Extensive research has demonstrated that lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) youth are disproportionally affected by a variety of traumatic experiences including verbal, physical, and sexual abuse. This paper will review common traumatic experiences and their negative sequelae among LGBTQ youth including victimization directly related to youths’ gender identity and expression or sexual orientation. We will also discuss research regarding factors such as parental acceptance that may mitigate negative psychological impacts of this abuse. Guidelines for assessing and treating LGBTQ youth who have experienced trauma will be reviewed. A case example of a queer-identified youth with a history of trauma prior to and while in government care will be provided to illustrate the complexity of the impact of trauma on multiple domains of functioning and how this is exacerbated for LGBTQ youth who often face further discrimination and victimization based on their status
