Evidence map›Paper›PMID 40817898›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2025

Barriers to Mental Health Support and Recommendations for Improvement From the Perspectives of LGBTQ+ Youth.

Erica Szkody, Ian Sotomayor, Steven Hobaica, Laura Jans, Colette Lopez, Juno Pinder, Jessica L Schleider

Abstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Erica SzkodyMedical Social Sciences, Northwestern University, Chicago, Illinois. Electronic address: Erica.Szkody@northwestern.edu.
Ian SotomayorDepartment of Psychology, Stony Brook University, Stony Brook, New York.
Steven HobaicaIndependent Researcher, Honolulu, Hawaii.
Laura JansMedical Social Sciences, Northwestern University, Chicago, Illinois.
Colette LopezDepartment of Psychology, Stony Brook University, Stony Brook, New York.
Juno PinderDepartment of Psychology, University of Denver, Denver, Colorado.
Jessica L SchleiderMedical Social Sciences, Northwestern University, Chicago, Illinois.

Funding

IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Testing Scalable, Single-Session Interventions for Adolescent Depression in the context of COVID-19DP5OD028123 · OD · STATE UNIVERSITY NEW YORK STONY BROOK · PI SCHLEIDER, JESSICA LEE · 2019 to 2023
$2.8M
Developing the Unified Protocol-Single Session Experience Platform for Adolescent Mental HealthR43MH128075 · NIMH · 3-C INSTITUTE FOR SOCIAL DEVELOPMENT · PI DEROSIER, MELISSA E., EHRENREICH-MAY, JILL · 2021 to 2021
$259k
NIH HHS DP5 OD028123NIMH NIH HHS R25 MH080916NIMH NIH HHS R43 MH128075
6 · The paper itself

Abstract

purposeLesbian, gay, bisexual, transgender, queer, intersex, asexual plus (LGBTQ+) youth face significant barriers to mental health care, ranging from a lack of access to therapists, months-long waitlists, and lack of insurance coverage to receiving incompetent care from non-affirming providers. The current study sought to understand the experiences of LGBTQ+ youth when accessing mental health care.

methodsThe current study utilized a fixed, embedded mixed methods design with 808 LGBTQ+ youth in the United States. Participants reported their experiences with mental health access and use, as well as provided qualitative responses about their experiences.

resultsIn this sample, less than half of LGBTQ+ adolescents stated they were able to access mental health care when it was needed. Youth described experiencing unethical therapy practices by clinicians, cited their parents and practical concerns as barriers to accessing care, and concealing their identity from providers out of fear and mistrust. Youth also described feeling both validated and invalidated once they did receive care. Youth provided recommendations around LGBTQ+ competence, respect for youths' identities and autonomy, and making care as accessible as possible. DISCUSSION: Recommendations for caregivers, providers, organizations and programs, and policymakers are provided based on youth responses and previous literature. For example, guidelines were provided for parents on how to communicate with youth about mental health concerns, for therapists on how to improve cultural competency when working with LGBTQ+ youth, and for policymakers on how to improve access to affirming care through legislation and community engagement.

Indexed as

Health Services AccessibilityMental Health ServicesSexual and Gender MinoritiesAdolescentFemaleHumansMaleQualitative ResearchUnited StatesBarriersLGBTQMental healthQueerRecommendationsSupport

Identifiers

PMID40817898
PMCPMC12435768

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.