Queer Youth in Southern and Midwestern States Face the Highest Levels of Mental Distress According to New Report from The Trevor Project

By Andy Lalwani Posted on March 5, 2025 Share Tweet Share Share Email Comments

​A recent report by The Trevor Project, a leading LGBTQ+ youth suicide prevention organization, reveals significant regional disparities in the mental health and community acceptance of LGBTQ+ youth across the United States. The 474-page report analyzes data from The Trevor Project’s 2024 U.S. National Survey on the Mental Health of LGBTQ+ Young People, encompassing responses from over 18,000 individuals aged 13 to 24. ​

Regional Variations in Community Acceptance

The survey highlights notable differences in community acceptance and mental health outcomes among LGBTQ+ youth in various U.S. regions:​

• Northeastern States: LGBTQ+ youth in this region report the highest levels of community acceptance, correlating with lower rates of suicidal thoughts and attempts.​

• Southern States: In contrast, Southern states exhibit some of the highest rates of anti-LGBTQ+ discrimination and the lowest levels of community acceptance, contributing to elevated mental health challenges.​

• Midwestern States: Youth in the Midwest experience high rates of suicidal thoughts and attempts, along with significant exposure to physical threats due to their LGBTQ+ identity.​

• Western States: While Western states offer affirming home environments, they also report some of the highest levels of depression among LGBTQ+ youth.​

Mental Health Challenges and Suicide Risk

The survey’s findings are alarming:​

• 39% of LGBTQ+ youth and 46% of transgender and nonbinary youth seriously considered attempting suicide in the past year.​

• 49% of respondents aged 13 to 17 experienced bullying within the past year, with bullied youth being significantly more likely to attempt suicide.​

• A striking 90% of LGBTQ+ youth reported that recent political events have negatively impacted their well-being.​

• Approximately 45% of transgender and nonbinary youth or their families have considered relocating due to anti-LGBTQ+ legislation.​

• 50% of LGBTQ+ youth seeking mental health care were unable to access desired services, citing factors like cost, fear of not being taken seriously, and concerns about confidentiality.​

Supportive Actions and Recommendations

The report also sheds light on how allies can support LGBTQ+ youth:​

• Trusting and respecting their identities, including pronouns and gender expression.​

• Standing up against anti-LGBTQ+ policies and demonstrating support through visible symbols like Pride flags.​

• Engaging in open dialogues to better understand LGBTQ+ identities and experiences.​

Additionally, the survey indicates that LGBTQ+ youth find online spaces and schools to be more affirming than some home or community environments. Higher rates of social and familial acceptance are linked to lower incidences of suicidal thoughts and attempts.​

Call to Action

The Trevor Project emphasizes the urgency of addressing these challenges:​

“​LGBTQ+ young people are disproportionately impacted by suicide not because of who they are, but because of how they are mistreated and stigmatized in society.” ​

The report serves as a crucial tool for researchers, policymakers, educators, and organizations to implement informed strategies that protect and uplift LGBTQ+ youth, aiming to end the public health crisis of suicide.​

Resources for Support

For individuals seeking support or resources, several organizations offer assistance:​

• The Trevor Project: Provides crisis intervention and support for LGBTQ+ youth. Contact via chat, text (678-678), or phone (1-866-488-7386).​

• 988 Suicide & Crisis Lifeline: Offers confidential support 24/7. Call or text 988.​

• Trans Lifeline: A hotline staffed by trans individuals for support. Call (1-877-565-8860).​

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