Almost half of LGBT people in Scotland have experienced depression in the past year, according to new research.
Equality charity Stonewall Scotland found 49 per cent of LGBT people had experienced depression, including more than seven in ten trans people (72 per cent).
The research, based on YouGov polling of more than 1,250 LGBT people in Scotland, found nearly a quarter (24 per cent) had witnessed discrimination or negative remarks against LGBT people by healthcare staff.
One in six (16 per cent) had deliberately harmed themselves in the past year.
More than half of trans people (52 per cent) said they had thought of taking their own life in the last year, while two in five (37 per cent) had avoided seeking healthcare for fear of discrimination.
Three in five (60 per cent) LGBT people reported experiencing anxiety in the last year, including nearly four in five (77 per cent) trans people.
Colin Macfarlane, director of the charity, said: “Last year our research found an 89 per cent increase over a five-year period in the proportion of LGBT people who had experienced a hate crime.
“Sadly, this report highlights the impact that hostility and abuse have on mental health and wellbeing, with many lesbian, gay, bi and trans people in Scotland experiencing poor mental health this year.
“It’s vital that LGBT people feel able to access quality healthcare when they need it, but this report shows they can expect to face unequal treatment and discrimination when accessing healthcare services.
“Many LGBT people, particularly those who are trans, continue to be ‘outed’ without their consent, treated with inappropriate curiosity and subjected to unequal treatment by healthcare staff.
“Consequently, LGBT people can be deterred from accessing NHS services, with many avoiding healthcare treatment for fear of discrimination.”
The findings also indicate more than a quarter of LGBT people (27 per cent) had encountered healthcare staff who had a lack of understanding about specific lesbian, gay and bi health needs.
For trans people, that figure rose to nearly three in five (59 per cent).
Stonewall Scotland is now calling for all healthcare staff to receive training on those needs, as well as a zero-tolerance approach to homophobic, biphobic and transphobic discrimination.
Mr Macfarlane said: “Fortunately, we’ve seen strong commitments from NHS Scotland to ensure health services support LGBT people.
“The Scottish Government and NHS Scotland must continue to act to ensure all staff understand the mental and physical health needs of LGBT people and how to support them.
“We look forward to continuing to work in partnership with NHS Scotland to ensure that our health service enables LGBT people in Scotland to lead healthy and fulfilling lives.”
Mental health minister Clare Haughey said: “These findings are concerning, which is precisely why we working with LGBT equality organisations, including Stonewall Scotland, to eradicate discrimination and stigma, investing more than £1 million to support the work of LGBT equality organisations across Scotland in 2018/19.
“Our national partnership between Stonewall Scotland and NHS Scotland is supporting health boards to ensure that the workforce has the skills and knowledge needed to meet the specific healthcare needs of LGBT service users. We are continually looking for ways to build on that partnership and I will be meeting with LGBT organisations soon to discuss how we better address the needs of LGBT service users through the Mental Health Strategy.”