BACKGROUND
Widespread fear surrounding COVID-19, coupled with the extreme physical and social distancing orders, has caused severe negative mental health outcomes. Yet little is known about how the COVID-19 pandemic is impacting LGBTQ+ youth, who experienced disproportionately high adverse mental health outcomes prior to the COVID-19 pandemic. This study aims to address this knowledge gap.
OBJECTIVE
This work aims to harness natural language processing (NLP) methodologies to investigate the evolution of conversation topics in the most popular subreddit for LGBTQ+ youth.
METHODS
We generated a dataset of all r/LGBTeens subreddit posts made between Jan 1, 2020 to Feb 1, 2021. We analyzed meaningful trends in anxiety, anger, and sadness in posts. Since the distribution of anxiety before widespread social distancing orders was meaningfully different from the distribution after (P < .001), we employed Latent Dirichlet Allocation (LDA) to examine topics provoking this shift in anxiety.
RESULTS
While the present study did not find differences in LGBTQ+ youth anger and sadness, results revealed that anxiety increased significantly during social distancing measures compared to before lockdown (P < .001). Further analysis revealed a list of 10 anxiety-provoking topics discussed during the pandemic: attraction to a friend, coming out, coming out to family, discrimination, education, exploring sexuality, gender pronouns, love/relationship advice, starting a new relationship, and struggling with mental health.
CONCLUSIONS
Conversation topics related to coming-out, gender and sexual identities, discrimination, and relationships were anxiety provoking for LGBTQ+ youth, both before and after the pandemic. The frequency of these conversations increased with lifestyle disruptors related to the pandemic, reflecting LGBTQ+ teens' increased reliance on anonymous discussion forums as safe spaces for discussing lifestyle stressors during COVID-19 lifestyle disruptions (e.g., school closures).