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## Other Youth Topics

## Breadcrumb

            -  Youth Topics 
            -           Sexual Orientation and Gender Identity      

# Sexual Orientation and Gender Identity

Sexual orientation and gender identity/expression are important aspects of a young person’s identity. Understanding and expressing sexual orientation and gender and developing related identities are typical development tasks that vary across children and youth. For example, some youth may be unsure of their sexual orientation, whereas others have been clear about it since childhood and have expressed it since a young age.1 Expressing and exploring gender identity and roles is a part of normal development. 2 The process of understanding and expressing one’s sexual orientation and gender identity is unique to each individual. It is not a one-time event and personal, cultural, and social factors may influence how one expresses their sexual orientation and gender identity.3

There is currently no universally-accepted acronym inclusive of all youth who are not heterosexual and/or express their gender in diverse ways. The commonly-used acronym — LGBTQ+ (lesbian, gay, bisexual, transgender, queer or questioning, or another diverse gender identity) — refers to the communities included in the “LGBTTTQQIAA” acronym (see Figure 1). This youth topic primarily uses “LGBTQ+” as an inclusive term for simplicity, except when describing research studies explicitly focused on more narrowly-specific communities. See  Key Terms and Concepts to learn more about each of these communities.

**Figure 1: Communities included in the “strong LGBTTTQQIAA” acronym**

## Resiliency and Protective Factors

Research on LGBTQ+ youth has focused on the risk factors and disparities these young people experience compared with youth who are not LGBTQ+. However, more recently there has been research on resiliency and protective factors, which offers a strength-based focus on LGBTQ+ youth well-being. For instance, LGBTQ+ youth who have access to spaces that affirm their sexual orientation and gender identity report lower rates of attempting suicide4 and experiencing supportive environments.5

Several factors that can help improve outcomes for LGBTQ+ young people include:
                      - Addressing LGBTQ+-related stigma, discrimination, and violence
                      - Building on the strengths of LGBTQ+ youth
                      - Fostering supports such as family acceptance and safe, affirming environments in schools and other settings

Federal and local policies and practices increasingly acknowledge and focus on the experiences and needs of LGBTQ+ youth. Numerous national advocacy and other organizations are also giving greater attention to LGBTQ+ youth in their work.6 Fostering safe, affirming communities and youth-serving settings such as schools for all youth requires efforts to address the challenges described here. At the same time, it is also important to acknowledge and build on the strengths, resilience, and factors that protect LGBTQ+ youth from risk, such as connection to caring adults and peers and family acceptance. Parental support of sexual orientation and gender expression provide uniquely strong benefits to positive well-being and mental health in young adulthood and are related to higher levels of self-esteem and lower levels of depression, suicidal ideation, and suicide attempts.7

Young people who identify as LGBTQ+ can experience various challenges because of how others respond to their sexual orientation or gender identity/expression. This is also true for youth who are questioning their sexual orientation or gender identity, or may be perceived as LGBTQ+ or gender variant by others.8 In a 2021 survey of nearly 35,000 LGBTQ+ youth, 75 percent reported having experienced discrimination based on their sexual orientation or gender identity at least once in their lifetime.9 These negative experiences include high rates of physical and emotional bias and violence; rejection by schools, employment, and communities because of their sexual orientation and/or gender identity/expression.

Research shows that due to these challenges and the associated stress, LGBTQ+ youth are at risk for negative health outcomes and are more likely to attempt suicide, experience homelessness, and use illegal drugs10 These issues may also contribute to anxiety, depressive symptoms, and feelings of isolation. Youth who express their gender in ways that vary from societal expectations for their perceived sex or gender are at risk for high levels of childhood physical, psychological, and sexual abuse.11 They are also at risk for school victimization.12 As a result, they may have poorer well-being than lesbian, gay, and bisexual peers whose gender expression is more closely aligned with societal expectations.13

## Resources

**Emerging Practices for Supporting LGBTQI+ Young People Across Human Services**This project highlights promising and emerging practices that human services agencies, programs, staff, and leaders are using to make human service delivery and prevention more welcoming and accessible for LGBTQI+ young people (ages 10-24) in child welfare and juvenile justice systems, experiencing homelessness, and/or seeking sexual health services. The Open Letter of Action from Young People provides perspectives from five young adults on barriers faced by LGBTQI+ young people and opportunities to improve human services programs across sectors and levels of government to better serve LGBTQI+ young people and their families.

