Abstract

Cannabis use is prevalent among LGBTQ+ youth and is often framed within deficit-oriented models emphasizing risk and mental health vulnerability. This study moves beyond these perspectives by examining how LGBTQ+ youth understand and mobilize cannabis use in relation to mental health, gender, and sexuality. Guided by queer theory and an ethics of care, and grounded in a community-based participatory approach, this photovoice study was conducted in collaboration with three LGBTQ+ youth peer researchers who contributed to data collection, analysis, and interpretation. A total of 46 LGBTQ+ youth (aged 15–24) in Quebec, Canada, generated photographs and narratives exploring their motivations and experiences of cannabis use, which were analyzed using reflexive thematic analysis. Findings highlight cannabis use as a situated and relational practice embedded in three intersecting processes: reconfiguring thought, enacting identity, and practicing care. Cannabis was mobilized to facilitate introspection, support identity exploration, and affirmation, and foster relational and collective forms of healing, while also producing ambivalent effects, including disorientation and emotional numbing. By centering youth perspectives, these findings challenge harm-focused framings and underscore the need for more nuanced, youth-informed and strengths-based approaches to LGBTQ+ youth well-being.

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