Sexual and gender minority youth experience serious mental health risks, yet are not impacted by typically efficacious interventions: secondary mental health outcomes from randomized controlled trial (ATN 149)

Dallas Swendeman

doi:10.1111/jcpp.70190

Sexual and gender minority youth experience serious mental health risks, yet are not impacted by typically efficacious interventions: secondary mental health outcomes from randomized controlled trial (ATN 149)

2026-08-03

0

PRE

AI

D

Dallas Swendeman *

P

Pragya Rimal

K

Kelsey Ishimoto

W

William Gertsch

W

W. Scott Comulada

M

Mary Jane Rotheram

A

Adolescent HIV Medicine Trials Network (ATN) CARES Study Team

DOI：10.1111/jcpp.70190

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Abstract

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Sexual and gender minority youth (SGMY) often experience discrimination and stigma related to their sexual orientation or gender identity. This increases their vulnerability to HIV, poor mental health outcomes, including suicide, and low uptake of HIV prevention through bidirectional causal relationships that suggest integrating mental health support with HIV prevention. This study evaluates the impact of three intervention strategies (automated text messages, online peer support, and coaching) on secondary mental health outcomes among SGMY.

Keywords:

Sexual and gender minority youth

LGBTQ

adolescent suicide attempts

adolescent psychiatric hospitalizations

mental health

Sexual and gender minority youth experience serious mental health risks, yet are not impacted by typically efficacious interventions: secondary mental health outcomes from randomized controlled trial (ATN 149)

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