Sexual and gender minority people assigned female at birth (SGM-AFAB) experience disproportionately high rates of intimate partner violence victimization (IPVV), raising concerns about effects on their mental health. However, research on the psychological effects of IPVV among SGM people is sparse, primarily cross-sectional, and narrow in its assessment of IPVV and mental health. We aimed to extend this literature by using multiwave longitudinal data to assess the effects of multiple forms of IPVV on SGM-AFAB mental health. A racially diverse sample of 488 SGM-AFAB individuals (age 16–32 at baseline) completed 7 waves of data across 3.5 years, reporting at each wave on psychological, physical, sexual, coercive control, and SGM-specific IPVV and polyvictimization (i.e., experiencing multiple types of IPVV), as well as depressive and anxiety symptoms, problematic alcohol and cannabis use, suicide contemplation and attempts, and self-harm. Using multilevel models, we estimated the within- and between-person associations between each type of IPVV and each mental health outcome. Results revealed the most robust effects of IPVV on depressive and anxiety symptoms, which were associated with almost all IPVV types at both the between- and within-person levels. Psychological, physical, and sexual IPVV and polyvictimization also showed both within- and between-person associations with self-harm behaviors. Most IPVV types showed between-person associations with consideration of suicide and suicide attempts. Though less consistent across IPVV type and level of analysis (within- vs. between), IPVV was also associated with problematic substance use. Together, findings indicate clear negative effects of IPVV on the mental health of SGM-AFAB individuals, underscoring the need for policy and interventions aimed at preventing IPVV and supporting IPVV survivors in this vulnerable population.
AdamsonS. J.Kay-LambkinF. J.BakerA. L.LewinT. J.ThorntonL.KellyB. J.SellmanJ. D. (2010). An improved brief measure of cannabis misuse: The Cannabis Use Disorders Identification Test-Revised (CUDIT-R). Drug and Alcohol Dependence, 110(1), 137–143. https://doi.org/10.1016/j.drugalcdep.2010.02.017
2.
AustinE. L.BozickR. (2012). Sexual orientation, partnership formation, and substance use in the transition to adulthood. Journal of Youth and Adolescence, 41(2), 167–178. https://doi.org/10.1007/s10964-011-9653-7
3.
BaborT. F.Higgins-BiddleJ. C.SaundersJ. B.MonteiroM. G. (2001). The Alcohol Use Disorders Identification Test: Guidelines for use in primary care. World Health Organization.
4.
BecerraM. B.RodriquezE. J.AvinaR. M.BecerraB. J. (2021). Experiences of violence and mental health outcomes among Asian American transgender adults in the United States. PLoS One, 16(3), e0247812. https://doi.org/10.1371/journal.pone.0247812
5.
BlosnichJ.BossarteR. (2012). Drivers of disparity: Differences in socially based risk factors of self-injurious and suicidal behaviors among sexual minority college students. Journal of American College Health, 60(2), 141–149. https://doi.org/10.1080/07448481.2011.623332
6.
Campo-TenaL.LarmourS. R.PeredaN.EisnerM. P. (2023). Longitudinal associations between adolescent dating violence victimization and adverse outcomes: A systematic review. Trauma, Violence, & Abuse, 25(2), 1265–1277. https://doi.org/10.1177/15248380231174504
7.
CappellH.GreelyJ.BlaneH. T.LeonardK. E. (1987). Psychological theories of drinking and alcoholism. Guilford Press.
8.
CarvalhoA. F.LewisR. J.DerlegaV. J.WinsteadB. A.ViggianoC. (2011). Internalized sexual minority stressors and same-sex intimate partner violence. Journal of Family Violence, 26(7), 501–509. https://doi.org/10.1007/s10896-011-9384-2
9.
CharakR.FordJ. D.ModrowskiC. A.KerigP. K. (2019). Polyvictimization, emotion dysregulation, symptoms of posttraumatic stress disorder, and behavioral health problems among justice-involved youth: A latent class analysis. Journal of Abnormal Child Psychology, 47(2), 287–298. https://doi.org/10.1007/s10802-018-0431-9
10.
