NEW YORK, N.Y. — The Trevor Project released the results of its 2020 National Survey on LGBTQ Youth Mental Health. The second annual survey found that 40 percent of respondents considered attempting suicide in the past 12 months, with more than half of them being transgender and non-binary youth.

This highlighted the urgent need for LGBTQ-inclusive policies, programs, and practices, the organization stated. “The study comes at a critical time as the country grapples with the implications of the COVID-19 pandemic and national demonstrations around systemic racism and violence — both of which disproportionately impact the mental and physical health of black LGBTQ people.”

The largest-ever of its kind, this survey represents the experiences of over 40,000 LGBTQ youth and provides data around mental health disparities, discrimination, housing instability, barriers to accessing mental health care, conversion therapy and suicide. Survey data also highlight the positive impact safe spaces and social support have on the well-being of LGBTQ youth.

The study reveals that the majority of respondents experienced symptoms of generalized anxiety disorder and major depressive disorder (68 percent and 55 percent, respectively), while 48 percent reported engaging in self-harm in the past 12 months, including over 60 percent of transgender and non-binary youth. Yet, nearly half of those who wanted mental health care were not able to receive it.

“For years, suicide has been the second leading cause of death among young people in the U.S., but we still do not fully grasp the disproportionate impact it has on LGBTQ young people because of insufficient national data collection. This survey — the largest ever conducted on LGBTQ youth mental health — provides critical insights into the lives of LGBTQ youth and risk factors for suicide,” said Amit Paley, CEO & executive director, The Trevor Project. “We strongly urge public health officials and policymakers to make significant investments in mental health research and support programs that take an intersectional approach to meet the unique needs of diverse communities across the country. We know that a one-size-fits-all approach to suicide prevention does not work; the need for robust research, systematic data collection, and comprehensive mental health support has never been greater.”

Survey results also demonstrated that when support systems are in place, LGBTQ youth report significantly lower rates of attempting suicide. Systems of support include a supportive person, LGBTQ-affirming spaces, proper use of pronouns, and access to gender-affirming tools. Transgender and non-binary youth who reported having their pronouns respected by all or most of the people in their lives attempted suicide at half the rate of those who did not have their pronouns respected.

“Given limited research findings about LGBTQ youth, this survey is an essential resource to shine a light on the disproportionate needs of the community and inform our collective response to better support these youth,” said Dr. Amy Green, director of research, The Trevor Project. “We have found, now year over year, that greater levels of support and acceptance is associated with dramatically lower rates of attempting suicide. This includes the powerful role of gender-affirming care and support for transgender and non-binary youth. The data serve as a clarion call for us to prioritize affirming systems of support for LGBTQ youth that will benefit society for years to come.”

The survey findings carry significant policy implications for LGBTQ youth. Currently, 30 states still do not have laws protecting minors from the dangers of conversion therapy. The study found that 10 percent of LGBTQ youth reported undergoing conversion therapy, with 78 percent reporting it occurred when they were under age 18. According to the survey, those who experienced conversion therapy attempted suicide at more than twice the rate as those who did not.

“LGBTQ youth are incredibly resilient and face a unique set of challenges every day simply because of who they are,” added Paley. “By expanding systematic data collection to understand these challenges, we can better identify and implement effective systems of care and policies that will improve mental health and ultimately save lives. This is exactly why The Trevor Project exists.”

Trevor has trained crisis counselors for those who are in need and are available 24/7 at 866-488-7386, via chat at, or by texting START to 678678.


Lainey Millen

Lainey Millen was formerly QNotes' associate editor, special assignments writer, N.C. and U.S./World News Notes columnist and production director from 2001-2019 when she retired.