Intended for healthcare professionals

Rapid response to:

Practice Practice Pointer

Safeguarding LGBT+ adolescents

BMJ 2019; 364 doi: (Published 31 January 2019) Cite this as: BMJ 2019;364:l245

Linked Opinion

NHS staff are in a perfect position to be advocates for LGBT+ people when they most need it

Rapid Response:

Re: Safeguarding LGBT+ adolescents

Firstly I wanted to congratulate the authors for their article – it has the hallmarks of a fantastic practice pointer: accessibility and a clear message. We are all seeing more patients from across the gender[1] and sexuality spectra[2], yet are unprepared from our undergraduate or postgraduate medical education on how to deal with this.

There is a very good article from Dudar et al[3], where there is quantitative data suggesting the (positive) impact that including LGBT issues in OSCEs or MCQ questions has on medical students. Over in the UK, I am aware of a LGBT steering group within the BMA that has recently been set up, to discuss such issues at a more national level (contact the BMA’s Equality, Inclusion and Culture Advisor to join).

Until we can be sure that staff from across the MDT are taught about such issues, it is vital for articles like this to be written and have the wide reach that the BMJ has.

[1] Great TED videos exploring the concept of the spectrum of gender:

[2] Kinsey Scale:

[3] Dudar K.J., Ghaderi G., Gallant J., Dickinson J., Abourbih J. & Briggs M. ‘Queering the Medical Curriculum: How to Design, Develop, Deliver and Assess Learning Outcomes Relevant to LGBT Health for Health Care Professionals’. Amee MedEdPublish. 2018: 1-8. Open access on:

Competing interests: No competing interests

04 February 2019
Karrish Devan
Psychiatry SHO
South London & Maudsley