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LGBTQ youth mental health during COVID-19: unmet needs in public health and policy

01 May 2022

Despite evidence of high unmet mental health needs, despite the negative effects of COVID-19 on youth and young adult global mental health, less attention has been paid to LGBTQ youth—a historically neglected population in health care, policies, and research. Unfortunately, the pandemic will almost certainly have far-reaching negative consequences for LGBTQ health and well-being. Prior to COVID-19, LGBTQ youth experienced a disproportionate amount of mental health issues, with their sexual and gender identities serving as risk factors for victimization, trauma, discrimination, and abuse. Lockdowns, working from home, school shutdowns, and remote learning, all COVID-19 control measures, are likely to have exacerbated these mental health disparities. Crucially, the pandemic has disrupted mental health services at a time when demand for them has increased, particularly among young people and school-based services. LGBTQ-specific language and issues should be included in evidence-based policy and interventions, as well as increased access to affordable and affirming services. It's also critical to address structural barriers, such as prejudiced and discriminatory institutions and policies. LGBTQ youth mental health is a global issue, and research should take into account and investigate LGBTQ youth's experiences in low- and middle-income countries. When collecting sociodemographic data, researchers should collaborate with LGBTQ populations and LGBTQ health experts and provide options to disclose sexual and gender orientation. Better research informs policies to improve the health and wellbeing of LGBTQ youth, and studies should aim to comprehensively understand the diverse and evolving needs of LGBTQ youth as they navigate the pandemic.

PUBLISHED BY
The Lancet
YEAR OF PUBLISHING
2022
AUTHORS
Cameron K Ormiston, Faustine Williams

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COVID-19
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