This paper reports on findings from qualitative research conducted in the UK that sought to explore the connections between sexual identities and self‐destructive behaviours in young people. International evidence demonstrates that there are elevated rates of suicide and alcohol abuse amongst lesbian, gay, bisexual and transgender (LGBT) youth. Rarely included in this body of research are investigations into young LGBT people's views and experiences of self‐destructive behaviours. Data from interviews and focus groups with young LGBT participants suggest a strong link between homophobia and self‐destructive behaviours. Utilising a discourse analytic approach, we argue that homophobia works to punish at a deep individual level and requires young LGBT people to manage being positioned, because of their sexual desire or gendered ways of being, as abnormal, dirty and disgusting. At the centre of the complex and multiple ways in which young LGBT people negotiate homophobia are ‘modalities of shame‐avoidance’ such as: the routinization and minimizing of homophobia; maintaining individual ‘adult’ responsibility; and constructing ‘proud’ identities. The paper argues that these strategies of shame‐avoidance suggest young LGBT people manage homophobia individually, without expectation of support and, as such, may make them vulnerable to self‐destructive behaviours.

Young people who identify as lesbian, gay, bisexual, and queer transgender have elevated rates of suicidality. Despite the increased risk, there is a paucity of research on lesbian, gay, bisexual, transgender and queer help-seeking and suicidality. We report on a UK sequential exploratory, two-stage, mixed-method study. Stage 1 involved 29 online and face-to-face semi-structured interviews with lesbian, gay, bisexual, transgender and queer youth aged 16–25 years old. Stage 2 utilised an online youth questionnaire employing a community-based sampling strategy (n = 789). Results indicated that participants only asked for help when they reached a crisis point because they were normalising their emotional distress. Those who self-harmed, had attempted or planned suicide or had experience of abuse related to their sexuality or gender were most likely to seek help. Results suggested that the reluctance to seek help was due to three interconnecting factors: negotiating sexuality, gender, mental health and age norms; being unable to talk about emotions; and coping and self-reliance. Policies aiming to prevent lesbian, gay, bisexual, transgender and queer youth suicide recognise that norms and normalising processes connected to sexual orientation and gender identity are additional difficulties that youth have accessing mental health support.

This paper draws on a systematic review of qualitative research to explore the resilient mothering practices that young, British, working-class mothers employ to care for their children. The synthesis of studies of UK mothers under the age of 20 demonstrates how young working-class women must mother in impoverished circumstances, at the same time as being discursively positioned outside the boundaries of ‘normal’ motherhood. Consequently, they utilize the only two resources to which they may have access: their families and their own personal capacities. Engaging with debates regarding the extent of the transformations of the social in late modernity, the paper discusses the most prominent of the young mothers’ practices: investment in the ‘good’ mother identity, maintaining kin relations, and prioritization of the mother/child dyad. The paper argues that, while the young mothers’ practices display reflexivity and individualism, they are also deeply embedded in, and structured by, social inequalities.

Qualitative research is ambiguously placed as a source of evidence for policy. It provides a way of accessing the experiences and perspectives of those targeted by welfare interventions, yet it is routinely excluded from the evidence reviews undertaken to inform these interventions. The article explores what qualitative research – mapped and synthesised through a systematic review – can contribute to evidence and policy. Taking teenage motherhood as a case study, it juxtaposes the conclusions of quantitative reviews with themes emerging from a systematic review of qualitative studies of teenage mothers’ lives. It highlights how teenage motherhood, identified in quantitative reviews and in policy interventions as a route to social exclusion, emerges in these studies as an act of social inclusion. It highlights, too, how social disapproval as well as material hardship weigh on teenage mothers, and the potential role that policies could play in supporting the identities and resilient practices mothers develop in the face of material and social disadvantage.

Lesbian, gay, bisexual and transgender (LGBT) youth have a higher risk of suicidality and self-harm than heterosexual youth populations but little is known about the underlying mechanisms. We aimed to investigate the social determinants of this mental health inequality. A two-stage sequential mixed method study was conducted. Firstly, 29 semi-structured interviews with LGBT youth (aged 13–25 years old) were completed. Data was analysed thematically. Stage 2 involved a self-completed questionnaire employing an online community-based sampling strategy (n = 789). Logistic regression analysis was performed to predict suicidality. Five social determinants explained suicidal risk: (i) homophobia, biphobia or transphobia; (ii) sexual and gender norms; (iii) managing sexual and gender identities across multiple life domains; (iv) being unable to talk; (v) other life crises. Youth who were transgender (OR = 1.50, P < 0.022), disabled (OR = 2.23, P < 0.000), had self-harmed (OR = 7.45, P < 0.000), were affected by abuse (OR = 2.14, P < 0.000), and affected by not talking about their emotions (OR = 2.43, P < 0.044) were most likely to have planned or attempted suicide. Public health universal interventions that tackle bullying and discrimination in schools, and selected interventions that provide specific LGBT youth mental health support could reduce LGBT mental health inequalities in youth suicidality.