The purpose of this study was to determine if young adults have access through school libraries to LGBTQ-themed literature. The library collections in 125 high schools in one Southern U.S. state were examined for the inclusion of LGBTQ-themed fiction, nonfiction, and biographies, including a core collection of 21 recommended titles. Results showed that, in general, the school libraries were under-collecting LGBTQ-themed titles. Although LGBTQ teens are estimated to make up 5.9 percent of the students in American high schools, the average number of LGBTQ-themed titles held by these school libraries was 0.4 percent. Suggestions for further study are included. (Contains 3 tables, 4 figures, and 1 footnote.)