This chapter provides a comprehensive and nuanced review and critique of the extant scholarship related to Black sexual and gender minority (SGM) mental health in the United States. The authors highlight the determinants of mental health, the prevalence of mental health problems and inequities, and protective and resilience factors related to Black SGM mental health within five different subgroups: transgender people, intersex people, bisexual people, lesbians, and gay/same-gender-loving men. An intersectional approach is used to draw attention to how racial, gender, socioeconomic, and sexual orientation identities at the individual level influence experiences of oppression at the structural level to synergistically impact mental health. The chapter concludes with a discussion of the gaps in the literature related to Black SGM mental health and recommendations for addressing them.

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Intersex people suffer human rights abuses and harms because of non-consensual early medical interventions. They have historically been rendered outside of welfare regimes and equality, diversity and inclusion policies, or forcibly subsumed within sex-binaried institutions. This article draws on critical intersex studies to interrogate the policy silences and collusions that have taken place regarding intersex people's suffering. Using Ireland and England as case studies, we show that current formations of equality and diversity policies are inadequate in relation to intersex issues. Analysis of policy documents from Ireland and the UK using Bacchi's method reveals the erasure and/or marginalisation of intersex people, despite some stated commitments to gender and sexual equality. We conclude that there is a pressing need for social policy work around intersex issues and for reform to support intersex people's equality, diversity and inclusion.