CohenJ. (1992). A power primer. Psychological Bulletin, 112(1), 155.
11.
CokerA. L.BushH. M.ClearE. R.BrancatoC. J.McCauleyH. L. (2020). Bystander program effectiveness to reduce violence and violence acceptance within sexual minority male and female high school students using a cluster RCT. Prevention Science, 21(3), 434–444. https://doi.org/10.1007/s11121-019-01073-7
12.
DaigleL. E.HawkS. R. (2022). Sexual orientation, revictimization, and polyvictimization. Sexuality Research and Social Policy, 19(1), 308–320. https://doi.org/10.1007/s13178-021-00543-4
13.
DaviesL.Ford-GilboeM.WillsonA.VarcoeC.WuestJ.CampbellJ.Scott-StoreyK. (2015). Patterns of cumulative abuse among female survivors of intimate partner violence: Links to women’s health and socioeconomic status. Violence Against Women, 21(1), 30–48. https://doi.org/10.1177/1077801214564076
14.
DyarC.MessingerA. M.NewcombM. E.ByckG. R.DunlapP.WhittonS. W. (2021). Development and initial validation of three culturally sensitive measures of intimate partner violence for sexual and gender minority populations. Journal of Interpersonal Violence, 36(15–16), NP8824–NP8851. https://doi.org/10.1177/0886260519846856
15.
EdwardsK. M.ShoreyR. C.GlozierK. (2020). Primary prevention of intimate partner violence among sexual and gender minorities. In RussellB. (Ed.), Intimate partner violence and the LGBT+ community: Understanding power dynamics (pp. 161–176). Springer.
16.
HillmanJ. (2022). Lifetime prevalence of intimate partner violence and health-related outcomes among transgender adults aged 50 and older. The Gerontologist, 62(2), 212–222. https://doi.org/10.1093/geront/gnab067
17.
JohnsonR. M.LaValleyM.SchneiderK. E.MusciR. J.PettorutoK.RothmanE. F. (2017). Marijuana use and physical dating violence among adolescents and emerging adults: A systematic review and meta-analysis. Drug and Alcohol Dependence, 174, 47–57. https://doi.org/10.1016/j.drugalcdep.2017.01.012
18.
KingM.SemlyenJ.TaiS. S.KillaspyH.OsbornD.PopelyukD.NazarethI. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8(1), 70. https://doi.org/10.1186/1471-244X-8-70
19.
Langenderfer-MagruderL.WallsN. E.WhitfieldD. L.BrownS. M.BarrettC. M. (2016). Partner violence victimization among lesbian, gay, bisexual, transgender, and queer youth: Associations among risk factors. Child and Adolescent Social Work Journal, 33(1), 55–68. https://doi.org/10.1007/s10560-015-0402-8
20.
LiuR. T.SheehanA. E.WalshR. F. L.SanzariC. M.CheekS. M.HernandezE. M. (2019). Prevalence and correlates of non-suicidal self-injury among lesbian, gay, bisexual, and transgender individuals: A systematic review and meta-analysis. Clinical Psychology Review, 74, 101783. https://doi.org/10.1016/j.cpr.2019.101783
21.
MarshalM. P.DermodyS. S.ShultzM. L.SucatoG. S.SteppS. D.ChungT.BurtonC. M.MarkovicN.HipwellA. E. (2013). Mental health and substance use disparities among urban adolescent lesbian and bisexual girls. Journal of the American Psychiatric Nurses Association, 19(5), 271–279. https://doi.org/10.1177/1078390313503552
MethenyN.TranN. K.ScottD.DasturZ.LubenskyM. E.LunnM. R.Obedin-MaliverJ.FlentjeA. (2024). Intimate partner violence is related to future alcohol use among a nationwide sample of LGBTQIA+ people: Results from The PRIDE Study. Drug and Alcohol Dependence, 260, 111342. https://doi.org/10.1016/j.drugalcdep.2024.111342
24.