**Health Considerations for LGBTQ Youth**This website provides information on protective factors and data related to health risks and sexual minority youth, as well as related resources.

**Practice Brief 1: Providing Services and Supports for Youth Who Are Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex, or Two-Spirit (LGBTQI2-S)(PDF, 8 pages)**This practice brief outlines key information for working with and providing culturally and linguistically competent services to LGBTQI2-S youth.

----

## References

 1 Poirier, Fisher, Hunt, & Bearse, 20142 Poirier, Fisher, Hunt, & Bearse, 20143 Poirier, Fisher, Hunt, & Bearse, 20144 The National Trevor Project, 20215 Day, Ioverno, & Russell, 20196 American Association of School Administrators et al., n.d.; National Association of School Nurses, 2003; National Association of School Psychologists, 20067 Shilo & Savaya, 2011; Sheets & Moor, 2009; Ryann et al., 2010; Snapp et al., 2015; Russell & Fish, 20168 Gender variant youth are not necessarily LGBT. In fact, any youth who does not fit typical social expectations for his or her mannerisms, behavior, or choice of clothing based on birth-assigned gender, for example, can be considered “gender variant.” This does not mean the youth is lesbian, gay, or bisexual — or identifies as a gender different from what he or she was assigned at birth (i.e., transgender).9 The National Trevor Project, 2021 (45 percent of this sample were youth of color, and 38 percent were transgender or nonbinary.10 Hunter & Schaecher, 1987; Reis, 1999; Reis & Saewyc, 1999; Ray, 2006; Ryan, Huebner, Diaz, & Sanchez, 2009; SAMHSA, 201411 Roberts, Rosario, Corliss, Koenen, & Austin, 201212 Toomey, Ryan, Diaz, & Russell, 201013 Rieger & Savin-Williams, 2012

