Paeds Vivas · adolescent-and-young-adult-medicine
Sexual orientation, identity and inclusive care — branching viva
Branching structured oral on the axes of orientation and identity, the minority-stress model, affirming history-taking, behaviour-based screening, confidentiality, family acceptance and the harms of change efforts across adolescent settings.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the general paediatrician seeing adolescents in an outpatient clinic. The examiner probes the theory and the limits of inclusive care: what sexual orientation is and is not, why sexual minority youth carry excess mental-health burden, how you take an affirming history, how you handle confidentiality and the family, and how you respond to acute risk and to change efforts.
Stem
You are the general paediatrician running an adolescent clinic. The examiner will challenge the theory and the limits of inclusive care for sexual minority young people. [1] [8]
References10ShowHide
- [1]Meyer IH Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychological Bulletin, 2003.PMID 12956539
- [2]Bradford J, Mustanski B Health disparities among sexual minority youth: the value of population data. American Journal of Public Health, 2014.PMID 24328630
- [3]Baams L, Grossman AH, Russell ST Minority stress and mechanisms of risk for depression and suicidal ideation among lesbian, gay, and bisexual youth. Developmental Psychology, 2015.PMID 25751098
- [4]Cahill S, Singal R, Grasso C, King D, Mayer K, Baker K, Makadon H Do ask, do tell: high levels of acceptability by patients of routine collection of sexual orientation and gender identity data in four diverse American community health centers. PLoS One, 2014.PMID 25198577
- [5]Fenaughty J, Tan K, Ker A, et al. Sexual Orientation and Gender Identity Change Efforts for Young People in New Zealand: Demographics, Types of Suggesters, and Associations with Mental Health. Journal of Youth and Adolescence, 2023.PMID 36301377
- [6]Luk JW, Goldstein RB, Yu J, et al. Sexual Minority Status and Age of Onset of Adolescent Suicide Ideation and Behavior. Pediatrics, 2021.PMID 34580171
- [7]Lea T, de Wit J, Reynolds R Minority stress in lesbian, gay, and bisexual young adults in Australia: associations with psychological distress, suicidality, and substance use. Archives of Sexual Behavior, 2014.PMID 24573397
- [8]Diana P, Esposito S LGBTQ+ Youth Health: An Unmet Need in Pediatrics. Children, 2022.PMID 35884011
- [9]Ream GL Minority Stress and Intersectionality in LGBTQIA+ Youth Mental Health Disparities. American Journal of Public Health, 2024.PMID 38662974
- [10]Yu L, Dalke K, Eckstrand K An Interview Tool for Identifying Sexual Orientation or Gender Identity and Expression Change Efforts in Queer Youth. Journal of the American Academy of Child and Adolescent Psychiatry, 2025.PMID 40912505