“When You Can’t Hold on to Society, You Hold on to Something Else”: A Mixed-Methods Study on Substance Use Among LGBTQIA+ People in Türkiye

Findings highlight the urgent need for intersectional and culturally responsive substance use interventions. Addressing both individual and structural dimensions-such as stigma, identity-based rejection, and service inaccessibility-is essential for effective prevention and care. The study fills a critical gap in Türkiye's literature by centering LGBTQIA+ voices and offers actionable insights for mental health practitioners, harm reduction services, and policymakers.