The purpose of the current study was to document challenges and strengths faced by Lakota lesbian, gay, bisexual, transgender, queer, Two-Spirit (LGBTQ2S+) youth and obtain input on types of initiatives that could be used to support the health and well-being of Lakota LGBTQ2S+ youth. Participants in this mixed-methods, multi-informant study included 36 Lakota LGBTQ2S+ youth who participated in a 3-day retreat that included surveys, talking circles, and arts-based activities. Additionally, 23 adults who work with or care for these youth participated in talking circles. Results suggested that whereas Lakota LGBTQ2S+ youth experienced myriad challenges (e.g., rejection, victimization, depression symptoms), they also reported moderate to high levels of strength/resilience (e.g., connection to culture, feelings of mattering to others). Lakota LGBTQ2S+ youth and adults who support them discussed the importance of community-wide and family-specific interventions to reduce rejecting behaviors and increase accepting behaviors, and youth discussed the desire for support groups. Adults felt that learning about the positive histories of Two-Spirit relatives in traditional Lakota culture would help to support community-wide acceptance of Lakota LGBTQ2S+ youth. Finally, youth reported positive perceptions of the 3-day retreat-especially opportunities for learning, connection, and support-which further underscores the need for culturally grounded, social-support and skills-based programming for Lakota LGBTQ2S+ youth. Results also highlight the need for initiatives that seek to change family and community norms to protect, accept, and celebrate Lakota LGBTQ2S+ peoples.
Public Significance StatementThese findings shed important light on challenges and strengths faced by Lakota lesbian, gay, bisexual, transgender, queer, Two-Spirit (LGBTQ2S+) youth and obtain input on types of initiatives that could be used to support the health and well-being of Lakota LGBTQ2S+ youth. Findings highlight the urgent need for (a) affirming programs to help foster resilience among Indigenous LGBTQ2S+ youth; (b) culturally grounded, family-based programs to reduce family rejection and increase family acceptance of Indigenous LGBTQ2S+ youth; and (c) larger systems of oppression (e.g., structural racism, cisnormative and heteronormative practices, and policies) that drive health disparities among Indigenous LGBTQ2S+ youth.