Examining college student mental health outcomes at the intersection of sexual and gender minority and neurodivergent identities

<b>Objective</b>: This study explored differences in mental health outcomes and help-seeking behaviors in college students at the intersection of sexual and gender minority (SGM) and neurodivergent identities. <b>Participants</b>: College students from a Midwestern University (<i>N</i> = 2,089). <b>Method</b>: Secondary analysis of the university's ACHA-NCHA data (Spring 2020 & Spring 2024) examining differences between SGM and neurodivergent intersectional sub-groups (i.e., SGM-neurodivergent, SGM-neurotypical, cishet-neurodivergent, and cishet-neurotypical) in prevalence rates of psychological distress, mental health diagnoses, suicidal ideation and behavior, self-harming, and help-seeking behaviors. <b>Results</b>: SGM-neurodivergent students reported 1) higher depression and past-year help-seeking than all other groups and 2) higher distress and self-harming than both cishet groups. SGM groups reported higher suicide risk and neurodivergent groups reported higher anxiety than the cishet-neurotypical group. <b>Conclusion</b>: Findings demonstrate common and unique mental health concerns of SGM and Neurodivergent intersectional sub-groups and emphasize the importance of providers considering intersectionality when addressing mental health outcomes.