 Sexual minority adolescents in Nigeria have poorer mental health compared to their heterosexual peers. Additionally, sexual minority adolescents living with HIV have higher rates of depression, anxiety and suicidality than their HIV negative peers. These findings highlight the importance of providing comprehensive rights based care to sexual minority adolescents in Nigeria, including improved access to mental health services and HIV testing and treatment. This article was authored by more Nike Oliwatoin Folen, Nadia Ajojo-Samabudu, Joanne Lusher and others.