Child Psychiatry & Human Development

, Volume 49, Issue 4, pp 643–651 | Cite as

Homelessness, Mental Health and Suicidality Among LGBTQ Youth Accessing Crisis Services

  • Harmony RhoadesEmail author
  • Joshua A. Rusow
  • David Bond
  • Amy Lanteigne
  • Anthony Fulginiti
  • Jeremy T. Goldbach
Original Article


LGBTQ youth experience increased risks of homelessness, mental health disorder symptoms, and suicidality. Utilizing data from LGBTQ youth contacting a suicide crisis services organization, this study examined: (a) rates of homelessness among crisis services users, (b) the relationship between disclosure of LGBTQ identity to parents and parental rejection and homelessness, and (c) the relationship between homelessness and mental health disorder outcomes and suicidality. A nationwide sample of LGBTQ youth was recruited for a confidential online survey from an LGBTQ-focused crisis services hotline. Overall, nearly one-third of youth contacting the crisis services hotline had experienced lifetime homelessness, and those who had disclosed their LGBTQ identity to parents or experienced parental rejection because of LGBTQ status experienced higher rates of homelessness. Youth with homelessness experiences reported more symptoms of several mental health disorders and higher rates of suicidality. Suggestions for service providers are discussed.


LGBTQ youth Homelessness Suicidality Mental health Crisis services 



This study was sponsored by The Trevor Project.


