Evidence map›Paper›PMID 37735422›Full record

ReviewChild and adolescent psychiatry and mental health2023

A systematic review on gender dysphoria in adolescents and young adults: focus on suicidal and self-harming ideation and behaviours.

Elisa Marconi, Laura Monti, Angelica Marfoli, Georgios D Kotzalidis, Delfina Janiri, Cecilia Cianfriglia, Federica Moriconi, Stefano Costa, Chiara Veredice, Gabriele Sani and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Child and adolescent psychiatry and mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
11.7field-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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  6. Article
  7. Cass Review does not guide care for trans young people.The Medical journal of Australia · 2025
    Article
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  12. Review
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  15. Supporting and understanding non-binary & gender diverse youth: a physician's view.Child and adolescent psychiatry and mental health · 2024
    Article
  16. Article
  17. Article
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 at 3 institutions in 2 countries.

Elisa Marconi *Clinical Psychology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 1, 00168, Rome, Italy. elisa.marconi@guest.policlinicogemelli.it.ORCID http://orcid.org/0000-0001-6722-8390
Laura Monti *Clinical Psychology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 1, 00168, Rome, Italy.ORCID http://orcid.org/0000-0001-8339-265X
Angelica MarfoliCatholic University of the Sacred Heart-Rome, Largo Francesco Vito 1, 00168, Rome, Italy.ORCID http://orcid.org/0009-0007-7324-577X
Georgios D KotzalidisNESMOS Department (Neurosciences, Mental Health, and Sensory Organs), University of Rome "La Sapienza", Via Di Grottarossa1035-1039, 00198, Rome, Italy.ORCID http://orcid.org/0000-0002-0281-6324
Delfina JaniriDepartment of Psychiatry, Department of Neuroscience, Head, Neck and Thorax, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 1, 00168, Rome, Italy.ORCID http://orcid.org/0000-0003-2485-6121
Cecilia CianfrigliaCatholic University of the Sacred Heart-Rome, Largo Francesco Vito 1, 00168, Rome, Italy.ORCID http://orcid.org/0009-0000-6777-7007
Federica MoriconiClinical Psychology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 1, 00168, Rome, Italy.ORCID http://orcid.org/0000-0003-1593-0043
Stefano CostaUOSD Operative Unit Psychiatry and Psychotherapy for Adolescents, Azienda USL Di Bologna, Ospedale MaggioreLargo Bartolo Nigrisoli, 2, 40133, Bologna, Italy.ORCID http://orcid.org/0000-0002-0137-2370
Chiara VeredicePediatric Neuropsychiatry Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168, Rome, Italy.ORCID http://orcid.org/0000-0003-2267-8077
Gabriele SaniDepartment of Psychiatry, Department of Neuroscience, Head, Neck and Thorax, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 1, 00168, Rome, Italy.ORCID http://orcid.org/0000-0002-9767-8752
Daniela Pia Rosaria ChieffoClinical Psychology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 1, 00168, Rome, Italy.ORCID http://orcid.org/0000-0002-0130-6584
Università Cattolica del Sacro Cuore · ITAgostino Gemelli University Polyclinic · ITOspedale Maggiore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGender dysphoria (GD) is characterized by the incongruence between one's experienced and expressed gender and assigned-sex-at-birth; it is associated with clinically significant distress. In recent years, the number of young patients diagnosed with GD has increased considerably. Recent studies reported that GD adolescents present behavioural and emotional problems and internalizing problems. Furthermore, this population shows a prevalence of psychiatric symptoms, like depression and anxiety. Several studies showed high rates of suicidal and non-suicidal self-injurious thoughts and behaviour in GD adolescents. To increase understanding of overall mental health status and potential risks of young people with GD, this systematic review focused on risk of suicide and self-harm gestures.

methodsWe followed the PRISMA 2020 statement, collecting empirical studies from four electronic databases, i.e., PubMed, Scopus, PsycINFO, and Web of Science.

resultsTwenty-one studies on GD and gender nonconforming identity, suicidality, and self-harm in adolescents and young adults met inclusion criteria. Results showed that GD adolescents have more suicidal ideation, life-threatening behaviour, self-injurious thoughts or self-harm than their cisgender peers. Assessment methods were heterogeneous.

conclusionA standardised assessment is needed. Understanding the mental health status of transgender young people could help develop and provide effective clinical pathways and interventions.

Indexed as

Gender dysphoriaNon-suicidal self-harmSuicidal attemptsSuicidal thinkingSuicideTransgender

Identifiers

PMID37735422
PMCPMC10515052
OpenAlexW4386916782

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.