MustanskiB.WhittonS. W.NewcombM. E.CliffordA.RyanD. T.GibbonsR. D. (2021). Predicting suicidality using a computer adaptive test: Two longitudinal studies of sexual and gender minority youth. Journal of Consulting and Clinical Psychology, 89(3), 166–175. https://doi.org/10.1037/ccp0000531
NockM. K. (2009). Why do people hurt themselves?: New insights into the nature and functions of self-injury. Current Directions in Psychological Science, 18(2), 78–83. https://doi.org/10.1111/j.1467-8721.2009.01613.x
27.
OgdenS. N.DichterM. E.BazziA. R. (2022). Intimate partner violence as a predictor of substance use outcomes among women: A systematic review. Addictive Behaviors, 127, 107214. https://doi.org/10.1016/j.addbeh.2021.107214
28.
PantaloneD. W.SchneiderK. L.ValentineS. E.SimoniJ. M. (2012). Investigating partner abuse among HIV-positive men who have sex with men. AIDS and Behavior, 16(4), 1031–1043. https://doi.org/10.1007/s10461-011-0011-2
29.
PeitzmeierS. M.MalikM.KattariS. K.MarrowE.StephensonR.AgénorM.ReisnerS. L. (2020). Intimate partner violence in transgender populations: systematic review and meta-analysis of prevalence and correlates. American Journal of Public Health, 110(9), e1–e14. https://doi.org/10.2105/AJPH.2020.305774
30.
PilkonisP. A.ChoiS. W.ReiseS. P.StoverA. M.RileyW. T.CellaD. (2011). Item banks for measuring emotional distress from the Patient-Reported Outcomes Measurement Information System (PROMIS®): Depression, anxiety, and anger. Assessment, 18(3), 263–283. https://doi.org/10.1177/1073191111411667
31.
PorschL. M.XuM.VeldhuisC. B.BochicchioL. A.ZollwegS. S.HughesT. L. (2023). Intimate partner violence among sexual minority women: A scoping review. Trauma, Violence, & Abuse, 24(5), 3014–3036. https://doi.org/10.1177/15248380221122815
32.
PrinsteinM. J.NockM. K.SimonV.AikinsJ. W.CheahC. S. L.SpiritoA. (2008). Longitudinal trajectories and predictors of adolescent suicidal ideation and attempts following inpatient hospitalization. Journal of Consulting and Clinical Psychology, 76(1), 92–103. https://doi.org/10.1037/0022-006X.76.1.92
33.
ReuterT. R.NewcombM. E.WhittonS. W.MustanskiB. (2017). Intimate partner violence victimization in LGBT young adults: Demographic differences and associations with health behaviors. Psychology of Violence, 7(1), 101–109. https://doi.org/10.1037/vio0000031
34.
RodriguesM.NeamanA.DitzerJ.TalmonA. (2025). The impact of intimate partner violence on the mental and physical health of sexual and gender minorities: A comprehensive review of quantitative research. Archives of Sexual Behavior, 54(2), 433–447. https://doi.org/10.1007/s10508-024-03023-z
35.
SabinaC.WillsC.RoblesG.CuevasC. A. (2022). Victimization of sexual minority Latinx youth: Results from a national survey. Journal of Interpersonal Violence, 37(23/24), NP23513–NP23526. https://doi.org/10.1177/08862605221076168
36.
ScheerJ. R.EdwardsK. M.HelminenE. C.WatsonR. J. (2021). Victimization typologies among a large national sample of sexual and gender minority adolescents. LGBT Health, 8(8), 507–518. https://doi.org/10.1089/lgbt.2021.0024
37.
ScheerJ. R.MereishE. H. (2021). Intimate partner violence and illicit substance use among sexual and gender minority youth: The protective role of cognitive reappraisal. Journal of Interpersonal Violence, 36(21–22), 9956–9976. https://doi.org/10.1177/0886260519881001
38.
SchulerM.S.RiceC.E.Evans-PolceR.J.CollinsR.L. (2018). Disparities in substances use behaviors and disorders among adult sexual minorities by age, gender, and sexual identity. Drug and Alcohol Dependence, 189, 139–146.
