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Fifteen-minute consultation in the normal child: Challenges relating to sexuality and gender identity in children and young people
  1. Thomas O’Neill1,
  2. Justin Wakefield2
  1. 1 Children’s Clinical Research Facility, Royal Hospital for Sick Children, Edinburgh, UK
  2. 2 Child and Adolescent Mental Health Service (CAMHS), East London NHS Foundation Trust, London, UK
  1. Correspondence to Dr Thomas O’Neill, Children’s Clinical Research Facility, Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1LF, UK; to%E2%80%99neill1{at}


Lesbian, gay, bisexual and transgender (LGBT+) young people face several challenges in their daily lives, including specific healthcare inequalities. Negative societal attitudes towards sexual and gender minorities, and the effects of regular experiences of bullying and homophobia/transphobia exacerbate the normal trials and tribulations of childhood and adolescence. Barriers to accessing healthy activities, such as sport, are created by perceived stigma and real-life experiences. Healthcare environments are by default heteronormative and contribute to the isolation and exclusion of LGBT+ young people. Paediatricians are well placed to act on these healthcare inequalities and to advocate for LGBT+ youth, through simple changes to individual practice as well as system-wide improvements.

  • adolescent health
  • general paediatrics
  • sexuality
  • gender
  • LGBT

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.