Positions of the Society for Adolescent Health and Medicine
Statement of the Problem
Positions and Recommendations
Position # 1 All HCPs should be trained to provide competent, inclusive, and nondiscriminatory care for SGD youth
Position # 2 HCPs should promote family connectedness and acceptance of SGD adolescents
Position # 3 HCPs should address and work to protect SGD youth from multiple forms of violent victimization and associated negative sequelae
- Montoro R.
- Thomas B.
- Igartua K.
Position # 4 Foster care systems should implement policies to ensure the well-being of SGD youth
Getting Down to Basics: Tools to support LGBTQ youth in care.
- Glassgold J.
- Ryan C.
Position # 5 Juvenile justice systems should implement policies to ensure the well-being of SGD youth
- Wilber S.
- Wilber S.
- Wilber S.
“Do You See how Much I’m Suffering Here?” Abuse against transgender Women in US immigration detention.
- Wilber S.
Position # 6 Youth struggling with sexual orientation or gender identity should be offered affirmative therapeutic approaches. SAHM explicitly denounces reparative or conversion “therapy” as harmful and discriminatory practices
ICD-11: Classifying disease to map the way we live and die. Coding disease and death.
Position statement on conversion therapy and LGBTQ patients.
““Therapies” to change sexual orientation lack medical justification and threaten health”.
Position # 7 Further research on all aspects of SGD adolescent health is needed to inform advocacy, training, clinical practice, and community interventions
- Ensuring comprehensive care and support for transgender and gender-diverse children and adolescents.Pediatrics. 2018; 142: e20182162
- A multicenter, multidisciplinary evaluation of 1701 healthcare professional students' LGBT cultural competency: Comparisons between dental, medical, occupational therapy, pharmacy, physical therapy, physician assistant, and social work students.PLoS One. 2020; 15: e0237670
- Understanding the well-being of LGBTQI+ populations.The National Academies Press, Washington, DC2020
- Developmental patterns of sexual identity, romantic attraction, and sexual behavior among adolescents over three years.J Adolescence. 2019; 77: 90-97
- Quality Primary care and family Planning services for LGBT Clients: A comprehensive review of clinical guidelines.LGBT Health. 2018; 5: 153-170
- The effects of educational curricula and training on LGBT-specific health issues for healthcare students and professionals: A mixed-method systematic review.J Int AIDS Soc. 2017; 20: 21624
- Parent versus child report of children’s sexual orientation: Associations with psychiatric morbidity in the adolescent Brain Cognitive development study.Ann Epidemiol. 2020; 45: 1-4
- Supportive families, healthy children: Helping families with lesbian, gay, bisexual & transgender children.Wright Edelman Institute, San Francisco State University, San Francisco, CA2009
- Family rejection as a predictor of negative health outcomes in white and Latino lesbian, gay and bisexual young adults.Pediatrics. 2009; 123: 346
- Family acceptance in adolescence and the health of LGBT young adults.J Child Adolesc Psychiatr Nurs. 2010; 23: 205-213
- Family behaviors that increase Your LGBTQ child’s health & well-being – healthy futures Poster Series.Family Acceptance Project, Marian Wright Edelman Institute, San Francisco State University, San Francisco, CA2019
- Sexual orientation and bullying among adolescents in the Growing up Today Study.J Adolesc Health. 2010; 46: 366
- Online social support as a buffer against online and offline peer and sexual victimization among U.S. LGBT and non-LGBT youth.Child Abuse Negl. 2015 Jan; 39: 123
- Youth risk behavior Surveillance- United States, 2019.MMWR. 2020; 69 (SS-01)
- Dating violence and peer victimization among male, female, transgender, and gender-expansive youth.Pediatrics. 2021; 147: e202004327
- The 2019 National School Climate Survey: The experiences of lesbian, gay, bisexual, transgender, and queer youth in our nation’s schools.GLSEN, New York2020
- The association of bullying with suicide ideation, plan, and attempt among adolescents with GLB or unsure sexual identity, heterosexual identity with same-sex attraction or behavior, or heterosexual identity without same-sex attraction or behavior.Sante Ment Que. 2015; 40: 55
- Mediating effects of emotional symptoms on the association between homophobic bullying victimization and problematic Internet/Smartphone use among gay and bisexual men in Taiwan.Int J Environ Res Public Health. 2020; 17: 3386
- Adolescent sexual orientation and suicide risk: Data from a national Study.Am J Public Health. 2001; 91: 1276
- Gay-straight Alliances are associated with lower levels of school-based victimization of LGBTQ+ youth: A systematic review and meta-analysis.J Youth Adolesc. 2016; 45: 1269
- Inclusive anti-bullying policies and reduced risk of suicide attempts in lesbian and gay youth.J Adolesc Health. 2013; 53: S21-S26
- Bullying among lesbian, gay, bisexual and transgender youth.Pediatr Clin North Am. 2016; 63: 999
- CWLA Best Practices Guidelines: Serving LGBT youth in out of home care.Child Welfare League of America, Washington, DC2006
- LGBTQ youth in the child welfare system: An Overview of research, practice, and policy.J Public Child xc Welfare. 2017; 11: 27-39
- Getting Down to Basics: Tools to support LGBTQ youth in care.(Available at:)https://www.lambdalegal.org/publications/getting-down-to-basicsDate: 2012Date accessed: December 14, 2021
- The role of families in efforts to change, support, and affirm sexual orientation, gender identity and expression in children and youth.in: Haldeman D.C. Change Efforts in Sexual Orientation and Gender Identity: From Clinical Implications to Contemporary Public Policy. APA Books, Washington, DC2021
- A Guide to juvenile detention detention Reform: Lesbian, gay, bisexual and transgender youth in the juvenile justice system.(Available at:)https://www.aecf.org/resources/lesbian-gay-bisexual-and-transgender-youth-in-the-juvenile-justice-system/Date: 2015Date accessed: December 14, 2021
- Disproportionality and disparities among sexual minority youth in Custody.J Youth Adolesc. 2017; 46: 1547-1561
- World report 2020.(Available at:)
- “Do You See how Much I’m Suffering Here?” Abuse against transgender Women in US immigration detention.(Available at:)https://www.hrw.org/sites/default/files/report_pdf/us0316_web.pdfDate: 2016Date accessed: December 14, 2021
- Homosexuality and American psychiatry: The politics of diagnosis.Princeton University Press, Princeton1987
- ICD-11: Classifying disease to map the way we live and die. Coding disease and death.(Available at:)https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/90875286Date: 2018Date accessed: December 14, 2021
- Position statement on conversion therapy and LGBTQ patients.(Available at:)https://www.psychiatry.org/File%20Library/About-APA/Organization-Documents-Policies/Policies/Position-Conversion-Therapy.pdfDate: 2018Date accessed: December 14, 2021
- Report of the Task Force on appropriated Responses to sexual orientation.American Psychological Association, Washington, DC2009
- Ending conversion therapy: Supporting and affirming LGBTQ youth.HHS Publication No., Rockville, MD2015 (SMA) 15-4928
- ““Therapies” to change sexual orientation lack medical justification and threaten health”.(Available at:)http://new.paho.org/hq/index.php?option=com_docman&task=doc_download&gid=17703&ItemidDate accessed: December 14, 2021
Conflict of interest: The authors have no conflicts of interest to declare.
Disclaimer: The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of the Uniformed Services University, the US Air Force, the US Department of Defense, or the US Government.