The report builds on earlier research by IGLYO and ILGA-Europe published in a document, "Social exclusion of young lesbian, gay, bisexual and transgender people in Europe". It draws attention to the extensive evidence of above average suicidality among LGBT youth, and to the finding that this phenomenon is a consequence of the marginalisation, stigmatisation and discrimination which they face.

It demonstrates that, where governments, schools etc have taken steps to counter these factors, significant improvements in the well-being of young LGBT people can be achieved.

The report concludes that the measures needed to bring about these improvements are well understood, and that the main barriers to their implementation are likely to be lack of information or misinformation, and in some instances, opposition from the social forces and institutions whose hostility to LGBT people contributes to the environment which jeopardises and excludes LGBT youth in the first place. It concludes with a list of detailed recommendations addressed to governments.