Evidence map›Paper›PMID 33165650›Full record

ArticleEuropean child & adolescent psychiatry2022

Suicidality in clinic-referred transgender adolescents.

Nastasja M de Graaf, Thomas D Steensma, Polly Carmichael, Doug P VanderLaan, Madison Aitken, Peggy T Cohen-Kettenis, Annelou L C de Vries, Baudewijntje P C Kreukels, Lori Wasserman, Hayley Wood and 1 more

Abstract read
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In one paragraph

Article in European child & adolescent psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. Mental Health of Transgender and Gender Diverse Youth.Annual review of clinical psychology · 2023
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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

11 authors.

Nastasja M de GraafGender Identity Development Service, The Tavistock and Portman NHS Trust, London, England.
Thomas D SteensmaDepartment of Medical Psychology, Center of Expertise on Gender Dysphoria, VU University Medical Center, Amsterdam, the Netherlands.
Polly CarmichaelGender Identity Development Service, The Tavistock and Portman NHS Trust, London, England.
Doug P VanderLaanDepartment of Psychology, University of Toronto Mississauga, Mississauga, ON, Canada.
Madison AitkenChild and Youth Psychiatry, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Peggy T Cohen-KettenisDepartment of Medical Psychology, Center of Expertise on Gender Dysphoria, VU University Medical Center, Amsterdam, the Netherlands.
Annelou L C de VriesDepartment of Medical Psychology, Center of Expertise on Gender Dysphoria, VU University Medical Center, Amsterdam, the Netherlands.
Baudewijntje P C KreukelsDepartment of Medical Psychology, Center of Expertise on Gender Dysphoria, VU University Medical Center, Amsterdam, the Netherlands.
Lori WassermanReproductive Life Stages Program, Women's College Hospital, Toronto, ON, Canada.
Hayley WoodPsychological Services, Toronto Board of Education, Toronto, ON, Canada.
Kenneth J ZuckerDepartment of Psychiatry, University of Toronto, 250 College St., Toronto, ON, M5T 1R8, Canada. ken.zucker@utoronto.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gender and sexually diverse adolescents have been reported to be at an elevated risk for suicidal thoughts and behaviors. For transgender adolescents, there has been variation in source of ascertainment and how suicidality was measured, including the time-frame (e.g., past 6 months, lifetime). In studies of clinic-referred samples of transgender adolescents, none utilized any type of comparison or control group. The present study examined suicidality in transgender adolescents (M age, 15.99 years) seen at specialty clinics in Toronto, Canada, Amsterdam, the Netherlands, and London, UK (total N = 2771). Suicidality was measured using two items from the Child Behavior Checklist (CBCL) and the Youth Self-Report (YSR). The CBCL/YSR referred and non-referred standardization samples from both the U.S. and the Netherlands were used for comparative purposes. Multiple linear regression analyses showed that there was significant between-clinic variation in suicidality on both the CBCL and the YSR; in addition, suicidality was consistently higher among birth-assigned females and strongly associated with degree of general behavioral and emotional problems. Compared to the U.S. and Dutch CBCL/YSR standardization samples, the relative risk of suicidality was somewhat higher than referred adolescents but substantially higher than non-referred adolescents. The results were discussed in relation to both gender identity specific and more general risk factors for suicidality.

Indexed as

SuicideTransgender PersonsAdolescentChildFemaleGender IdentityHumansMaleNetherlandsSuicidal IdeationAdolescentsChild Behavior ChecklistGender dysphoriaSuicidalityTransgenderYouth Self-Report

Identifiers

PMID33165650

What OpenQuestion holds

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Registered trials

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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.