Chosen Name Use Is Linked to Reduced Depressive Symptoms, Suicidal Ideation, and Suicidal Behavior Among Transgender Youth

Russell, Stephen T.; Pollitt, Amanda M.; Li, Gu; Grossman, Arnold H.

doi:10.1016/j.jadohealth.2018.02.003

Cited by 351 publications

(213 citation statements)

References 7 publications

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“…They already feel wrong in their bodies, many have comorbidities as a result of their dysphoria, including body dysmorphic disorder, depression, and significant anxiety. This is consistent with current research [3,4]. As nurses, we can do better, especially in the hospital.…”

supporting

confidence: 92%

A Nurse and Parent’s Perspective on the Medical/Nursing Approach to Transgender Youth

Burke-Aaronson¹

2018

NCP

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I am a registered nurse in the maternal/child/obstetrical area. I have often encountered families who are non-traditional, such as two mothers, or two fathers plus a surrogate, however I have not yet had the pleasure of caring for childbearing families where one or more of the parents were transgender. However, I knew there were reports of transmit (men who were assigned female at birth) who carried and gave birth to their own children, and in some cases even breastfed their infants. I am now an assistant professor teaching women's health/obstetrics and have been careful to include LGBTQ and other alternative family arrangements in my teaching material. I even began to work with a team of professors to include LGBTQ and sexual health across our nursing school curriculum. This is especially pertinent as we are located in San Francisco, which has a large community of LGBTQ individuals.Four years ago, after I had begun this work, my child who assigned female at birth told me that he was not a girl. He was nine. I had begun to see signs of this in the year prior as he began to receive education around puberty and realized the reality that he could not accept these particular changes in his body. He socially transitioned immediately (short hair, masculine clothing, pronoun and name change). We were fortunate in that we were part of a medical system that had a gender reassignment services, and more importantly a youth gender program. Unfortunately, it was not a comprehensive youth gender clinic with all services in one location, which was the case with the adult gender services in this system. We started seeing a therapist who assessed

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supporting

confidence: 92%

A Nurse and Parent’s Perspective on the Medical/Nursing Approach to Transgender Youth

Burke-Aaronson¹

2018

NCP

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“…The risks and benefits of medical gender affirmation should also be considered in a social context. Recent data showed that transgender youth who were able to use their chosen name (rather than name assigned at birth) reported fewer depressive symptoms and less suicidal ideation and behaviour, suggesting that psychosocial burdens may also unsurprisingly be alleviated by social, non-medical interventions 26. Alternatively, for example, the persistence of a prepubescent body habitus due to puberty suppression has been linked to decreased social inclusion for transgender youth whose physical development is asynchronous to their cisgender peers 5 9…”

Section: Medical Gender Affirmation: Risks and Benefits In Minorsmentioning

confidence: 99%

Medically assisted gender affirmation: when children and parents disagree

et al. 2019

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Institutional guidelines for transgender children and adolescent minors fail to adequately address a critical juncture of care of this population: how to proceed if a minor and their parents have disagreements concerning their gender-affirming medical care. Through arguments based on ethical, paediatric, adolescent and transgender health research, we illustrate ethical dilemmas that may arise in treating transgender and gender diverse youth. We discuss three potential avenues for providing gender-affirming care over parental disagreement: legal carve-outs to parental consent, the mature minor doctrine and state intervention for neglect. Our discussion approaches this parent–child disagreement in a manner that prioritises the developing autonomy of transgender youth in the decision-making process surrounding medically assisted gender affirmation. We base our arguments in the literature surrounding the risks and benefits of gender-affirming therapy in transgender children and the existing legal basis for recognising minors’ decision-making authority in certain medical situations.

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“…8 Using the person's chosen name is associated with lower depression, suicidal ideation, and suicidal behavior. 9 In their everyday lives, trans people often share the experience of social exclusion, lack of (legal) gender recognition, discrimination, and stigmatization, similar to members of other sexual or gender minorities. Rejection, nonaffirmation, and victimization are strongly related to suicidal ideation through experiences of internalized transphobia and negative expectations.…”

Section: Evidencementioning

confidence: 99%

European Society for Sexual Medicine Position Statement “Assessment and Hormonal Management in Adolescent and Adult Trans People, with Attention for Sexual Function and Satisfaction”

T’Sjoen

Arcelus

Vries

et al. 2020

The Journal of Sexual Medicine

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Background: There is a general lack of recommendations for and basic information tailored at sexologists and other health-care professionals for when they encounter trans people in their practice. Aim: We present to clinicians an up-to-date overview of clinical consensus statements on trans health care with attention for sexual function and satisfaction. Methods: The task force consisted of 7 clinicians experienced in trans health care, selected among European Society for Sexual Medicine (ESSM) scientific committee. The consensus was guided by clinical experience and a review of the available literature and by interactive discussions on trans health, with attention for sexual function and satisfaction where available. Outcomes: The foci of the study are assessment and hormonal aspects of trans health care. Results: As the available literature for direct recommendations was limited, most of the literature was used as background or indirect evidence. Clinical consensus statements were developed based on clinical experiences and the available literature. With the multiple barriers to care that many trans people experience, basic care principles still need to be stressed. We recommend that health-care professionals (HCPs) working with trans people recognize the diversity of genders, including male, female, and nonbinary individuals. In addition, HCPs assessing gender diverse children and adolescents should take a developmental approach that acknowledges the difference between prepubescent gender diverse children and pubescent gender diverse adolescents and trans adults. Furthermore, trans people seeking gender-affirming medical interventions should be assessed by HCPs with expertise in trans health care and gender-affirming psychological practice. If masculinization is desired, testosterone therapy with monitoring of serum sex steroid levels and signs of virilization is recommended. Similarly, if feminization is desired, we recommend estrogens and/or antiandrogen therapy with monitoring of serum sex steroid levels and signs of feminization. HCPs should be aware of the influence of hormonal therapy on sexual functioning and satisfaction. We recommend HCPs be aware of potential sexual problems during all surgical phases of treatment. Clinical Implications: This is an up-to-date ESSM position statement. Strengths & Limitations: These statements are based on the data that are currently available; however, it is vital to recognize that this is a rapidly changing field and that the literature, particularly in the field of sexual functioning and satisfaction, is limited. Conclusion: This ESSM position statement provides relevant information and references to existing clinical guidelines with the aim of informing relevant HCPs on best practices when working with transgender people.

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Chosen Name Use Is Linked to Reduced Depressive Symptoms, Suicidal Ideation, and Suicidal Behavior Among Transgender Youth

Abstract: For transgender youth who choose a name different from the one given at birth, use of their chosen name in multiple contexts affirms their gender identity and reduces mental health risks known to be high in this group.

Cited by 351 publications

References 7 publications

A Nurse and Parent’s Perspective on the Medical/Nursing Approach to Transgender Youth

A Nurse and Parent’s Perspective on the Medical/Nursing Approach to Transgender Youth

Medically assisted gender affirmation: when children and parents disagree

European Society for Sexual Medicine Position Statement “Assessment and Hormonal Management in Adolescent and Adult Trans People, with Attention for Sexual Function and Satisfaction”

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