ArticleInternational journal of transgender health2026
Acute psychiatric care experiences and post-discharge trajectories among transgender and gender diverse adults: A constructivist grounded theory.
Article in International journal of transgender health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Transgender and gender diverse (TGD) people experience disproportionately high rates of mental health challenges, often leading to increased use of acute psychiatric care (emergency departments and hospitalizations). However, little is known about their lived experiences during and after such care. Aim: To explore the lived experiences of TGD individuals in acute psychiatric care and examine how these experiences shape post-discharge trajectories. Method: Using constructivist grounded theory, we conducted a qualitative study with 15 TGD individuals in Toronto, Ontario, who had received acute mental healthcare. Participants were recruited from both clinical and community settings. Data were analyzed inductively to identify patterns in experiences and care pathways. Results: Cumulative minority stress, stemming from trauma, neurodivergence, physical health conditions, and social marginalization, contributed to mental health crises and influenced help-seeking. Participants' acute care experiences were shaped by autonomy, safety, and perceived usefulness, which informed three post-discharge pathways: engagement with formal mental health services, often facilitated by positive care experiences and access to dialectical behavior therapy; care through community organizations offering holistic, identity-affirming support; and avoidance of the mental health system following re-traumatization and loss of agency. Community-based care was seen as more effective than the biomedical model in addressing autonomy and social determinants of health. Conclusion: Acute mental healthcare systems must be reformed to better support TGD individuals by addressing systemic transphobia, integrating trauma-informed, intersectional approaches, and embedding community partnerships within formal care structures. Policies centering autonomy and validating lived experience may enhance engagement and improve outcomes during and after crises.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.