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Cited by 162LGBTQ Health, Identity, and PolicyChild and Adolescent Psychosocial and Emotional DevelopmentGender, Sexuality, and Education

Future directions in understanding and addressing mental health among LGBTQ youth

Open access
Fish, Jessica N.·2020·Journal of Clinical Child & Adolescent Psychology
DOI 10.1080/15374416.2020.1815207PMC PMC7736182
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Abstract

Today's LGBTQ youth come of age at a time of dynamic social and political change with regard to LGBTQ rights and visibility, yet remain vulnerable to compromised mental health. Despite advances in individual-level treatment strategies, school-based programs, and state-level policies that address LGBTQ mental health, there remains a critical gap in large-scale evidence-based prevention and intervention programs designed to support the positive development and mental health of LGBTQ youth. To spur advances in research and translation, I pose six considerations for future scholarship and practice. I begin by framing LGBTQ (mental) health disparities in a life course perspective and discuss how research focused on the timing of events could offer insight into the optimum targets and timing of prevention and intervention strategies. Next, I argue the importance of expanding notions of "mental health" to include perspectives of wellbeing, positive youth development, and resilience. I then consider how research might attend to the complexity of LGBTQ youths' lived experience within and across the various contexts they traverse in their day-to-day lives. Similarly, I discuss the importance of exploring heterogeneity in LGBTQ youth experiences and mental health. I also offer suggestions for how community partnerships may be a key resource for developing and evaluating evidence-informed programs and tools designed to foster the positive development and mental health of LGBTQ youth. Finally, I acknowledge the potentials of team science for advancing research and practice for LGBTQ youth health and wellbeing. Throughout, these future directions center the urgent needs of LGBTQ youth.

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  • Recent successes in improving the social and policy climate are necessary for promoting inclusion and protecting the health and well-being of sexual minorities, but these successes are not sufficient to eliminate minority stress and related health and well-being inequalities.

    “As Fish [56] and other scholars have noted, recent successes in improving the social and policy climate are necessary for promoting inclusion and protecting the health and well-being of sexual minorities, but these successes are not sufficient to eliminate minority stress and related health and well-being inequalities.”

    From Minority stress theory: Application, critique, and continued relevance (2023) · cites this paper as [56]

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Research works printed but not linked: 6

  1. Allen SH (2020). Redoing gender, redoing family: A mixed-methods examination of family complexity and gender heterogeneity among transgender families (Publication #27834394). [ Doctoral Dissertation, University of Maryland]. ProQuest Dissertations Publishing.
  2. Diamond GM, Boruchovitz-Zamir R, Gat I, & Nir-Gottlieb O (2019). Relationship-focused therapy for LGBTQ individuals and their parents In Pachankis JE & Safron SA (Eds.), Handbook of Evidence-Based Mental Health Practice with Sexual and Gender Minorities (pp. 430– 456). Oxford University Press.
  3. Fish JN, Baams L, & McGuire JK (2020). LGBTQ mental health issues among children and youth In Rothblum ED (Ed.), Oxford Handbook of LGBTQ Mental Health (pp. 229– 244).
  4. McCormack M (2012). The declining significance of homophobia. Oxford University Press.
  5. McGuire JK, & Fish JN, (2018, 11). Family gender environment links to psychological well-being. In Kuvalanka K (chair), Transgender Youth and young Adults in Family, Social, and Community Contexts Paper presented at the National Council on Family Relations Annual Conference in San Diego, California.
  6. Pollitt A, Fish JN, Watson RJ (2019, 3) Being out matters for the measurement equivalence of family acceptance and rejection among LGBTQ+ youth. In Fish JN & Russell ST (chairs), Measurement validation and equivalence in LGBTQ youth research: Examples and recommendations. Symposium presented at the Society for Research in Child Development Biennial Meeting in Baltimore, MD.

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Authors
Fish, J. N.
Affiliations
University of Maryland, Baltimore (US)
Corresponding author
Fish, Jessica N.
ORCID
Fish, Jessica N.
Venue
Journal of Clinical Child & Adolescent Psychology
Publisher
Informa UK Limited
Published
2020-10-19
Volume
49
Issue
6
Pages
943-956
ISSN
  • 1537-4416 (ISSN-L)
  • 1537-4424
DOI
10.1080/15374416.2020.1815207
PMC
PMC7736182
OpenAlex
W3093398030
Cited by
162
References
126
Citations by year
2026: 21 · 2025: 25 · 2024: 59 · 2023: 27 · 2022: 20 · 2021: 10
FWCI
15.57
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Child & Adolescent Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • University of Maryland Prevention Research Center cooperative agreement (#U48DP006382)
  • the Centers for Disease Control and Prevention
  • Eunice Kennedy Shriver National Center for Child Health and Human Development (P2CHD041041)
Topics
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Gender Studies › Gender, Sexuality, and Education
Keywords
LGBTQ youth, mental health disparities, prevention and intervention programs, life course perspective, positive youth development, resilience, well-being, lived experience, community partnerships, team science
MeSH terms
Sexual and Gender Minorities, Adolescent, Humans, Mental Health

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