ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2022
"Mental Readiness" and Gatekeeping in Trans Healthcare.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- "I Don't Like How I Sound:" Ethics in Practice for Surgery for Vocal Dysmorphia.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026Article
- Understanding Canadian experiences of suicidality during the COVID-19 pandemic: protocol of a pan-Canadian qualitative study.BMJ open · 2025Article
- How Gatekeepers Can Better Appreciate the Autonomy of Transgender Patients.Journal of general internal medicine · 2025Article
- Systemic transphobia and ongoing barriers to healthcare for transgender and nonbinary people: A historical analysis of #TransHealthFail.PLOS digital health · 2025Article
- Health and Health Care Access of Autistic Transgender and Nonbinary People in Canada: A Cross-Sectional Study.Autism in adulthood · 2025Article
- Navigating payment and policy barriers to gender-affirming care for transmasculine individuals: A qualitative study and policy assessment.Social science & medicine (1982) · 2025Article
- Lived experiences: Exploring detransition narratives.International journal of transgender health · 2025Article
- Primary care feels more comfortable: A meta-ethnography of transgender people accessing hormone therapy in primary care.International journal of transgender health · 2025Review
- Healthcare providers' perceptions of changes in guidelines for care of minors with gender dysphoria in Sweden: An interview study.PloS one · 2025Article
- The Effects of Gender-Affirming Hormone Therapy on Quality of Life: The Importance of Research on Youth.Healthcare (Basel, Switzerland) · 2024Article
- Exploring the gender care experiences and perspectives of individuals who discontinued their transition or detransitioned in Canada.PloS one · 2023Article
- Gender Dysphoria: Optimizing Healthcare for Transgender and Gender Diverse Youth with a Multidisciplinary Approach.Neuropsychiatric disease and treatment · 2023Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Gatekeeping refers to clinicians' strict application of eligibility criteria to determine a trans patient's "fitness" to engage in medical transition, resulting in significant barriers to gender-affirming care. Gatekeeping often uses "mental readiness" as a prerequisite to medical transition, which contributes to patient distress and systemic discrimination. Changing international trans health guidelines (the new World Professional Association for Transgender Health Standards of Care version 8) recommends clinicians shift from a gatekeeping model towards an informed consent model, which improves access to care. This commentary offers recommendations on how clinicians can reconsider existing "mental readiness" frameworks around medical transition to facilitate improved access to care.
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