical page reviewed 12 June 2025; immediate contact if poisoning is suspected because symptoms can be delayed.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 13493, "end_utf16": 13678, "sha256_utf8": "9dbe4c5a2146ddad341de4e59c7110f32676374df066be5a156ccec6bdeaf098" }, "shared_entry_urls": [] }, { "id": "src_6740eb80d2b869e3", "title": "NHS: Sudden confusion", "url": "https://www.nhs.uk/symptoms/confusion/", "source_spans": [ { "role": "markdown_link", "start_utf16": 939, "end_utf16": 1002, "sha256_utf8": "c88c63936ddced5131f6de58daa6c8621cfbd3e9941692c0cda822f578628c58" }, { "role": "markdown_link", "start_utf16": 13311, "end_utf16": 13374, "sha256_utf8": "d2b8c330d3e322a0f009ef20c85c9f931a6e9d86f3333149554113df7bd4c5b1" } ], "read_scope": "- [NHS: Sudden confusion](https://www.nhs.uk/symptoms/confusion/) — UK public medical page reviewed 28 May 2024; immediate route for new sudden confusion without a severity threshold.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 13309, "end_utf16": 13492, "sha256_utf8": "09960b99e2469f9548f3eb48be7730cef7c2e1067327d209cc3a6bc6fcfd7bfd" }, "shared_entry_urls": [] }, { "id": "src_892da8ce1e9e2acb", "title": "WHO: Sexual and gender diversity FAQ", "url": "https://www.who.int/publications/m/item/frequently-asked-questions-on-sexual-and-gender-diversity--health-and-human-rights--an-introduction-to-key-concepts", "source_spans": [ { "role": "markdown_link", "start_utf16": 1476, "end_utf16": 1659, "sha256_utf8": "47c56bc99a603aec5afb0f15b5fc24c0c7c069ba52392ac65fa79da8996e19ed" }, { "role": "markdown_link", "start_utf16": 2990, "end_utf16": 3163, "sha256_utf8": "275db010eb5734e28f0de841c24d2e1fbe03f1da4977669585ce980761af07c2" }, { "role": "markdown_link", "start_utf16": 11857, "end_utf16": 12052, "sha256_utf8": "0644c8ca7cec46803a5143271cf4d139ca29816666a3ffa6ab5836792d1c4909" } ], "read_scope": "- [WHO: Sexual and gender diversity FAQ](https://www.who.int/publications/m/item/frequently-asked-questions-on-sexual-and-gender-diversity--health-and-human-rights--an-introduction-to-key-concepts) — technical document, second edition dated 15 October 2024; distinctions and described barriers, not diagnosis or country-specific access. Only a brief original synthesis of read passages appears here; the document has not been translated and WHO has not endorsed this article.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 11855, "end_utf16": 12330, "sha256_utf8": "7d8f4f9449aee7e605942dbe11399780ba2a40dccc4aa6842d5b3fb1d000ef77" }, "shared_entry_urls": [] }, { "id": "src_0d7b7ac0613641f9", "title": "WHO: Gender incongruence and transgender health in the ICD", "url": "https://www.who.int/standards/classifications/frequently-asked-questions/gender-incongruence-and-transgender-health-in-the-icd", "source_spans": [ { "role": "markdown_link", "start_utf16": 1661, "end_utf16": 1803, "sha256_utf8": "635a7c480e0d6040923f3c855d00672cc12cff1f228199b29fe1bc1197e15c9d" }, { "role": "markdown_link", "start_utf16": 12333, "end_utf16": 12521, "sha256_utf8": "abaa987fb916eb407e14e254f89294bd0b3d1458547793f94d3a1a55d17a4f09" } ], "read_scope": "- [WHO: Gender incongruence and transgender health in the ICD](https://www.who.int/standards/classifications/frequently-asked-questions/gender-incongruence-and-transgender-health-in-the-icd) — classification FAQ, no date displayed on this separate page; identity is not mental illness, and the classification’s intended effect does not guarantee local insurance.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 12331, "end_utf16": 12693, "sha256_utf8": "1186b889c6b6fcced64338a331abaa740a0873706064583fa0e45553d7d2d998" }, "shared_entry_urls": [] }, { "id": "src_cbfcbb1a136706c3", "title": "Meyer: Prejudice, Social Stress, and Mental Health", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC2072932/", "source_spans": [ { "role": "markdown_link", "start_utf16": 3165, "end_utf16": 3229, "sha256_utf8": "0e645b4209491598674053271eca4542bc89f8d921d9dd93deede68e8c01faa2" }, { "role": "markdown_link", "start_utf16": 12696, "end_utf16": 12799, "sha256_utf8": "ddc61a112137de0082cd4f75495ca6642a732bf259d1213ce43b2dd1c1890e74" } ], "read_scope": "- [Meyer: Prejudice, Social Stress, and Mental Health](https://pmc.ncbi.nlm.nih.gov/articles/PMC2072932/) — conceptual review and meta-analysis concerning studied LGB populations, journal publication September 2003, author manuscript in PMC since November 2007; not a present-day worldwide LGBTQ sample or individual causation.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 12694, "end_utf16": 13021, "sha256_utf8": "f6031bfdeed88c9dd236d58bd753c68e5e4a29071995b44cf4c9a92689e26fb7" }, "shared_entry_urls": [] }, { "id": "src_ccd9c1d7863aff81", "title": "NIMH: Co-Occurring Substance Use and Mental Disorders", "url": "https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health", "source_spans": [ { "role": "markdown_link", "start_utf16": 4441, "end_utf16": 4519, "sha256_utf8": "d41bab3a3561324efdabadd54b07c4452f025913b3e173948c7f107888bde289" }, { "role": "markdown_link", "start_utf16": 5483, "end_utf16": 5561, "sha256_utf8": "d41bab3a3561324efdabadd54b07c4452f025913b3e173948c7f107888bde289" }, { "role": "markdown_link", "start_utf16": 13024, "end_utf16": 13151, "sha256_utf8": "891baa3c2635c45ce2df5adb2a6c7196bcd90a166660914306c1caee936b56c3" } ], "read_scope": "- [NIMH: Co-Occurring Substance Use and Mental Disorders](https://www.nimh.nih.gov/health/topics/substance-use-and-mental-health) — US public resource reviewed March 2025; professional assessment of overlapping concerns, without diagnosis from an article or a local programme guarantee.", "read_scope_kind": "verbatim_bibliography_entry", "read_scope_span": { "role": "bibliography_entry", "start_utf16": 13022, "end_utf16": 13308, "sha256_utf8": "ebfefd34502221c3974edae2a3c545731be1b7b3f815bf5be4d43874670081cd" }, "shared_entry_urls": [] }, { "id": "src_a035cf388056a1ce", "title": "NHS: Domestic violence and abuse", "url": "https://www.nhs.uk/live-well/getting-help-for-domestic-violence/", "source_spans": [ { "role": "markdown_link", "start_utf16": 8885, "end_utf16": 8972, "sha256_utf8": "4f331aa3cbcaa252fe3951c455f68d7c4f4958278ffae85d269740b3f189aac9" }, { "role": "markdown_link", "start_utf16": 13681, "end_utf16": 13781, "sha256_utf8": "5a232330141b5f7ffd7b9cd1af977ea5e20e1d343f72ba5fa7a24421ddb49999" } ], "read_scope": "- [NHS: Domestic violence and abuse](https://www.nhs.uk/live-well/getting-help-for-domestic-violence/) — UK public page reviewed 23 June 2026; 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