During initiations, girls may be beaten, sexually assaulted, or gang raped. Staying in the gang may require that a girl tolerate ongoing physical or sexual abuse, suppressing her anger, resentment, humiliation, and shame. Some girls eventually become perpetrators of violence themselves. Additionally, lesbian girls may feel ostracized because of their sexual orientation, at a time in their adolescent development when they have a need to belong and to be accepted. They are at increased risk of substance abuse and suicide.
Some girls run away or are forced to leave by family members who disapprove of their lifestyle.
Lesbian girls who become delinquent also report feeling alienated within the justice system.