We obtained two identical averages (P=0.98) of trait-anxiety, six months apart one from the other. There was a significant correlation (R=0.65, P < 0.001) between the indexes of state-anxiety and depression. Women had higher levels of symptoms of both anxiety and depression (P < 0.001) compared to men. A cluster of three subgroups of residents with higher trait-anxiety levels (P=0.001) also showed significantly higher levels of symptoms of state-anxiety and depression (P < 0.001). The time of the year and the nature of the rotation (emergency or not) did not interfere with the levels of depression (P=0.47). We detected rotations where there was greater frequency of residents with symptoms compatible with moderate and severe depression. There were 2.1% of residents with symptoms compatible with severe, 4.2% with moderate and 27% with mild depression. It was possible to graduate symptoms of anxiety and depression in residents, evaluate factors involved in their genesis and locate residents with moderate and severe depression.

Transgender and gender diverse people (TGD) have specific healthcare needs and struggles with access barriers that should be addressed by public health systems. Our study aimed to address this topic in the Brazilian context. A hospital and web-based cross-sectional survey built with input from the medical and transgender communities was developed to assess TGD healthcare needs of and access barriers in two Brazilian states. Although services that assist this population have existed in Brazil since the 1990s, TGD have difficulty accessing these services due to discrimination, lack of information and a policy design that does not meet the needs of TGD. A history of discrimination was associated with a 6.72-fold increase in the frequency of health service avoidance [95% CI (4.5, 10.1)]. This article discusses the urgent necessity for adequate health policies and for the training of professionals regarding the needs of Brazilian TGD.

A Vagner Maringolo pela revisão ágil e precisa.A Isabel Galhardo Giannotti pela carinhosa e dedicada versão do resumo em inglês.A Sidnei Jacob, educador físico, por saber suportar maus humores e estimular a coordenação e dedicação corporal a essa jornada.A Marina Fátima Barbedo Menezes, minha interlocutora na vida. Amiga de todas as horas e todos os lugares.A Soraya Saadeh, minha irmã, querida auxiliar de informática nas horas mais difíceis e Mariana Saadeh de Albuquerque, sobrinha mais que amada, pelo auxílio bibliográfico.Aos meus pacientes, especialmente os transexuais, por confiar e abrir suas vidas. Aprendi muito e continuo aprendendo. Sou devedor na riqueza desse contato.A paciente T. por me escolher como participante num momento tão especial em sua vida, seu casamento.Por fim, como sempre, a Profª. Drª. Carmita Helena Najjar Abdo. Terminar a lista de agradecimentos reflete a importância dessa mulher em minha vida.Como professora, médica, psiquiatra, orientadora, estimuladora. Minha eterna gratidão por confiar em mim numa relação em muitos momentos difícil, às vezes áspera, mas verdadeira sempre. SUMÁRIO

Objective: to describe attributes associated with the Quality of Life of Brazilian transgender children and adolescents according to their own perception. Method: descriptive study conducted with 32 participants between eight and 18 years old, who were either interviewed or participated in focus groups. The statements were transcribed, grouped with the aid of the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software, version 0.7 alpha 2 and described according to the definition of Quality of Life by the World Health Organization concerning to the mental, physical, and social dimensions. Results: it was possible to identify the family nucleus as the main social support for transgender children and adolescents. However, the experience of prejudice and discrimination were negative attributes associated with Quality of Life. Conclusion: the statements indicate that lives of transgender children and adolescents are impacted by social, physical, and mental factors due to the stigma and discrimination experienced. It is expected to contribute to the formulation of public policies related to transgender children and adolescents and expand the discussion on the citizens’ duties and rights in relation to transsexuality.