J Am Acad Child Adolesc Psychiatry
November 2024
Indigenous Two Spirit (2S) and gender diverse (GD) youth in the United States are a population distinct for their resilience and joy, despite the legacy of settler colonialism and present-day manifestations of historical traumas. The process of settler colonialism in North America instigated a transition from celebration of 2SGD identities to violence and discrimination, often associated with homophobia and transphobia. As a result of these processes, Indigenous 2SGD individuals disproportionately experience poor health outcomes compared to non-Indigenous GD individuals.
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