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Sexual and gender minority (SGM) youth experience higher rates of adverse mental health outcomes, most notably suicidal thoughts and behaviors (STBs). The current study examines risk and protective factors for STBs and depression among 1,078 youth in high schools. We examine these outcomes through an intersectional lens, and we extend the use of the minority stress theory framework by focusing on resilience and protective factors and argue that bias against lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) youth should be addressed at the systemic, rather than the individual, level. Our findings suggest that family support is a notable factor protective of depression and suicide-related behavior among LGBTQ youth. Additionally, peer support, help-seeking beliefs, access to medical and counseling services, engaging in healthy activities, spirituality, and having trusted adults are protective factors for some groups. The nuanced findings in this study offer suggestions for school psychologists and professionals to promote healthy and safe school environments.

Peer victimization, also referred to as bullying victimization, is associated with deleterious mental health outcomes including depression and suicidality. However, most of the bullying literature in the USA is centered around the experiences of non-Latinx White and African American adolescents. To center Latinx experiences, this cross-sectional study includes a sample of Latinx students from 19 Colorado high schools (n = 2554). School-level ethnic peer representation (proportion of Latinx peers) and individual student's willingness to seek help were examined independently as moderators between bullying victimization and mental health outcomes (depression and suicidality) separately by gender. Results indicated that Latinx youth who experienced peer victimization also reported higher symptoms of depression and suicidality. A greater willingness to seek help was associated with less symptoms of depression and suicidality among young Latinx youth, while school-level ethnic peer representation was only associated with lower symptoms of depression for Latinx adolescent females. Among Latinx youth who were victimized, a greater willingness to seek help was protective for symptoms of depression and suicidality. Results suggest that school-based programs for bullying prevention and mental health promotion need to examine culturally specific protective factors to reduce victimization and promote help-seeking norms among Latinx youth.

Homophobic name-calling and sexual violence are prevalent among US high school students and have been associated with a host of negative consequences including anxiety, depression, and substance use disorders, especially among sexual and gender minority youth. Although homophobic name-calling and sexual violence are linked to common risk and protective factors, most prior studies have failed to include gender and sexual minority groups. The present study used path analyses to explore the associations between eight protective factors and the outcomes of homophobic name-calling perpetration, homophobic name-calling victimization, sexual violence perpetration, and sexual violence victimization. The sample included LGB (n = 938), transgender (n = 140), and heterosexual (n = 3,744) high school students in Colorado, USA (N = 4,822). Protective factors included: (1) family support; (2) peer support; (3) friendships with trusted adults; (4) participating in healthy activities; (5) helping others; (6) spirituality; (7) access to counseling; and (8) access to medical services. For homophobic name-calling perpetration and victimization, significant negative associations emerged across different groups for the protective factors of family support, peer support, helping others, spirituality, counseling, and medical access. For sexual violence perpetration and victimization, significant negative associations emerged across different groups for the protective factors family support, peer support, and counseling access. Findings suggest that prevention and intervention efforts to address gender-based harassment should focus on building protective, supportive environments across the schools, families, and communities.