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The purpose of this Master’s research was to explore factors involved in youth athletes’ sport commitment decision following multiple concussions and persistent symptoms. Individual semi-structured interviews were conducted with 11 pre-adolescent and adolescent athletes (three males, eight females) between 12 and 18 years of age (M = 15.25). Participants were involved in a variety of sports including soccer (n = 3), hockey (n = 3), basketball (n = 1), cheerleading (n = 1), gymnastics (n = 1), jiu-jitsu (n = 1), and rugby (n = 1). Based on the data emanating from the interviews, two articles were written. In article one, the sport commitment model (SCM) (Scanlan, Chow, Sousa, Scanlan, & Knifsend, 2016) facilitated the exploration of the determinants of youth athletes’ sport commitment following multiple concussions and persistent (i.e., lasting beyond 28 days) symptoms. A further objective was to expand upon the current SCM by exploring other potential determinants specifically related to return to play after multiple concussions. Findings indicated that sport enjoyment, valuable opportunities, and the desire to excel were the most salient sources of sport commitment. Constructs pertaining to social influences were the least influential in athletes’ sport commitment. Findings also supported the addition of athletic identity as a new construct in the SCM. Article two uncovered the psychosocial challenges faced by youth athletes during recovery and return to play following multiple concussions and protracted symptoms. The findings revealed that athletes with concussions experience concerns about persistent symptoms, re-injury anxiety, a diminished perceived ability, lack of social support, and emotional turmoil and mental health problems. Finally, findings provided insight into the potential role concussions and ensuing psychosocial challenges may play in mental health and wellbeing. Collectively, this research improves the understanding of difficulties experienced by youth athletes following multiple concussions and supports the need to improve concussion education and foster a more supportive environment.