39.
Schwab-ReeseL. M.CurrieD.MishraA. A.Peek-AsaC. (2021). A comparison of violence victimization and polyvictimization experiences among sexual minority and heterosexual adolescents and young adults. Journal of Interpersonal Violence, 36(11–12), NP5874–NP5891. https://doi.org/10.1177/0886260518808853
40.
StrausM. A.HambyS. L.Boney-McCoyS.SugarmanD. B. (1996). The Revised Conflict Tactics Scales (CTS2): Development and preliminary psychometric data. Journal of Family Issues, 17(3), 283–316. https://doi.org/10.1177/019251396017003001
41.
ThaxtonT.NguyenA.-M.PrataN. (2023). Binge drinking and depression symptoms as risk factors for teen dating violence among sexual minority youth. Journal of Family Violence, 40, 95–107. https://doi.org/10.1007/s10896-023-00581-z
42.
WaltersM. L.BreidingM. J.ChenJ. (2013). The national intimate partner and sexual violence survey: 2010 findings on victimization by sexual orientation. Centers for Disease Control and Prevention.
43.
WatermanE. A.EdwardsK. M.BanyardV. L.ChangH. (2022). Age and sexual orientation moderated the effects of a bystander-focused interpersonal violence prevention program for high school students. Prevention Science, 23(1), 96–107. https://doi.org/10.1007/s11121-021-01245-4
44.
WhiteS. J.SinJ.SweeneyA.SalisburyT.WahlichC.Montesinos GuevaraC. M.GillardS.BrettE.AllwrightL.IqbalN.KhanA.PerotC.MarksJ.MantovaniN. (2024). Global prevalence and mental health outcomes of intimate partner violence among women: A systematic review and meta-analysis. Trauma, Violence, & Abuse, 25(1), 494–511. https://doi.org/10.1177/15248380231155529
45.
WhittonS. W.DyarC.MustanskiB.NewcombM. E. (2019a). Intimate partner violence experiences of sexual and gender minority adolescents and young adults assigned female at birth. Psychology of Women Quarterly, 43(2), 232–249. https://doi.org/10.1177/0361684319838972
46.
WhittonS. W.NewcombM. E.MessingerA. M.ByckG.MustanskiB. (2019b). A longitudinal study of IPV victimization among sexual minority youth. Journal of Interpersonal Violence, 34(5), 912–945. https://doi.org/10.1177/0886260516646093
47.
WirtzA. L.BurnsP. A.PoteatT.MalikM.WhiteJ. J.BrooksD.KasaieP.BeyrerC. (2022). Abuse in the continua: HIV prevention and care outcomes and syndemic conditions associated with intimate partner violence among Black gay and bisexual men in the Southern United States. AIDS and Behavior, 26(11), 3761–3774. https://doi.org/10.1007/s10461-022-03705-6
48.
Xavier HallC. D.NewcombM. E.DyarC.MustanskiB. (2022). Patterns of polyvictimization predict stimulant use, alcohol and marijuana problems in a large cohort of sexual minority and gender minority youth assigned male at birth. Psychology of Addictive Behaviors, 36(2), 186–196. https://doi.org/10.1037/adb0000751
49.
XuL.ChangR.ChenY.XiaD.XuC.YuX.ChenH.WangR.LiuY.LiuS.GeX.MaT.ZhouY.WangY.MaS.CaiY. (2023). The prevalence of childhood sexual experiences and intimate partner violence among transgender women in China: Risk factors for lifetime suicidal ideation. Frontiers in Public Health, 10, 1037622. https://doi.org/10.3389/fpubh.2022.1037622
50.
Yanez-PeñúñuriL. Y.Rey-AnaconaC. A.Garcia-EstradaL. I. (2023). Relationship between dating violence and mental health of young victims and perpetrators: A systematic review. International Journal of Psychological Research, 16(1), 1. https://doi.org/10.21500/20112084.5710
