The number of people who identify as LGBTQ+ has been increasing, especially amongst young people. The LGBTQ+ community faces many challenges. This paper examines responses to at-risk youth who identify as LGBTQ+ in Edmonton, Canada and L’viv, Ukraine from a family structure level, social support structure level, and governmental programs or policies. It also explores how different reactions - such as feminism or patriarchy – have specific implications for these youth. Finally, it looks at how support, activism, advocacy and acceptance, or fear and anger, can create a change within society.