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Perspectives from more closeted and isolated individuals are not present in these findings, and would likely increase reports of negative experiences in the study. Also, while the sample did include people from a range of communities from large to small, and conservative to liberal, it was limited to one state and may not represent other geographical areas. Two overarching themes were identified in these data: These overarching themes are reflected in the types of negative and positive factors mentioned in each domain.

Suggested approaches at this time are to build on what can be strengthened and provide more support to individuals to ameliorate the stressors that are not easily amenable to change. Ultimately, efforts should work towards reducing and eliminating the negative sentiment often found in the institutions and situations that LGBTQ youth encounter. Marilyn J. Her research interests include adolescent and young adult health risk behavior and prevention, and data collection methodology.

Her interests include issues of victimization, LGBT health and mixed methods research. His research interests include adverse outcomes in general anesthesia, patient-doctor shared decision-making, same-sex intimate partner violence, and LGBTQ health. His research focuses on youth and adult health risk behavior, and research methodology.

Diane M. Her research focuses on sexual behavior and decision making about risky sexual behavior. Elizabeth A. Her research interests include adolescent relationships and sexuality and adolescent and adult substance use. Her research focuses on illuminating strengths of minority and at-risk youth in a variety of clinical and social contexts. Sarah's research interests focus on the experiences of LGBTQ youth in the child welfare and juvenile justice systems, and among homeless youth populations, where they are overrepresented, underserved, and unsafe.

National Center for Biotechnology Information , U. Youth Soc. Author manuscript; available in PMC Sep 1. Darrel Higa , 1 Marilyn J. Morrison , 1 Elizabeth A. Wells , 1 Avry Todd , 1 and Sarah Mountz 1. Author information Copyright and License information Disclaimer. Corresponding Author: Copyright notice. See other articles in PMC that cite the published article. Recruitment We recruited 14 to19 year olds, who spoke English, and self-identified as gay, lesbian, bisexual, transgender, queer or questioning one's sexual or gender identity LGBTQ.

Procedures We chose focus groups as the primary data collection method to stimulate discussion and take advantage of the dynamics of the group process. Analysis We analyzed transcribed interviews in Atlas. Results Youth in the study discussed many negative and positive factors in their lives. Open in a separate window.

I wasn't out to myself yet and I wasn't out to anyone else yet. The thing that's really cool about it [being LGBTQ] is I'm a very independent person, and it gives me a sense of, not like standing out, but it gives me a sense of being unique and individual. Responses to a stigmatized identity As for me. I do the self-negative part. I do have very low self-esteem type thing, so whenever someone says something [homophobic], it really cripples me.

Like him, I'm mentally disabled that way, so I'm just going to avoid [inaudible]. But yeah, so I take it the negative way, but it's what I've grown up with so. I have strong internal principles. I have faced enough adversity over the years in various forms, and I know I am, and I'm sticking to that because I figure I've paid my dues with what I've been through—and I owe it to myself to make something out of it, or else like what's the point of going through all this?


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I'm going to do what I want to do. I'm going to make something out of it. Family Bad thing is like you're in the closet and you don't really like want to tell your family.


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You have no idea if they are going to support you or if they're going to kick you out of their life or whatever. Like the best experience you could have asked for coming out, I had with my parents. And they were a hundred percent accepting, and I was really happy. I think that your best bet for people that are going to accept you and that are going to help you out— when you're going through trouble is going to your friends.

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Are you lesbian? I think you need to find the holy way. I do have friends who are Christian or Catholic or whatever, and you know they're fine with me being gay. They're not like telling me I'm going to hell and I'm blah, blah, whatever. That's cool. So it just depends on where you are and what type of religion you have. I got spit on six times before I got off the bus. I grew up in a place where walking down the street holding hands with your boyfriend was probably not the best idea but here I always expect someone to yell something from a car or say something or give me a dirty look and it doesn't happen anywhere near as much as I'd expect it.

Like I walked all over the mall with my boyfriend, holding hands and barely got any looks and no one said anything. My ex-girlfriend's little brother, he's gay and he lived in [city name], and now he's laying in a coma that he's been in for the past six months because some kids started beating the shit out of him because they knew he was gay.

I mean they're adults, but. Maybe like they're not twenty-one, so they can't meet people in places that you have to be twenty-one.

Study Purpose

When they hear about adult things it's people who are like forty and up, so like there's a point that it's kind of like you're an adult, but you're such a young adult that you're not--there's nothing there for you. It actually has been a safe haven coming for myself because if I have any like gay type or like questions or stuff. Identity Youth discussed identity issues in a more positive than negative light. Responses to and ways to cope with a stigmatized identity The number of negative and positive responses for dealing with a stigmatized identity was almost equal.

