Table 2.

Themes and Example Quotes

Themes and Sub Themes	Example quote
Factors Affecting Mental Health Help- Seeking
• Previous negative mental health experiences	“I feel like I’m being tortured and dismissed in a psychiatric institution. It also makes me very wary of psychiatrists and mental health professionals” [28-year-old, bisexual/queer/pansexual cisgender woman]
• Previous positive mental health experiences	“When they [suicidal thoughts] do come, I do call my therapist and we just have a conversation. With the conversations that we had, I just feel much better. I feel like it has had a positive impact on my life.” [25-year-old, bisexual cisgender woman]
• Social support	“The reason why I chose to just walk up to the hospital is because at that moment, I didn’t have family that could come be with me. I didn’t have friends here. I didn’t have anyone else that I could go to” [29-year-old, bisexual, non-binary woman]
• Structural barriers and facilitators	“I was on a waiting list for a therapy here after I moved, but the waiting list here really, really long. I definitely didn’t have anything after a month and a half.” [24-year-old, bisexual/queer/pansexual transgender woman]
Hospitalization is not a One-Size-Fits-All Solution	“I know that I didn’t want to go to the hospital. I specifically requested, let’s just wait out. Let’s see what happens. I didn’t want to go to the hospital. I didn’t want to be put on a forced, like, 72-hour hold” [20-year-old, bisexual cisgender woman]
Recommendations for Improving Care for SGM Individuals with High Risk for Suicide	“There is no way that I was going to be able to talk to a therapist without my parents knowing when I was living with them … free anonymous mental health for LGBT youth would have helped” [24-year-old, bisexual/queer/pansexual transgender woman]