Characteristics of Referrals for Gender Dysphoria over a 13-Year Period

Melinda Chen, John Fuqua, Erica Eugster

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Purpose Our Pediatric Endocrinology Clinic has seen a sharp increase in referrals for gender dysphoria (GD) during recent years. However, the frequency and characteristics of referrals have not been objectively examined. Methods A retrospective chart review of referrals for GD during the past 13 years was performed. Variables analyzed included numbers of referrals per year, patient characteristics, comorbid conditions, and hormonal therapy. Timing of referral and eligibility for treatment were measured against established recommendations. Results Of 38 patients, 74% were referred during the last 3 years. Most patients presented late in puberty before a GD-specific psychological evaluation and few were eligible for hormonal treatment at baseline. Over half had psychiatric and/or developmental comorbidities. Conclusions A dramatic increase in referrals for GD since 2002 was confirmed. Enhanced provider education and outreach regarding care of patients with GD are needed.

Original languageEnglish (US)
Pages (from-to)369-371
Number of pages3
JournalJournal of Adolescent Health
Volume58
Issue number3
DOIs
StatePublished - Mar 1 2016

Fingerprint

Referral and Consultation
Endocrinology
Puberty
Psychiatry
Gender Dysphoria
Comorbidity
Patient Care
Therapeutics
Pediatrics
Psychology
Education

Keywords

  • Gender dysphoria
  • Referrals
  • Transgender

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health

Cite this

Characteristics of Referrals for Gender Dysphoria over a 13-Year Period. / Chen, Melinda; Fuqua, John; Eugster, Erica.

In: Journal of Adolescent Health, Vol. 58, No. 3, 01.03.2016, p. 369-371.

Research output: Contribution to journalArticle

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