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In 2019, the Australian Research Centre in Sex, Health and Society (ARCSHS) at La Trobe University, with support from Rainbow Health Victoria and Rainbow Network, asked 6,418 LGBTQA+ people aged 14 to 21 about their experiences with education, homelessness, harassment, assault, mental health, community connections and more. This is the largest ever study on the experiences of LGBTQA+ young people aged 14-21 in Australia.The national report includes these findings and recommendations. This is the fourth iteration of the Writing Themselves In study, first conducted in 1998 followed by 2004 and 2010. Previous studies and the state and territory summary reports from this study can be found at https://www.latrobe.edu.au/arcshs/publications/writing-themselves-in-publications. Writing Themselves In 4 received generous support from:The Victorian Department of Premier and Cabinet, The Australian Capital Territory Government Office for LGBTIQ+ Affairs, The New South Wales Department of Health andSHINE SA, with support from the Office of the Chief Psychiatrist in South Australia.This report is ARCSHS Monograph series number 124.© ARCSHS, La Trobe University 2021. This report may be downloaded for personal use only. Permission to reproduce this report must be sought from La Trobe University.