Effectiveness of peer counselling in addressing psychological distress and exposure to violence among sexual and gender minorities in Nepal: a study protocol for a randomized controlled trial

The burden of social stressors (discrimination, prejudice, violence, and stigmatization) is disproportionately high among LGBTIQA + (Lesbian, Gay, Bisexual, Transgender, Intersex, Queer and Asexual) individuals. These stressors negatively influence the overall well-being of this population which in turn affects their health-seeking behaviours, including the disclosure of psychosocial concerns to health workers. Peer-led mental health interventions have therefore been identified as a potentially suitable and acceptable approach for this population. This protocol presents the SAATHI (Support, Advocacy, and Awareness for Trauma, Healing and Inclusion) study. The study will assess the feasibility, acceptability, and effectiveness of peer counselling, safety planning, and group-based sessions in reducing exposure to violence and psychological distress among LGBTIQA + individuals in Nepal.