“…They become at risk for further victimization and exploitation, especially the younger and more under-resourced they are [ 17 ]. Due to the commonplace experiences of perceived and internalized stigma, isolation, discrimination, and victimization, this patient cohort shows disproportionately high rates of problems, up to 60% in some communities, commonly manifesting as depression, anxiety, substance abuse, self-injury, suicidal ideation, and sometimes death [ 1 , 18 , 19 , 20 , 21 ].…”