ArticleClinical child psychology and psychiatry2022
Suicidal and nonsuicidal self-harming thoughts and behaviors in clinically referred children and adolescents with gender dysphoria.
Article in Clinical child psychology and psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 24 citations in OpenAlex.
- Effect of short, animated storytelling, conveying the lived experiences of a mother vs a father of a trans child, on transphobia among US parents: A randomized controlled trial.International journal of transgender health · 2026Article
- Onset Age and Internalizing Problems in Adolescents with Gender Dysphoria: Is There an Association?Archives of sexual behavior · 2025Article
- Influence of the Timing of Gender Dysphoria Presentation and Suicidal Behaviors on Internalizing Symptoms, Emotion Dysregulation, and Body Investment in Adolescents Seeking Gender Affirmation.Pediatric reports · 2025Article
- Population-adjusted numbers, demographics and mental health among children and adolescents referred to the Norwegian National Center for Gender Incongruence over two decades.European child & adolescent psychiatry · 2025Article
- Autistic Characteristics in a Nationally Representative Clinical Sample of Adolescents Seeking Medical Gender-Affirming Treatment in Norway.Journal of autism and developmental disorders · 2025Article
- Clinical profiles and care of transgender children and adolescents who receive specialized consultations: do individuals who are assigned female at birth differ?Child and adolescent psychiatry and mental health · 2024Article
- How social is social media for transgender and gender-diverse youth? Association of online social experiences with internalizing mental health problems.European child & adolescent psychiatry · 2024Article
- Binary and Non-binary Gender Identities, Internalizing Problems, and Treatment Wishes Among Adolescents Referred to a Gender Identity Clinic in Germany.Archives of sexual behavior · 2024Article
- Treatment trajectories of gender incongruent Austrian youth seeking gender-affirming hormone therapy.Frontiers in endocrinology · 2024Article
- Correlates of Informant Discrepancies in Self-Harm Among Youth Involved in Child Protective Services.Children and youth services review · 2023Article
- A systematic review on gender dysphoria in adolescents and young adults: focus on suicidal and self-harming ideation and behaviours.Child and adolescent psychiatry and mental health · 2023Review
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundYoung transgender or gender nonconforming (TGNC) children and adolescents or those with a gender dysphoria (GD) diagnosis show an increased risk of suicidal and nonsuicidal self-harming thoughts and behaviors (STBs). Data from German-speaking regions on this topic and studies comparing self- and parent-reported STBs have been scarce. The study aims were therefore to examine: (a) frequencies of self- and parent-reported STBs in a German clinical sample of children and adolescents with GD and (b) differences between age and gender groups, as well as between self- and parent-reports.
methodsTwo items from the Child Behavior Checklist (CBCL) and the Youth Self-Report (YSR) were used to assess self- and parent-reported STBs in a sample of 343 adolescents and 49 children who presented to the Hamburg Gender Identity Service (Hamburg GIS) between 2013 and 2019. Seventy-eight percent of the analysis sample was assigned female at birth (AFAB), and 22% were assigned male at birth (AMAB).
resultsParents reported STBs on the CBCL for 16% and 6% of the cases in childhood and for 20% and 29% of the adolescent cases, respectively. STBs were self-reported by 38% and 45% of the adolescents who could report on the YSR. STBs were higher among adolescents than among children and in self-reports (YSR) compared to parent reports (CBCL). AFAB adolescents reported higher degrees of STBs than AMAB adolescents.
conclusionsChildren and adolescents with GD are a high-risk population for STBs, especially pubescent and AFAB individuals. Mental health professionals should screen early for STBs to prevent possible suicidal ideation-to-action transitions.
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