  1. 1.
    Marshal MP, Sucato G, Stepp SD, Hipwell A, Smith HA, Friedman MS et al (2012) Substance use and mental health disparities among sexual minority girls: results from the Pittsburgh girls study. J Pediatr Adolesc Gynecol 25(1):15–18CrossRefPubMedGoogle Scholar
  2. 2.
    Russell ST, Fish JN (2016) Mental health in lesbian, gay, bisexual, and transgender (LGBT) youth. Annu Rev Clin Psychol 12:465–487CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Shearer A, Herres J, Kodish T, Squitieri H, James K, Russon J et al (2016) Differences in mental health symptoms across lesbian, gay, bisexual, and questioning youth in primary care settings. J Adolesc Health 59(1):38–43CrossRefPubMedGoogle Scholar
  4. 4.
    National Alliance on Mental Illness. LGBTQ 2017.
  5. 5.
    James SE, Herman JL, Rankin S, Keisling M, Mottet L, Anafi M (2016) The report of the 2015 US transgender survey. National Center for Transgender Equality, Washington, DCGoogle Scholar
  6. 6.
    Corliss HL, Goodenow CS, Nichols L, Austin SB (2011) High burden of homelessness among sexual-minority adolescents: findings from a representative Massachusetts high school sample. Am J Public Health 101(9):1683–1689CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Rice E, Fulginiti A, Winetrobe H, Montoya J, Plant A, Kordic T (2012) Sexuality and homelessness in Los Angeles public schools. Am J Public Health 102(2):200–201CrossRefPubMedGoogle Scholar
  8. 8.
    Noell JW, Ochs LM (2001) Relationship of sexual orientation to substance use, suicidal ideation, suicide attempts, and other factors in a population of homeless adolescents. J Adolesc Health 29(1):31–36CrossRefPubMedGoogle Scholar
  9. 9.
    Whitbeck LB, Chen X, Hoyt DR, Tyler KA, Johnson KD (2004) Mental disorder, subsistence strategies, and victimization among gay, lesbian, and bisexual homeless and runaway adolescents. J Sex Res 41(4):329–342CrossRefPubMedGoogle Scholar
  10. 10.
    Gattis MN (2013) An ecological systems comparison between homeless sexual minority youths and homeless heterosexual youths. J Soc Serv Res 39(1):38–49CrossRefPubMedGoogle Scholar
  11. 11.
    Cochran BN, Stewart AJ, Ginzler JA, Cauce AM (2002) Challenges faced by homeless sexual minorities: comparison of gay, lesbian, bisexual, and transgender homeless adolescents with their heterosexual counterparts. Am J Public Health 92(5):773–777CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Bidell MP (2014) Is there an emotional cost of completing high school? Ecological factors and psychological distress among LGBT homeless youth. J Homosex 61(3):366–381CrossRefPubMedGoogle Scholar
  13. 13.
    Hodgson KJ, Shelton KH, van den Bree MB, Los FJ (2013) Psychopathology in young people experiencing homelessness: a systematic review. Am J Public Health 103(6):e24–e37CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Pearson J, Thrane L, Wilkinson L (2017) Consequences of runaway and thrownaway experiences for sexual minority health during the transition to adulthood. J LGBT Youth 14(2):145–171CrossRefGoogle Scholar
  15. 15.
    Votta E, Farrell S (2009) Predictors of psychological adjustment among homeless and housed female youth. J Can Acad Child Adolesc Psychiatry 18(2):126–132PubMedPubMedCentralGoogle Scholar
  16. 16.
    Castellanos HD (2016) The role of institutional placement, family conflict, and homosexuality in homelessness pathways among Latino LGBT youth in New York City. J Homosex 63(5):601–632CrossRefPubMedGoogle Scholar
  17. 17.
    Durso LE, Gates GJ (2012) Serving our youth: findings from a national survey of services providers working with lesbian, gay, bisexual and transgender youth who are homeless or at risk of becoming homeless.
  18. 18.
    Schmitz RM, Tyler KA (2017) The complexity of family reactions to identity among homeless and college lesbian, gay, bisexual, transgender, and queer young adults. Arch Sex Behav. PubMedGoogle Scholar
  19. 19.
    Ryan C, Russell ST, Huebner D, Diaz R, Sanchez J (2010) Family acceptance in adolescence and the health of LGBT young adults. J Child Adolesc Psychiatr Nurs 23(4):205–213CrossRefPubMedGoogle Scholar
  20. 20.
    Office of the Surgeon General, National Action Alliance for Suicide Prevention (2012) National strategy for suicide prevention: goals and objectives for action: a report of the US Surgeon General and of the National Action Alliance for Suicide Prevention. U.S. Department of Health and Human Services, Washington, DCGoogle Scholar
  21. 21.
    Petering R (2017) Homeless youth risk and resiliency survey: Los Angeles at-a-glance, reserach brief.
  22. 22.
    Rice E, Lee A, Taitt S (2011) Cell phone use among homeless youth: potential for new health interventions and research. J Urban Health 88(6):1175–1182CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Berberet HM (2006) Putting the pieces together for queer youth: a model of integrated assessment of need and program planning. Child Welfare 85(2):361–384PubMedGoogle Scholar
  24. 24.
    Hensley MA, Matthieu MM (2011) Educational needs assessment for homeless service providers on preventing suicide. Soc Work Ment Health 9(2):92–106CrossRefGoogle Scholar
  25. 25.
    Meezan W, Martin JI (2009) Handbook of research with lesbian, gay, bisexual, and transgender populations: Routledge, New YorkGoogle Scholar
  26. 26.
    Meyer IH, Wilson PA (2009) Sampling lesbian, gay, and bisexual populations. J Couns Psychol 56(1):23CrossRefGoogle Scholar
  27. 27.
    Gibbons CJ, Stirman SW, Brown GK, Beck AT (2010) Engagement and retention of suicide attempters in clinical research. Crisis. PubMedPubMedCentralGoogle Scholar
  28. 28.
    Forintos DP, Rózsa S, Pilling J, Kopp M (2013) Proposal for a short version of the Beck Hopelessness Scale based on a national representative survey in Hungary. Community Ment Health J 49(6):822–830CrossRefGoogle Scholar
  29. 29.
    Lang AJ, Stein MB (2005) An abbreviated PTSD checklist for use as a screening instrument in primary care. Behav Res Ther 43(5):585–594CrossRefPubMedGoogle Scholar
  30. 30.
    Melchior LA, Huba G, Brown VB, Reback CJ (1993) A short depression index for women. Educ Psychol Meas 53(4):1117–1125CrossRefGoogle Scholar
  31. 31.
    Hill RM, Rey Y, Marin CE, Sharp C, Green KL, Pettit JW (2015) Evaluating the Interpersonal Needs Questionnaire: comparison of the reliability, factor structure, and predictive validity across five versions. Suicide Life Threat Behav 45(3):302–314CrossRefPubMedGoogle Scholar
  32. 32.
    Posner K, Brown GK, Stanley B, Brent DA, Yershova KV, Oquendo MA et al (2011) The Columbia–Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry 168(12):1266–1277CrossRefPubMedPubMedCentralGoogle Scholar
  33. 33.
    Osman A, Bagge CL, Gutierrez PM, Konick LC, Kopper BA, Barrios FX (2001) The Suicidal Behaviors Questionnaire-Revised (SBQ-R): validation with clinical and nonclinical samples. Assessment 8(4):443–454CrossRefPubMedGoogle Scholar
  34. 34.
    StataCorp (2015) Stata statistical software: release 14. StataCorp LP, College StationGoogle Scholar
  35. 35.
    King R, Nurcombe B, Bickman L, Hides L, Reid W (2003) Telephone counselling for adolescent suicide prevention: changes in suicidality and mental state from beginning to end of a counselling session. Suicide Life Threat Behav 33(4):400–411CrossRefPubMedGoogle Scholar
  36. 36.
    Gould MS, Kalafat J, HarrisMunfakh JL, Kleinman M (2007) An evaluation of crisis hotline outcomes part 2: suicidal callers. Suicide Life Threat Behav 37(3):338–352CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Harmony Rhoades
    • 1
    • 5
    Email author
  • Joshua A. Rusow
    • 1
  • David Bond
    • 2
  • Amy Lanteigne
    • 3
  • Anthony Fulginiti
    • 4
  • Jeremy T. Goldbach
    • 1
  1. 1.USC Suzanne Dworak-Peck School of Social WorkUniversity of Southern CaliforniaLos AngelesUSA
  2. 2.Private PracticeBeverly HillsUSA
  3. 3.The Trevor ProjectWest HollywoodUSA
  4. 4.Graduate School of Social WorkUniversity of DenverDenverUSA
  5. 5.USC Suzanne Dworak-Peck School of Social WorkUniversity of Southern CaliforniaLos AngelesUSA

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