Evidence map›Paper›PMID 41180918›Full record

ArticleInternational journal of transgender health2025

"Grasping on a spider web of hope": Psychological challenges and impact of waiting to access UK gender dysphoria Clinics on young adults.

Luke Squires, Anna Laws, H Eli Joubert, Beth Greenhill

Abstract read
In one paragraph

Article in International journal of transgender health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

4 authors.

Luke SquiresDepartment of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
Anna LawsCumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0001-6164-5097
H Eli JoubertLeeds and York Partnership NHS Foundation Trust, Leeds, UK.
Beth GreenhillDepartment of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0003-4948-6796

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Young transgender adults report higher levels of mental health difficulties compared to the general population. These difficulties reportedly improve following gender-affirming care and transition. However, gender-dysphoric people wait up to 5+ years in the UK to access gender-affirming treatment. Aims: The study aimed to qualitatively explore the psychological challenges and impact of waiting to access UK Gender Dysphoria Clinics (GDCs) for young trans adults. Methods: Recruitment Results: Challenges and impact of waiting were represented within eight themes. Five psychosocial challenges included "Grasping on a spider web of hope that's about to snap," "People are uneducated and they don't understand," "Society or whatever made me second guess myself," "I'm too autistic for that shit', and "It sounded like the phone was just being left all day every day." Mental health impacts of waiting were captured in the themes "(Gender) Dysphoria attacks" and "If it doesn't go well by 30, I'm gonna kill myself." A final theme, "I'm going to just go on with me life," focused on healthy and less-adaptive coping strategies. Conclusion: Waiting to access GDCs is a fragile and vulnerable time; experiences of discrimination, stigma, transphobia, and uncertainty during the waiting period appear to increase feelings of hopelessness and diminish mental health. Focusing on social transitioning was reported by most participants as a coping strategy for waiting. Findings highlight the importance of reducing waiting times for GDCs and offering psychosocial support during the wait.

Indexed as

Anxietydepressiongender dysphoriaLGBTQtransgenderwaiting times

Identifiers

PMID41180918
PMCPMC12573521

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.