# The double closet: Mental health needs of LGB college students from an intersectional perspective

**Authors:** Athenai Ximena Sánchez-Millán, Marcela Tiburcio-Sainz, María Asunción Lara-Cantú, Tania Esmeralda Rocha-Sánchez

PMC · DOI: 10.1371/journal.pone.0335710 · PLOS One · 2025-11-17

## TL;DR

This study explores the mental health challenges faced by LGB college students, highlighting the need for inclusive support systems.

## Contribution

The study introduces an intersectional perspective to understand the unique mental health needs of LGB students.

## Key findings

- LGB students often hide both their sexual orientation and mental health issues from their families.
- University interventions like workshops and inclusive materials are suggested to address intersectional stigma.

## Abstract

College is a crucial stage for personal development and can be particularly challenging for lesbian, gay, and bisexual (LGB) students as they face unique challenges related to their sexual orientation as well as social barriers. This qualitative study aimed to explore the mental health needs of LGB university students from an intersectional perspective. Twelve semi-structured interviews were conducted with seven bisexual, two homosexual, and three lesbian students at a public university in the state of Puebla. Content analysis with an intersectional perspective was used to explore their experiences to capture the factors affecting their mental health needs, from what leads them to seek mental health services to the moment they receive care and how that experience affects various areas of their lives. The findings suggest that LGB students often live in a “double closet,” concealing both their sexual orientation and their mental health, primarily from their families. From a university perspective, exploring this issue provides a framework for future interventions designed to address intersectional stigma in universities, through actions such as awareness-raising workshops and visual materials to create an inclusive environment and raise awareness about this issue and its consequences.

## Full-text entities

- **Diseases:** anxiety (MESH:D001007), Health (OMIM:603663), psychological (MESH:D000067073), LGB (MESH:C537676), sexually abused (MESH:D000082002), ADHD (MESH:D001289), COVID-19 (MESH:D000086382), weakness (MESH:D018908), mental disorder (MESH:D001523), substance abuse (MESH:D019966), Crisis (MESH:D001752), discrimination (MESH:D010468), madness (MESH:D016643), pain (MESH:D010146), mental (MESH:D008607), traumas (MESH:D014947), emotional disorders (MESH:D009358), emotional insecurity (MESH:D003072), emotional distress (MESH:D012128), problems (MESH:D019973), Confusion (MESH:D003221), self- harm (MESH:D012652), depression (MESH:D003866), mood disorders (MESH:D019964), suicidal ideation (MESH:D001072)
- **Chemicals:** cocaine (MESH:D003042), methamphetamine (MESH:D008694), alcohol (MESH:D000438)
- **Species:** Homo sapiens (human, species) [taxon 9606], Human immunodeficiency virus (species) [taxon 12721], Human immunodeficiency virus 1 (no rank) [taxon 11676]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12622804/full.md

## References

43 references — full list in the complete paper: https://tomesphere.com/paper/PMC12622804/full.md

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Source: https://tomesphere.com/paper/PMC12622804