Gender and sexual minority (GSM) youth are at risk of mental and physical health problems due to experiences of stigmatization and marginalization. GSM youth in nonmetropolitan communities may be at increased risk, yet have less access to other GSM people and resources. Given GSM youth's risks, the lack of research in nonmetropolitan areas, and the need for interventions to meet the needs of GSM youth, this study aimed to establish an understanding of what nonmetropolitan GSM youth perceive as their needs for support within their small communities. Using grounded theory, qualitative interviews were conducted with 34 youth. Findings revealed 4 categories of needs: reduction in isolation, social acceptance and visibility, emotional support and safety, and GSM identity development.

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