## Other Resources on this Topic

### Announcements 

                          - Brief: Discriminatory Transgender Health Bills Have Critical Consequences for Youth
                          - Fact Sheet: System Involvement Among LBQ Girls and Women
                          - LGBTQ Inclusivity in Schools
                          - Online Training: Healthy Sexuality for Youth in Foster Care: An Online Training for Parents and Caregivers of Youth in Foster Care
                          - Pride Month Census Data
                          - Report: Experiences of LGBTQ People in Four-Year Colleges and Graduate Programs
                          - Report: Homelessness and Housing Instability Among LGBTQ Youth
                          - Report: Moving Beyond Change Efforts: Evidence and Action to Support and Affirm LGBTQI+ Youth
                          - Report: Multiracial LGBTQ+ Youth Face Heightened Suicide Risk
                          - Report: The GSA Study: Results of National Surveys About Students’ and Advisors’ Experiences in Gender and Sexuality Alliance Clubs
                          - Report: Violent Victimization by Sexual Orientation and Gender Identity, 2017–2020
                          - Research: Examining the Relationship Between LGBTQ-Supportive School Health Policies and Practices and Psychosocial Health Outcomes of Lesbian, Gay, Bisexual, and Heterosexual Students
                          - Resource: 2023 International Transgender Day of Visibility
                          - Resource: 2SLGBTQ Community Readiness Survey
                          - Resource: Adoption Triad - Supporting LGBTQ+ Youth Who Are Adopted
                          - Resource: AFFIRM Caregiver: Affirmative Cognitive Behavioral Therapy for Caregivers of Lesbian, Gay, Bisexual, Transgender & Questioning (LGBTQ+) Populations
                          - Resource: Affirming and Supporting LGBTQ Children and Youth in Child Welfare
                          - Resource: Core Youth Outcomes in Youth of Color
                          - Resource: FAQ Update on 988 Services for LGBTQI+ Youth
                          - Resource: Federal Evidence Agenda on LGBTQI+ Equity
                          - Resource: Federal Funding to Support LGBTQIA2S+ Children, Youth, Young Adults, and Families
                          - Resource: Gender-Affirming Care and Young People
                          - Resource: Inclusive Practices Help All Students Thrive
                          - Resource: LGBTQ Inclusivity Tool
                          - Resource: LGBTQ+ Glossary of Terms
                          - Resource: LGBTQ+ Youth Engagement Virtually and In-Person
                          - Resource: LGBTQIA2S+ Youth Experiencing Homelessness
                          - Resource: Measuring the Impact of Professional Development
                          - Resource: Mental Health Promotion and Suicide Prevention for LGBTQIA2S+ Youth
                          - Resource: Most Kids with Parent in Same-Sex Relationship Live with Female Couple
                          - Resource: National Clearinghouse on Homeless Youth and Families (NCHYF)
                          - Resource: NCFY
                          - Resource: Podcast Series: Collecting Data on Sexual Orientation, Gender Identity, and Expression
                          - Resource: Preventing Suicide Requires a Comprehensive Approach
                          - Resource: Protecting the Rights and Providing Appropriate Services to LGBTQIA2S+ Youth in Out-of-Home Care
                          - Resource: Providing Culturally Competent Mental Health Care to LGBTQIA+ Youth & Young Adults
                          - Resource: Sexual Health Resource Toolkit for Parents and Caregivers of Youth with Intellectual and Developmental Disabilities
                          - Resource: Supporting LGBTQI+ Students Experiencing Homelessness
                          - Resource: Supporting the Health and Well-Being of Transgender and Gender Diverse Youth
                          - Resource: The National Center for Youth with Diverse Sexual Orientation, Gender Identity & Expression (The National SOGIE Center) 
                          - Resource: Toolkit for Implementing Authentic Youth Engagement Strategies Within State Advisory Groups
                          - Resource: Toolkit: Creating Inclusive and Nondiscriminatory School Environments for LGBTQI+ Students
                          - Resource: Voices Amplified
                          - Resource: What Does it Mean to be Two-Spirit?
                          - Resource: Working Virtually With Families of LGBTQ+ Youth.
                          - Resource: Youth Acceptance Project
                          - Resource: Youth Advisory Councils
                          - Resource: Youth AFFIRM: Affirmative Cognitive Behavioral Therapy for Lesbian, Gay, Bisexual, Transgender & Questioning (LGBTQ+) Populations
                          - Share with Youth: Complete GLSEN 2019 National School Climate Survey
                          - Share with Youth: LGBT Resources — Learn More, Get Involved, and Be Proud of Who You Are!
                          - Supporting LGBTQ+ Youth: A Guide for Foster Parents
                          - Toolkit: Celebrating our Magic: Resources for American Indian/Alaska Native Transgender and TwoSpirit Youth, Their Relatives and Families, and their Healthcare Providers
                          - Webinar Recording: The Impact of Bias, Inequities, and Injustices in Supporting Students Impacted by Human Trafficking
                          - Webinar Series: Supporting Gender Diverse Indigenous Youth
                          - Working With LGBTQ+ Families in Foster Care and Adoption
                          - Youth Voices Have Moved to YE4C

### Briefs 

                          - Recommended Actions to Improve the Health and Well-Being of Lesbian, Gay, Bisexual, and Transgender Communities

### Collaboration Profiles 

                          - Providing Unbiased Services for LGBTQ Youth Project
                          - Y2CONNECT.org

