The initialism LGBT is intended to emphasize a diversity of sexuality and gender identity-based cultures. It may be used to refer to anyone who is non-heterosexual or non-cisgender, instead of exclusively to people who are lesbian, gay, bisexual, or transgender. To recognize this inclusion, a popular variant adds the letter Q for those who identify as queer or are questioning their sexual identity; "LGBTQ" has been recorded since 1996. Those who add intersex people to LGBT groups or organizing use an extended initialism LGBTI. The two acronyms are sometimes combined to form the terms LGBTIQ or LGBT+ to encompass spectrums of sexuality and gender. Other, less common variants also exist, motivated by a desire for inclusivity, including those over twice as long which have prompted criticism. With that being said is it necessary for someone to come out with what they identify with especially if it’s going to do more harm then good?