Healthy development depends on the interplay between protective and risk factors that affect a child through early adulthood. Identity formation, parent and peer relations, and connection to community. Research reveals that experiencing marginalization, physical or verbal threats, discrimination, victimization, and trauma can negatively affect physical, social, emotional, and mental health. For youth who are lesbian, gay, bisexual, or transgender (LGBT) or questioning (Q) their sexual orientation or gender identity, these risks present particular challenges to their well-being.