Foreword = 1
Executive Summary = 3
1. Introduction = 4
2. Definition of Terms = 6
2.1 Lesbian, gay and bisexual identity = 6
2.2 Youth = 6
3. Literature Review = 9
3.1 Invisibility of young lesbians, gay men and bisexual people = 9
3.2 Diversity amongst LGB people = 10
3.3 Sex education and sexual health = 11
3.4 Suicide, self-harm, drug abuse and mental health issues = 12
3.5 Denial of human rights = 13
4. Identity and Experience of Young LGB People = 15
4.1 Identity = 15
4.1.1 Coming out = 15
4.1.2 Internalised homophobia = 17
4.1.3 Multiple identities = 18
4.1.4 Invisibility of LGB teen culture = 18
4.2 Experience of young LGB people = 19
4.2.1 Institutionalised heterosexism = 19
4.2.2 Isolation = 20
4.2.3 Violence = 21
4.3 Experience in the health care system = 21
4.3.1 Prejudices in health services = 22
4.3.2 Breach of confidentiality = 23
4.3.3 Lack of structures of support for young LGB people = 23
4.3.4 Sexual health = 24
4.4 Experience at work = 24
4.5 Conclusion = 25
5. Recommendations for Change = 27
5.1 Recommendations in health service provision = 27
5.2 Recommendations in employment = 30
Appendix 1: Bibliography = 31
Appendix 2: Contributing organisations = 34
Appendix 3: International standards = 35
Executive Summary = 3
1. Introduction = 4
2. Definition of Terms = 6
2.1 Lesbian, gay and bisexual identity = 6
2.2 Youth = 6
3. Literature Review = 9
3.1 Invisibility of young lesbians, gay men and bisexual people = 9
3.2 Diversity amongst LGB people = 10
3.3 Sex education and sexual health = 11
3.4 Suicide, self-harm, drug abuse and mental health issues = 12
3.5 Denial of human rights = 13
4. Identity and Experience of Young LGB People = 15
4.1 Identity = 15
4.1.1 Coming out = 15
4.1.2 Internalised homophobia = 17
4.1.3 Multiple identities = 18
4.1.4 Invisibility of LGB teen culture = 18
4.2 Experience of young LGB people = 19
4.2.1 Institutionalised heterosexism = 19
4.2.2 Isolation = 20
4.2.3 Violence = 21
4.3 Experience in the health care system = 21
4.3.1 Prejudices in health services = 22
4.3.2 Breach of confidentiality = 23
4.3.3 Lack of structures of support for young LGB people = 23
4.3.4 Sexual health = 24
4.4 Experience at work = 24
4.5 Conclusion = 25
5. Recommendations for Change = 27
5.1 Recommendations in health service provision = 27
5.2 Recommendations in employment = 30
Appendix 1: Bibliography = 31
Appendix 2: Contributing organisations = 34
Appendix 3: International standards = 35