Evidence map›Paper›PMID 25873995›Full record

ArticleChild and adolescent psychiatry and mental health2015

Two years of gender identity service for minors: overrepresentation of natal girls with severe problems in adolescent development.

Riittakerttu Kaltiala-Heino, Maria Sumia, Marja Työläjärvi, Nina Lindberg

Open access · goldAbstract read
In one paragraph

Article in Child and adolescent psychiatry and mental health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 4 pooled it
16.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 4 syntheses or guidelines pooled it, 237 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Observational
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  14. Gender dysphoria in adolescence: examining the rapid-onset hypothesis.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2025
    Review
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  19. Gender Dysphoria and Scoliosis: Pediatric Orthopaedists Are Very Much Members of the Healthcare Team.Journal of the Pediatric Orthopaedic Society of North America · 2024
    Article
  20. Article

10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Riittakerttu Kaltiala-HeinoUniversity of Tampere, School of Medicine, 33014 University of Tampere, Tampere, Finland ; Department of Adolescent Psychiatry, Tampere University Hospital, 33380 Pitkäniemi, Finland.
Maria SumiaDepartment of Adolescent Psychiatry, Tampere University Hospital, 33380 Pitkäniemi, Finland.
Marja TyöläjärviDepartment of Adolescent Psychiatry, Tampere University Hospital, 33380 Pitkäniemi, Finland.
Nina LindbergFaculty of Medicine, University of Helsinki, BOX 33, 00014 Helsinki University, Helsinki, Finland ; Forensic Psychiatry, Helsinki University Hospital, Helsinki, Finland.
Tampere University · FITampere University Hospital · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreasing numbers of adolescents present in adolescent gender identity services, desiring sex reassignment (SR). The aim of this study is to describe the adolescent applicants for legal and medical sex reassignment during the first two years of adolescent gender identity team in Finland, in terms of sociodemographic, psychiatric and gender identity related factors and adolescent development.

methodsStructured quantitative retrospective chart review and qualitative analysis of case files of all adolescent SR applicants who entered the assessment by the end of 2013.

resultsThe number of referrals exceeded expectations in light of epidemiological knowledge. Natal girls were markedly overrepresented among applicants. Severe psychopathology preceding onset of gender dysphoria was common. Autism spectrum problems were very common.

conclusionThe findings do not fit the commonly accepted image of a gender dysphoric minor. Treatment guidelines need to consider gender dysphoria in minors in the context of severe psychopathology and developmental difficulties.

Indexed as

Adolescent developmentGender dysphoriaSex reassignmentTranssexualism

Identifiers

PMID25873995
PMCPMC4396787
OpenAlexW1978077962

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.