Ten Things Transgender and Gender Nonconforming Youth Want Their Doctors to Know

Turban, Jack L.; Ferraiolo, Tony; Martin, Andrés; Olezeski, Christy L.

doi:10.1016/j.jaac.2016.12.015

Cited by 34 publications

(18 citation statements)

References 12 publications

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“…Gender identity refers to an individual's psychological sense of one's gender as male, female, or other. Individuals whose sex assigned at birth is opposite to the gender they know themselves to be are often referred to as transgender , although this term is also used as an umbrella term for individuals whose sex assigned at birth does not match their gender identity in a myriad of other ways (Turban, Ferraiolo, Martin, & Olezeski, ). An individual assigned male at birth who identifies as female is typically referred to as a transgender woman/girl , and an individual assigned female at birth who identifies as male is typically referred to as a transgender man/boy .…”

Section: Terminologymentioning

confidence: 99%

Research Review: Gender identity in youth: treatment paradigms and controversies

Turban

Ehrensaft

2017

Child Psychology Psychiatry

146

117

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Section: Terminologymentioning

confidence: 99%

Research Review: Gender identity in youth: treatment paradigms and controversies

Turban

Ehrensaft

2017

Child Psychology Psychiatry

146

117

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“…Good bedside manner in the treatment of such individuals dictates the use of the name and personal pronoun that they choose, that any judgment of their transgender condition be avoided, and the recognition that examination of the thorax and chest for acne may be particularly embarrassing for them …”

Section: Discussionmentioning

confidence: 99%

Transgender adolescents and acne: A cases series

Campos-Muñoz

Lara

Rodríguez-Rojo

et al. 2018

Pediatric Dermatology

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We describe the difficulties of treating acne in a series of female-to-male transgender adolescents, including concerns about potential hepatotoxicity with concomitant use of testosterone with isotretinoin or tetracyclines. Acne is a foreseeable adverse effect of testosterone treatment in transgender adolescents, so monitoring for acne is advised. The treatment of acne in transgender adolescents is important given that severe acne and transgenderism are associated with higher rates of depression and suicide.

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“…A more recent, low quality, single-focus-group study of 20 transgender adolescents sought to understand problems that youth encounter in the health care setting, with the purpose of informing practice improvements. (85) Interviewees highlighted the importance to their mental wellbeing of acceptance of their transgender status by health care providers. They reported that discrimination, judgement and misgendering in the health care environment add to mental distress and lead to lack of engagement with services.…”

Section: Distal Stressorsmentioning

confidence: 99%

Transgender identity and mental health in adolescence: a scoping review

Patrick¹

2020

Preprint

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BACKGROUND Global health guidance has identified gender minorities and adolescents, respectively, as being at elevated risk of mental disorders. The aim of this systematic scoping review was to examine the association between mental distress and transgender status in adolescents, to reflect on how global policy might specifically address the mental health of transgender adolescents. METHODS A systematic search was conducted in six databases (Medline, Embase, CINAHL Plus, ADOLEC, PsychINFO and PsychEXTRA) for published quantitative and qualitative studies examining a range of mental disorders, suicidality and non-suicidal selfinjury (NSSI) among adolescents with gender dysphoria or who identify as transgender. The search was limited to original research studies published in Afrikaans, Dutch, English, French and Spanish, but not limited by date. Prevalence estimates of mental disorders, suicidality and NSSI were abstracted from individual studies. The Meyer minority stress model was used as a framework to map risk and protective factors associated with mental distress, grouping by distal stressors, proximal stressors and resilience factors. RESULTS 49 studies met inclusion criteria. 33 observational studies reported prevalence of depression, anxiety, suicide attempt, suicidal ideation, self-harm, eating disorder and/or disorders of neurodiversity among transgender adolescents. Rates of mental distress were higher among transgender than among both cisgender heterosexual and sexual minority adolescents. Identified risk factors for mental distress were bullying; physical and sexual violence; poor relationships with family and peers; stigmatization by health care providers; internalized transphobia; negative self-concept; and substance use. Factors that appeared to protect against distress included parent-connectedness; peer- and teacher-support; safe school environment; consistent use of chosen names and pronouns; hobbies; and gender-affirming medical treatment. CONCLUSIONS Evidence-informed global governance on adolescent health could encourage countries both to strengthen information systems to support research on transgender adolescent health and to adopt a comprehensive, integrated approach to promoting mental health among gender minority adolescents.

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Ten Things Transgender and Gender Nonconforming Youth Want Their Doctors to Know

Cited by 34 publications

References 12 publications

Research Review: Gender identity in youth: treatment paradigms and controversies

Research Review: Gender identity in youth: treatment paradigms and controversies

Transgender adolescents and acne: A cases series

Transgender identity and mental health in adolescence: a scoping review

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