### Data Sources 

                          - 2011-2021 YRBS Data Summary and Trends Report

### Feature Articles 

                          - June is LGBT Pride Month
                          - Just Launched! Redesigned YE4C
                          - New Brief Highlights the Needs of Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in Child Welfare Settings
                          - New Reports Highlight Human Service Needs of Lesbian, Gay, Bisexual, & Transgender Populations
                          - New Reports Highlight the Human Service Needs of Lesbian, Gay, Bisexual, & Transgender (LGBT) Populations

### Publications 

                          - A Practitioner’s Resource Guide: Helping Families to Support Their LGBT Children
                          - A Provider’s Introduction to Substance Abuse Treatment for Lesbian, Gay, Bisexual, and Transgender Individuals
                          - How Are the Lives of LGBTQ Youth Improved by Gay-Straight Alliances?
                          - Identifying and Serving LGBTQ Youth: Case Studies of Runaway and Homeless Youth Program Grantees
                          - Key Policy Letters from the Education Secretary and Deputy Secretary
                          - Learning from the Field: Listening Tour of Programs Serving Youth who are LGBTQI2-S and Experiencing Homelessness
                          - Meeting the Needs of Transgender and Gender Non-Conforming Youth
                          - Online Sexual Health Resources
                          - Parents’ Influence on the Health of Lesbian, Gay, and Bisexual Teens: What Parents and Families Should Know
                          - Pride in Our Progress
                          - Primary Sources: Learning How Service Providers and Policy Makers Can Help LGBTQ Homeless Youth
                          - Q&A: Meeting the Needs of Transgender and Gender Non-Conforming Youth
                          - Report: Health-Related Behaviors among Students
                          - Sexual Risk Behavior Differences Among Sexual Minority High School Students — United States, 2015 and 2017
                          - The Economic Well-Being of LGB Youth Transitioning Out of Foster Care

### Resources 

                          - 5 Online Resources to Help Domestic Violence Programs Offer Inclusive Services to LGBTQ People
                          - Brief: the Needs of Lesbian, Gay, Bisexual, Transgender, and Questioning (LGBTQ) Youth in Child Welfare Settings
                          - Ending Housing Discrimination against Lesbian, Gay, Bisexual, and Transgender Individuals and Families
                          - LGBT Populations: A Snapshot of the Knowledge Base and Research Needs
                          - LGBT Youth Resources
                          - Report: Recommendations of the LGBT Subcommittee: Advancing the Reform Process for LGBQ/GNCT Youth in the Juvenile Justice System
                          - Report: Surviving the Streets of New York: Experiences of LGBTQ Youth, YMSM, and YWSW Engaged in Survival Sex
                          - Research: Does Sexual Orientation Affect Teen Pregnancy Risk?
                          - Resource: Guidance to Help Schools Ensure the Civil Rights of Transgender Students
                          - Resource: Helping Youth Prevent Suicide Among Their LGBTQ Peers
                          - Resource: LGBTQ Youth: Voices of Trauma, Lives of Promise
                          - Resources for Serving Lesbian, Gay, Bisexual and Transgender Youth
                          - Safe Spaces. Safe Places: Creating Welcoming and Inclusive Environments for Traumatized LGBTQ Youth
                          - Share with Youth: This Free Life
                          - The Equal Access to Housing Rule and Youth

### Technical Assistance 

                          - Runaway and Homeless Youth Training and Technical Assistance Centers

### Tools & Guides 

                          - 3 Bold Steps for School Community Change
                          - Top Health Issues for LGBT Population Information and Resource Kit

### Videos & Podcasts 

                          - NCFY Voices: Does It Get Better for LGBTQ Teens?
                          - Podcast: Teen Pregnancy Prevention for LGBTQ Youth
                          - Voices from the Field: LGBT-Friendly Teen Pregnancy Prevention

### Websites 

                          - Healthy People 2020

### Youth Topics 

                          - Sexual Orientation and Gender Identity
                          - Suicide Prevention

## Youth Briefs

How Individualized Education Program (IEP) Transition Planning Makes a Difference for Youth with Disabilities
Youth who receive special education services under the Individuals with Disabilities Education Act (IDEA 2004) and especially young adults of transition age, should be involved in planning for life after high school as early as possible and no later than age 16. Transition services should stem from the individual youth’s needs and strengths, ensuring that planning takes into account his or her interests, preferences, and desires for the future.

