Suicide prevention efforts can be enhanced by attending to variability within transgender populations, particularly the heightened risk for female to male and nonbinary transgender adolescents.

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Immigrant and refugee youth have higher rates of trauma than youth who are not transnational. While youth are incredibly resilient, trauma and toxic stress can result in poor health outcomes that persist throughout life. However, clinical interventions can promote resilience and decrease the negative impact of trauma. This article will review the principles of trauma-informed care and its application for the care of immigrant and refugee youth and their families by sharing concrete and feasible strategies for primary care providers and systems.

Few studies have examined how the amalgamation of minority stressors for youth with multiple marginalized identities is associated with well-being. Additionally, among youth with multiple marginalized identities, identity centrality may clarify the associations between specific types of minority stressors (i.e., bias-based peer victimization, perceived discrimination) and adjustment. This study sought to identify intersectional profiles of perceived peer victimization, perceived discrimination, and identity centrality, specific to either Latinx ethnicity or sexual minority identity in the United States. Demographic characteristics associated with each profile (i.e., age, socioeconomic status, gender nonconformity, survey language, gender, rurality) were examined, as well as associations between profiles and grade point average, self-esteem, and depression. In a sample of 219 in-school Latinx sexual minority youth (47% secondary, 53% postsecondary; Mage = 19 years, SD = 2.3), four profiles of intersectional minority stress (perceived victimization, discrimination) and identity centrality were identified: (a) low stress, low centrality; (b) low stress, high centrality; (c) moderate stress, moderate centrality, and (d) high stress, moderate centrality. Men, youth who were relatively older, socioeconomically advantaged, gender nonconforming, and those living in urban areas had higher probabilities of membership in profiles with moderate and high stress. Compared to the low stress, low centrality profile, profiles with higher levels of intersectional stress were associated with maladjustment, whereas the profile characterized by low stress, high centrality had higher levels of self-esteem. (PsycINFO Database Record

This study explored Latinx sexual minority youth adjustment in the context of three minority stressors-Latinx discrimination, lesbian/gay/bisexual/transgender (LGBT) discrimination, and internalized homonegativity. In addition, the potential moderating role of cultural orientation processes (acculturation and enculturation) in mitigating minority stressors was examined. The U.S.-based sample consisted of 377 sexual minority youth, aged 14 to 24 (M ϭ 20.25, SD ϭ 2.63), who also identified as Latinx. All 3 minority stressors were associated with depressive symptoms and self-esteem in the expected directions. Higher levels of acculturation were associated with greater depressive symptoms and lower self-esteem in the presence of Latinx discrimination. Lower acculturation was a risk enhancer for self-esteem in the context of internalized homonegativity. Finally, enculturation moderated the association between LGBT discrimination, internalized homonegativity, and self-esteem. These findings highlight the importance of examining culturally relevant factors in research with Latinx sexual minority youth. Public Significance StatementThis study found associations between stressors experienced by Latinx sexual minority youth related to their ethnicity and sexual orientation status. In addition, levels of acculturation and enculturation influenced the impact of the stressors explored on participants' depressive symptoms and self-esteem. Our findings illustrate the importance of future research that considers culturally relevant factors in the lives of multiply marginalized youth.