Recent data show rising suicidality among high school girls. We posit this increase may be related to an overlooked factor: more girls identifying as LGBQ. Using four cohorts of national Youth Risk Behavior Survey data (N = 22,562 females, N = 22,130 males), we found that LGBQ identification among females rose from 15% in 2015 to 34% in 2021. LGBQ…

Youth who are lesbian, gay, bisexual, and who identify with other sexual orientations (LGB +) are at higher risk for illicit drug use and have higher rates of mental illness. The current study examined the prevalence of illicit drug use among LGB+ persons and assessed the moderating effect of mental illness. Cross-sectional data from the 2015,…

Few sexual health studies have examined subgroup differences in youth risk behaviors that sufficiently account for sexual orientation and gender identity. This study used 2017 New York City Youth Risk Behavior Survey data (N = 10,191), a stratified cluster-sampled survey, to examine descriptive differences in the prevalence of risky sexual…

Transgender individuals are disproportionately affected by HIV in the United States. Given increased risk of HIV among youth, there is a need to understand HIV risk and protective factors among transgender individuals who are 18 years and younger. Patterns of HIV testing, HIV education, and condom use have known associations with HIV outcomes…

The increase in youth's self-identification as trans in the United States and Canada has created new urgency in schools to meet the needs of these students, yet education survey researchers have yet to find ways to assess their educational outcomes based on sex and gender. In this critical systematic review, I provide an overview of surveys from…

Rates of suicidal thoughts and behaviors (STB, i.e., suicidal thoughts, plans, and attempts), substance use, and bullying victimization are higher among lesbian, gay, bisexual, transgender, and/or queer (LGBTQ+) youth compared to their heterosexual peers. However, research examining the interactive and potentially compounding associations of…

Using data from a regional census survey of high school students, we compared substance use patterns between transgender and cisgender students, and students who did not know if they are transgender (DKT). Data from more than 23,000 youth from 26 high schools were used to compare alcohol-related behaviors, marijuana use, and non-medical use of…

For this study, we operated with a critical theoretical understanding of schools as sites of (cis)heteronormativity, which led us to question the impact of heteronormative schooling environments. We used data from the 2017 national Youth Risk Behavior Surveillance System to examine the self-reported experiences and feelings of high school students…

For lesbian, gay, bisexual, and questioning (LGBQ) youth of color, the intersection of identifying as both LGBQ and a person of color results in not only managing racial stereotypes, but also heterosexism and genderism. Developing a critical understanding of oppressive social conditions and ways to engage in social action is a form of resistance…

Background: Depression continues to be a public health crisis for young adults. For high school students, past research has identified trauma as a significant predictor of depression. Congruent with the theory of cumulative stress, the present study hypothesized that the effect of sexual assault on depression would be stronger among lesbian, gay,…

Background: Lesbian, gay, bisexual, and questioning (LGBQ) adolescents are at increased risk of poor mental health due to minority stress, a chronic stress associated discrimination, social rejection, and victimization brought on by prejudicial attitudes towards LGBQ individuals. To improve understanding of the differential impact of various kinds…

Sexual minority youth have a higher risk of suicidal behaviors than their straight peers. Despite this alarming trend, there is limited information on how health-risk factors are systematically associated with suicidal outcomes in relation to the intersection of sex and sexual orientation identity. Data from the 2017 Youth Risk Behavior Survey…

Objective: To quantitatively measure psychometric impact associated with changes to sexual and gender identity survey questions included on the National College Health Assessment (NCHA). Participants: Respondents included all iterations (31) of the NCHA between the years of 2000 and 2015 (N=1,202,582). Methods: Secondary analysis using complete…

While LGBTQ youth may be victims of bullying at greater rates than heterosexual youth, research examining in-school bullying and cyberbullying victimization disparities through an intersectional framework is limited. Using the 2017 Youth Risk Behavior Survey, the present study examined the prevalence of in-school bullying and cyberbullying…

Despite well-established health disparities between transgender and cisgender youth, state bills restricting gender-inclusive school supports and health care have dramatically expanded since 2019. While parental support for transgender youth strengthens healthy development, unsupportive parents contribute to suicidality and homelessness. This…