Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Jul 23;11(14):2098.
doi: 10.3390/healthcare11142098.

Between Resilience and Agency: A Systematic Review of Protective Factors and Positive Experiences of LGBTQ+ Students

Affiliations
Review

Between Resilience and Agency: A Systematic Review of Protective Factors and Positive Experiences of LGBTQ+ Students

Telmo Fernandes et al. Healthcare (Basel). .

Abstract

A negative school climate resulting from homophobic and transphobic bias and discrimination is associated with poor well-being and mental health among LGBTQ+ youth. However, protective factors and mechanisms may buffer against the impact of stigmatization. Drawing on the socio-ecological model, minority stress theory, and positive youth development and agency perspectives, we carried out a systematic review of research focusing on factors that can promote the well-being of LGBTQ+ students in educational settings, outlining the primary outcomes from studies published between 2012 and 2022. The PRISMA protocol was used for this review, and 64 articles were scrutinized. The results of the thematic analysis revealed that both external factors (school-inclusive policies and extracurricular activities; social support from school, family, and the community; and school connectedness) and internal factors (psychosocial characteristics and personal agency) promote positive school experiences, such as the exploration of sexual and gender identities in a safe environment. The present findings highlight the need for inclusive school policies and strategies and individual-level interventions that target the well-being and positive mental health outcomes of sexual and gender minority students.

Keywords: LGBTQ students; minority stress; protective factors; resilience; risk; systematic review.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.

Figures

Figure 1
Figure 1
PRISMA flow chart. Exclusion criteria: (1) did not assess positive experiences or protective factors; (2) did not focus on the school context; and (3) sample included only older students or did not include LGBTQ+ students.
Figure 2
Figure 2
Percentage of studies’ according to methodologies.
Figure 3
Figure 3
Types of studies according to sexual orientation, gender identity, and GSA membership.
Figure 4
Figure 4
Thematic tree considering Meyer’s minority stress model [11,12] and the social-ecological framework [10].

Similar articles

Cited by

References

    1. Fish J.N. Future directions in understanding and addressing mental health among LGBTQ youth. J. Clin. Child Adolesc. Psychol. 2020;49:943–956. doi: 10.1080/15374416.2020.1815207. - DOI - PMC - PubMed
    1. Hall W.J. Psychosocial Risk and Protective Factors for Depression Among Lesbian, Gay, Bisexual, and Queer Youth: A Systematic Review. J. Homosex. 2018;65:263–316. doi: 10.1080/00918369.2017.1317467. - DOI - PMC - PubMed
    1. Russell S.T., Fish J.N. Mental Health in Lesbian, Gay, Bisexual, and Transgender (LGBT) Youth. Annu. Rev. Clin. Psychol. 2016;12:465–487. doi: 10.1146/annurev-clinpsy-021815-093153. - DOI - PMC - PubMed
    1. McBride R.S. A Literature Review of the Secondary School Experiences of Trans Youth. J. LGBT Youth. 2021;18:103–134. doi: 10.1080/19361653.2020.1727815. - DOI
    1. UNESCO Call for Action by Ministers: Inclusive and Equitable Education for All Learners in an Environment Free from Discrimination and Violence 2016, UNESCO Digital Library. [(accessed on 10 January 2023)]. Available online: https://en.unesco.org/sites/default/files/call_for_action_2016_08_05-en.pdf.

LinkOut - more resources