Gender modality, internalized stigma, and mental health of sexual and gender diverse youth

= 1.48), we found that gender modality and internalized stigma were both significantly associated with mental health, but there was no significant moderation between the two, despite adequate power to detect one. As such, internalized stigma may be similarly harmful for gender minority and cisgender sexual minority youth. Sensitivity analyses among gender minority youth revealed a significant interaction between internalized stigma and binary gender identity, suggesting internalized stigma plays a unique role for nonbinary youth as compared to binary trans youth. Implications for prevention and intervention are explored.