LGBTQ+ Identity Among Young Adults with Autism

Our qualitative study examined the sexual orientation and gender identity experiences of LGBTQ+ (lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority identities) identified young adults on the autism spectrum. In one-on-one semi-structured qualitative interviews with thirteen participants (ages 18-33), we explored three questions: (1) How do young adults with ASD characterize their LGBTQ+ identity; (2) How have they navigated the disclosure of their LGBTQ+ identity and coming out to others; and (3) How has their LGBTQ+ identity impacted their relationships. Qualitative coding of interviews revealed that most participants began considering their LGBTQ+ identity before adulthood and settled into a gender and/or sexual identity in adulthood. Despite great variation in the timing and context of LGBTQ+ identity disclosure to others, the most common domains for coming out were among family and friends or in healthcare settings. Most participants felt supported for their LGBTQ+ identities by parents, siblings, and friends and through in-person and online LGBTQ+ communities. Implications of the co-occurrence of ASD and LGBTQ+ identity and the importance of intersectional approaches within healthcare and social justice efforts are discussed.