Family Negative factors were more common than positive factors when youth discussed their families. Peer networks Positive factors outnumbered negative factors in the peer network domain. School School was associated with more negative factors than positive factors. Discussion The goal of the study was to elicit information on the current perspectives of LGBTQ youth using an ecological framework, considering both the negative and positive factors in their lives.

Future Research Directions and Policy Implications The study's findings suggest several research directions and policy implications. Study Limitations Our findings and interpretations have several limitations. Conclusions Two overarching themes were identified in these data: Sexual orientation disparities in purging and binge eating from early to late adolescence.

Journal of Adolescent Health. Mindful inquiry in social research. LGB and Questioning students in schools: The moderating effects of homophobic bullying and school climate on negative outcomes. Journal of Adolescence. Preventing sexual risks behaviors among gay, lesbian, and bisexual adolescents: The benefits of gay-sensitive HIV instruction in schools.

American Journal of Public Health. A systematic review of parental influences on the health and well-being of lesbian, gay, and bisexual youth: Time for a new public health research and practice agenda. Journal of Primary Prevention. The ecology of human development: Experiments by nature and design. Harvard University; Cambridge, MA: Ecological models of human development. In International encyclopedia of education. Elsevier; Oxford, UK: Capturing the group effect in focus groups: A special concern in analysis. Qualitative Health Research. Challenges faced by homeless sexual minorities: Comparison of gay, lesbian, bisexual, and transgender homeless adolescents with their heterosexual counterparts.

Developmental and contextual factors and mental health among lesbian, gay, and bisexual youths. Omoto A, Kurtzman H, editors. Sexual orientation and mental health. Incidence and mental health impact of sexual orientation victimization of lesbian, gay, and bisexual youths in high school.

School Psychology Quarterly. New paradigms for research on heterosexual and sexual minority development. Journal of Clinical Child and Adolescent Psychology. Research with sexual minority youths: Where do we go from here? Homophobic teasing, psychological outcomes, and sexual orientation among high school students: What influence do parents and school have?

School Psychology Review. Life on the seesaw: A qualitative study of suicide resiliency factors for young gay men. Journal of Homosexuality. Gay, lesbian, and bisexual youths: Separation-individuation, parental attitudes, identity consolidation, and well-being. Journal of Youth and Adolescence. The association between health risk behaviors and sexual orientation among a school-based sample of adolescents.

The social environment and suicide attempts in lesbian, gay, and bisexual youth. A guide to conducting consensual qualitative research. Counseling Psychologist. Special introduction: New research on lesbian, gay, bisexual and transgender youth: Studying lives in context. Who, what, where, when, and why: Demographic and ecological factors contributing to hostile school climate for lesbian, gay, bisexual, and transgender youth.

Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin. The effects of traditional family values on the coming out process of gay male adolescents. Depression and HIV risk behavior among Seattle-area injection drug users and young men who have sex with men. Reconciling Christianity and positive non-heterosexual identity in adolescence, with implications for psychological well-being. Journal of Gay and Lesbian Issues in Education.

Health disparities for homosexual youth: The children left behind. Unequal opportunity: Health disparities affecting gay and bisexual men in the United States.

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Religion and health among lesbian, gay, and bisexual youths: An empirical investigation and theoretical explanation. Sexual orientation and mental health: Examining identity and development in lesbian, gay, and bisexual people. Is religiosity a protective factor against substance use in young adulthood? Beyond risk: Resilience in the lives of sexual minority youth.

Youth empowerment and high school gay-straight alliances. Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing. Protective factors in the lives of bisexual adolescents. Lesbian, gay male, and bisexual adolescents.

D'Augelli, Patterson C, editors. Psychological perspectives. A critique of research on sexual minority youths. Lesbian, gay, bisexual, and trans-gender young people's experiences of distress: Resilience, ambivalence, and self-destructive behavior. Health and Social Care in the Community. Homosexuality and world religions. Support Center Support Center. External link. Please review our privacy policy. Experiencing difficult situations when youth feel they cannot come out. Having allies that can come from different parts of one's life.

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Having supportive responses from teachers and students. Encountering homophobia and indifference by school personnel. Being exposed to a faith community that expresses homophobia. Having a family who is intolerant based on religion. Having social acceptance from larger community. LGBTQ organizations provide safe place to meet people, learn.

Place to find people to talk to who understand. As for me.