[8] Individuals who do not identify themselves as male, female, transgender, heterosexual, homosexual, bisexual, asexual or feel their sexuality is fluid, may refer to themselves as gender neutral, genderqueer, non-binary, or agender.
[9] During the stage of adolescence, the notions of questioning one's sexuality or gender, along with the diverse areas related to it, can arise as the construction of identity begins to form.
[11] According to Sarah Gardner, the ways in which humans behave are based on five basic needs: survival, love and belonging, power, freedom and enjoyment.
[14] The social constructs of masculinity and femininity may also play a factor in causing confusion for youths; it may impact the way they feel they have to behave if they identify with certain gender identities or sexual orientations.
[16] The social aspect is a significant factor that can cause questioning youth to feel they have an unsafe environment in establishing their sexuality or gender.
The need for social acceptance by their peers and other members of society during adolescence gives the individual the feeling of belonging; therefore, the fear of rejection or discrimination can keep youths from being public with their uncertain identity.
This can be due to the fact that one may feel they do not fit with the social constructs of heterosexuality, masculinity, or femininity – which are ideals that do not necessarily include the exceptions and differences of other genders and sexualities.
[22] The Advocates for Youth Organization states that "studies establish links between attempting suicide and gender nonconformity, early awareness of sexual orientation, stress, violence, lack of support, school dropout, family problems, homelessness, and substance use.
[28][29] The pressures, stigmas and fear of discrimination by peers and society, may discourage many to face the problems developed through questioning gender and sexuality.
The support of friends and family is important during the stage of adolescence as it is the time where one is developing their identity and experiencing the most change physically and mentally.
[30] It is suggested by psychology practitioners for questioning individuals to seek help through platforms such as therapy,[31] support groups, online community forums, mental health organizations, suicide prevention lifelines and counseling.
[32] An example of a national organization dedicated to providing crisis intervention, support and suicide prevention services for LGBTQ youths is The Trevor Project.
[34] Being surrounded by a heteronormative and non-queer friendly environment is one factor that can delay or prevent an individual from questioning or exploring their sexual orientation and identity.
A study found that the absence of accurate and positive LGBTQ+ information and discussions are strongly associated with higher levels of stress in adults who are in the questioning or exploration process.