Evidence map›Paper›PMID 40463525›Full record

ArticlemedRxiv : the preprint server for health sciences2025

Mental and Emotional Health of Youth after 24 months of Gender-Affirming Medical Care Initiated with Pubertal Suppression.

Johanna Olson-Kennedy, Ramon Durazo-Arvizu, Liyuan Wang, Carolyn F Wong, Diane Chen, Diane Ehrensaft, Marco A Hidalgo, Yee-Ming Chan, Robert Garofalo, Asa E Radix and 1 more

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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.

Johanna Olson-KennedyDivision of Adolescent and Young Adult Medicine, Children's Hospital, Los Angeles, California.
Ramon Durazo-ArvizuThe Saban Research Institute, Children's Hospital Los Angeles.
Liyuan WangDivision of Adolescent and Young Adult Medicine, Children's Hospital, Los Angeles, California.
Carolyn F WongDivision of Adolescent and Young Adult Medicine, Children's Hospital, Los Angeles, California.
Diane ChenPotocsnak Family Division of Adolescent and Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Diane EhrensaftChild and Adolescent Gender Center, Department of Pediatrics, University of California San Francisco, San Francisco, California.
Marco A HidalgoDivision of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California (previously a,b).
Yee-Ming ChanDepartment of Pediatrics, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-0554-8502
Robert GarofaloPotocsnak Family Division of Adolescent and Young Adult Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Asa E RadixDepartment of Medicine, Callen-Lorde Community Health Center, New York, New York.
Stephen M RosenthalChild and Adolescent Gender Center, Department of Pediatrics, University of California San Francisco, San Francisco, California.

Funding

The Impact of Early Medical Treatment in Transgender YouthR01HD082554 · NICHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI CHAN, YEE-MING, GAROFALO, ROBERT · 2015 to 2024
$9.7M
NICHD NIH HHS R01 HD082554
6 · The paper itself

Abstract

Background and Objectives: Medical interventions for youth with gender dysphoria can include the use of gonadotropin releasing hormone analogs (GnRHas) for suppression of endogenous puberty. This analysis aimed to understand the impact of medical intervention initiated with GnRHas on psychological well-being among youth with gender dysphoria over 24 months. Methods: Participants were enrolled as part of the Trans Youth Care United States Study. Eligibility criteria for youth included a diagnosis of Gender Dysphoria and pubertal initiation. Youth with precocious puberty or pre-existing osteoporosis were ineligible. Youth reported on depressive symptoms, emotional health and suicidality at baseline, 6, 12, 18 and 24 months after initiation of GnRHas. Parent/caretaker completed the Child Behavior Checklist at baseline, 12 and 24 months after initiation of GnRHas. Latent Growth-Curve Models analyzed trajectories of change over the 24-month period. Results: Ninety-four youth aged 8-16 years (mean=11.2 y) were predominately Non-Hispanic White (56%), early pubertal (86%) and assigned male at birth (52%). Depression symptoms, emotional health and CBCL constructs did not change significantly over 24 months. At no time points were the means of depression, emotional health or CBCL constructs in a clinically concerning range. Conclusion: Participants initiating medical interventions for gender dysphoria with GnRHas have self- and parent-reported psychological and emotional health comparable with the population of adolescents at large, which remains relatively stable over 24 months. Given that the mental health of youth with gender dysphoria who are older is often poor, it is likely that puberty blockers prevent the deterioration of mental health.

Identifiers

PMID40463525
PMCPMC12132111

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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.