Psychosocial Characteristics of Transgender Youth Seeking Gender-Affirming Medical Treatment: Baseline Findings From the Trans Youth Care Study
| Autor: | Johanna Olson-Kennedy, Marco A. Hidalgo, Diane Ehrensaft, Stephen M. Rosenthal, Amy C. Tishelman, Leslie F. Clark, Yee-Ming Chan, Diane Chen, Mere Abrams, Robert Garofalo |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Gender dysphoria medicine.medical_specialty Adolescent Population Poison control Transgender Persons Article Suicidal Ideation Transgender medicine Humans Child Gender Dysphoria education Psychiatry Suicidal ideation education.field_of_study Suicide attempt business.industry Infant Newborn Public Health Environmental and Occupational Health Gender Identity medicine.disease Psychiatry and Mental health Pediatrics Perinatology and Child Health Cohort Female medicine.symptom business Psychosocial Transsexualism |
| Zdroj: | J Adolesc Health |
| ISSN: | 1054-139X |
| DOI: | 10.1016/j.jadohealth.2020.07.033 |
| Popis: | Purpose This study aimed to characterize two developmental cohorts of transgender and nonbinary youth enrolled in the Trans Youth Care Network Study and describe their gender identity–related milestones and baseline mental health and psychosocial functioning. Methods Trans Youth Care participants were recruited from four pediatric academic medical centers in the U.S. before initiating medical treatment for gender dysphoria either with gonadotropin-releasing hormone agonists (GnRHa) or gender-affirming hormones (GAH). GnRHa cohort data were collected from youth and a parent; GAH cohort data were collected from youth only. Results A total of 95 youth were enrolled in the GnRHa cohort. Mean age was 11.22 years (standard deviation = 1.46), and the majority were white (52.6%) and designated male at birth (51.6%). Elevated depression symptoms were endorsed by 28.6% of GnRHa cohort youth, and 22.1% endorsed clinically significant anxiety. Approximately one fourth (23.6%) endorsed lifetime suicidal ideation, with 7.9% reporting a past suicide attempt. A total of 316 youth were enrolled in the GAH cohort. The mean age was 16.0 years (standard deviation = 1.88), and the majority were white (62%) and designated female at birth (64.9%). Elevated depression symptoms were endorsed by 51.3% of the GAH cohort, and 57.3% endorsed clinically significant anxiety. Two-thirds (66.6%) endorsed lifetime suicidal ideation, with 24.6% reporting a past suicide attempt. Life satisfaction was lower among both cohorts compared with population-based norms. Conclusions GnRHa cohort youth appear to be functioning better from a psychosocial standpoint than GAH cohort youth, pointing to possible benefits of accessing gender-affirming treatment earlier in life. |
| Databáze: | OpenAIRE |
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