Lived experiences of mental health in South Asian individuals: a qualitative study with a focus on the LGBTQ community

Purpose The South Asian LGBTQ community has faced stigma from colonial-era laws and cultural taboos, resulting in discrimination and marginalization, warranting advocacy for greater visibility and social inclusion. This qualitative study aims to investigate mental health perceptions, health-seeking behaviors, LGBTQ identity experiences and multigroup ethnic identity among South Asians in the United States to guide culturally competent, responsive clinical practice. Design/methodology/approach Using interpretive phenomenological analysis, 75 US South Asian participants aged 18–85 completed an online survey about their mental health experiences, of which 14 identified as LGBTQ. Data analysis was completed through coding via Taguette software. Findings The intersection of South Asian identity and mental health underscored culturally informed, inclusive mental health services. Fourteen South Asian LGBTQ participant narratives revealed four major themes: impacts of cultural and generational influences, building blocks for a support system, finding your people and connecting with your health provider. They described challenges navigating South Asian cultural, generational and religious aspects. Despite isolation, they reported positive experiences with accepting family, community and health providers who validated their struggles and valued their voice. Research limitations/implications The study is limited by its survey-based nature. Further research should broaden representation to an international context and explore protective factors of South Asian mental health. Practical implications By providing culturally informed care, health professionals can improve LGBTQ South Asian mental health. Social implications Bringing awareness to cultural, religious and sexual minority stressors in the South Asian community and healthcare environments yields improved mental health outcomes. Originality/value This study contributes original insights into the lived experiences of US LGBTQ South Asians, an understudied population.