Youth Transitioning to Adulthood: How Holding Early Leadership Positions Can Make a Difference
Research links early leadership with increased self-efficacy and suggests that leadership can help youth to develop decision making and interpersonal skills that support successes in the workforce and adulthood. In addition, young leaders tend to be more involved in their communities, and have lower dropout rates than their peers. Youth leaders also show considerable benefits for their communities, providing valuable insight into the needs and interests of young people

How Trained Service Professionals and Self-Advocacy Makes a Difference for Youth with Mental Health, Substance Abuse, or Co-occurring Issues
Statistics reflecting the number of youth suffering from mental health, substance abuse, and co-occurring disorders highlight the necessity for schools, families, support staff, and communities to work together to develop targeted, coordinated, and comprehensive transition plans for young people with a history of mental health needs and/or substance abuse.

Young Adults Formerly in Foster Care: Challenges and Solutions
Nearly 30,000 youth aged out of foster care in Fiscal Year 2009, which represents nine percent of the young people involved in the foster care system that year. This transition can be challenging for youth, especially youth who have grown up in the child welfare system.

Coordinating Systems to Support Transition Age Youth with Mental Health Needs
Research has demonstrated that as many as one in five children/youth have a diagnosable mental health disorder. Read about how coordination between public service agencies can improve treatment for these youth.

Civic Engagement Strategies for Transition Age Youth
Civic engagement has the potential to empower young adults, increase their self-determination, and give them the skills and self-confidence they need to enter the workforce. Read about one youth’s experience in AmeriCorps National Civilian Community Corps (NCCC).

## Main navigation

- Sexual Orientation and Gender Identity
- Key Terms & Concepts
- Behavioral Health
- Child Welfare
- Families
- Homelessness & Housing
- Juvenile Justice
- Schools
- Transitioning to Adulthood
- Events Celebrating LGBT Identity, Expression, & Well-Being
- References

53% of transgender people report being verbally harassed or treated disrespectfully in public places, and 44% have been denied service.

**REVIEW THE GUIDE: *RESPONDING TO TRANSGENDER VICTIMS OF SEXUAL ASSAULT***

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## Latest Resources

### Announcements

Opportunity: Validate LGBTQ+ Supportive Practices

Resource: Voices Amplified

Resource: Federal Evidence Agenda on LGBTQI+ Equity

### Briefs

Recommended Actions to Improve the Health and Well-Being of Lesbian, Gay, Bisexual, and Transgender Communities

### Collaboration Profiles

Y2CONNECT.org

Providing Unbiased Services for LGBTQ Youth Project

### Data Sources

2011-2021 YRBS Data Summary and Trends Report

2011-2021 YRBS Data Summary and Trends Report

2011-2021 YRBS Data Summary and Trends Report

### Feature Articles

Just Launched! Redesigned YE4C

New Brief Highlights the Needs of Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in Child Welfare Settings

June is LGBT Pride Month

### Publications

Sexual Risk Behavior Differences Among Sexual Minority High School Students — United States, 2015 and 2017

Report: Health-Related Behaviors among Students

The Economic Well-Being of LGB Youth Transitioning Out of Foster Care

### Resources

Report: Recommendations of the LGBT Subcommittee: Advancing the Reform Process for LGBQ/GNCT Youth in the Juvenile Justice System

Resource: Helping Youth Prevent Suicide Among Their LGBTQ Peers

Resource: LGBTQ Youth: Voices of Trauma, Lives of Promise

### Youth Topics

Sexual Orientation and Gender Identity

Suicide Prevention