ABSTRACT In this paper I show the ways in which society, culture, family, and intrapsychic conflict come to play a role in the suicidal ideation and behavior of adolescents within the lesbian, gay, bisexual, transgender, queer plus intersex, asexual, pansexual, polyamorous (LGBTQ+) community. I touch on LGBTQ+ history, review risks such as suicidality that are higher in this population, and consider common developmental challenges to transgender children and adolescents. I then present a clinical vignette of a trans girl with newly emergent transgender feelings in puberty who became suicidal when she learned (prior to transition) that there was a spot on the girls’ (but not the boys’) volleyball team. I will try to show how twice-weekly psychodynamic psychotherapy was useful in creating a more resilient and solid identity in the face of lack of family acceptance and how judicious work with the family around medical issues related to transitioning contributed to the patient’s well-being.

中文翻译：

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LGBTQ +青少年自杀

摘要在本文中，我展示了社会，文化，家庭和精神内冲突如何在青少年的同性恋，双性恋，双性恋，变性者，酷儿加双性恋，无性恋，泛性恋，多婚（LGBTQ +）社区。我回顾了LGBTQ +的历史，回顾了该人群中自杀倾向等较高的风险，并考虑了变性儿童和青少年面临的共同发展挑战。然后，我介绍一个临床上的小女孩，该图上有一个在青春期崭露头角的跨性别女孩，当她得知（在过渡之前）有一个女孩（但男孩的排球队）上空时，会自杀。