Queering Institutions, Nearing Inclusion

There is overwhelming evidence that Two-Spirit, lesbian, gay, bisexual, transgender, queer or questioning, intersex, and asexual (2SLGBTQIA+) youth in Canada experience significantly higher rates of mental health problems than their heterosexual and cisgender peers. This paper argues that intersectoral action on the social determinants of health (SDOH) at all levels of government is necessary to meaningfully address 2SLGBTQIA+ youth mental health in Canada. A literature review of English-language, peer-reviewed articles and grey literature was conducted to assess the root determinants of 2SLGBTQIA+ youth mental health. This paper utilizes an intersectional lens and the 3i framework to assess the relevant ideas, interests, and institutions that fuel mental health inequities facing 2SLGBTQIA+ youth in Canada. This paper recommends a pan-Canadian 2SLGBTQIA+ Health Strategy; a shift of focus towards SDOH; improving sex education curricula and teacher training; building resilience among 2SLGBTQIA+ youth; and strengthening the shelter system to improve 2SLGBTQIA+ youth mental health in Canada.