Across diverse countries and cultures, LGBTQI+ individuals face remarkably similar patterns of fear, isolation, and abuse. Drawing on personal testimonies from around the globe, this book explores the psychological, social, and structural impacts for LGBTQI+ people living under systems that punish and torture them for who they are. When survival becomes impossible at home, many choose the perilous route of seeking asylum, entering an uncertain process filled with new challenges: navigating new cultural norms and unfamiliar social structures. Interdisciplinary scholarly perspectives help contextualize these accounts within global systems of persecution, state control, and human rights frameworks. As they rebuild their lives, LGBTQI+ individuals must reconstruct their sense of identity and community far from their past experiences. These vital stories not only highlight injustice but also inspire activism, integrating additional resources for LGBTQI+ refugees and incorporating protective factors to help mitigate emotional distress.