Transgender youth: Difference between revisions
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'''Transgender youth''' |
'''Transgender youth''' is a term used by organizations and people that believe that young people suffering from [[gender dysphoria]] should alleviate this condition by undergoing a permanent social and often medical transition, and society at large has a duty to respect their declared [[gender identity]]. This view is espoused by many medical organizations particularly in the United States, but also internationally; including the [[World Professional Association for Transgender Health]]<ref name="WPATH">{{cite book|title=Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People|publisher=[[World Professional Association for Transgender Health]]|year=2012|url=https://www.wpath.org/media/cms/Documents/SOC%20v7/Standards%20of%20Care%20V7%20-%202011%20WPATH.pdf?_t=1605186324|pages=20–21|access-date=25 November 2020|archive-date=26 November 2020|archive-url=https://web.archive.org/web/20201126155057/https://www.wpath.org/media/cms/Documents/SOC%20v7/Standards%20of%20Care%20V7%20-%202011%20WPATH.pdf?_t=1605186324|url-status=live}}</ref>, the [[American Academy of Pediatrics]]<ref>{{cite web |last1=Rafferty |first1=Jason |title=Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents |url=https://publications.aap.org/pediatrics/article/142/4/e20182162/37381/Ensuring-Comprehensive-Care-and-Support-for?autologincheck=redirected |website=Pediatrics |publisher=Pediatrics |access-date=11/05/2023}}</ref>, and the [[Endocrine Society]]<ref>{{cite web |last1=Hembree |first1=Wylie |title=Gender Dysphoria/Gender Incongruence Guideline Resources |url=https://www.endocrine.org/clinical-practice-guidelines/gender-dysphoria-gender-incongruence |website=Endochrine |access-date=5 November 2023}}</ref>. In contrast, the effectiveness of social and medical transition for young people suffering from gender dysphoria is disputed by a number of European countries including Finland<ref>{{cite web |last1=Cook |first1=Michael |title=Policy shift in Finland for gender dysphoria treatment |url=https://bioedge.org/uncategorized/policy-shift-in-finland-for-gender-dysphoria-treatment/ |website=BioEdge |access-date=5 November 2023}}</ref> Sweden <ref>{{cite web |title=Sweden puts brakes on treatments for trans minors |url=https://www.france24.com/en/live-news/20230208-sweden-puts-brakes-on-treatments-for-trans-minors |website=France24 |access-date=5 November 2023}}</ref> and England<ref>{{cite web |last1=Lawless |first1=Jill |title=England’s health service says it won’t give puberty blockers to children at gender clinics |url=https://apnews.com/article/uk-transgender-puberty-blockers-abd9145484006fea23de6b4656c937da |website=APNews |access-date=5 November 2023}}</ref>, the later two have both conducted a [[systematic review]] in English<ref>{{cite journal |last1=Ludvigsson, |first1=Jonas |title=A systematic review of hormone treatment for children with gender dysphoria and recommendations for research |journal=Acta Paediatrica |volume=112 |pages=2279-2292 |doi=https://doi.org/10.1111/apa.16791 |url=https://onlinelibrary.wiley.com/doi/10.1111/apa.16791}}</ref><ref>{{cite web |title=Nice Evidence Reviews |url=https://cass.independent-review.uk/nice-evidence-reviews/ |website=The Cass Review |access-date=5 November 2023}}</ref>. If a gender dysphoric youth is successfully treated using [[psychotherapy]] this may lead to desistance, avoiding [[medicalization]] and reducing the need for society at large to recognize [[gender identity]] theory. |
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Users of the term usually build their view on the most appropriate treatment for gender dysphoria through a [[civil rights]] lens and therefore attempt to advocate for reducing the barriers to access gender affirming medical interventions<ref>{{cite web |last1=TransHub |url=https://www.transhub.org.au/}}</ref><ref>{{cite web |title=LGBTQ Youth |url=https://glaad.org/reference/youth/ |website=GLAAD}}</ref>. Those who question the term consider social and medical transition interventions for the treatment of gender dysphoric youth to be interventions that may be analyzed through the lens of [[evidence based medicine]]<ref>{{cite journal |last1=Abbruzzese |first1=E |title=The Myth of "Reliable Research" in Pediatric Gender Medicine: A critical evaluation of the Dutch Studies-and research that has followed |journal=Journal of Sex Marital Therapy |volume=49 |issue=6 |doi=DOI: 10.1080/0092623X.2022.2150346 |access-date=5 November 2023 |ref=https://pubmed.ncbi.nlm.nih.gov/36593754/}}</ref> using tools such as [[randomized control trials]] and [[systematic reviews]]. |
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According to the American Academy of Pediatrics, "by age four most children have a stable sense of their gender identity" and "research substantiates that children who are prepubertal and assert [a transgender or gender diverse identity] know their gender as clearly and as consistently as their developmentally equivalent peers who identify as cisgender and benefit from the same level of social acceptance".<ref>{{Cite web |url=https://www.healthychildren.org/English/ages-stages/gradeschool/Pages/Gender-Identity-and-Gender-Confusion-In-Children.aspx |last1=Rafferty |first1=Jason |publisher=American Academy of Pediatrics |title=Gender Identity Development in Children}}</ref><ref>{{Cite journal |url=https://publications.aap.org/pediatrics/article/142/4/e20182162/37381/Ensuring-Comprehensive-Care-and-Support-for?autologincheck=redirected |title=Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents |last1=Rafferty |first1=Jason |author2=Committee on Psychological Aspects of Child and Family Health |author3=Committee on Adolescence |author4=((Section on Lesbian, Gay, Bisexual, and Transgender Health and Wellness)) |display-authors=etal |journal=Pediatrics |year=2018 |volume=142 |issue=4 |doi=10.1542/peds.2018-2162 |pmid=30224363 |s2cid=52288840|doi-access=free }}</ref> A review published in 2022 found the majority of pre-pubertal children who socially transition persist in their identity in 5 to 7 year follow ups.<ref name="Roberts">{{Cite journal |last=Roberts |first=Christina |date=11 May 2022 |title=Persistence of Transgender Gender Identity Among Children and Adolescents |url=https://doi.org/10.1542/peds.2022-057693 |journal=Pediatrics |volume=150 |issue=2 |doi=10.1542/peds.2022-057693 |issn=0031-4005 |pmid=35538638 |s2cid=248694688}}</ref> Gender dysphoria is likely to be permanent if it persists during puberty.<ref name="Roberts" /><ref name="Jameson" /><ref name="Dulcan" /> |
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== Persistence of transgender identity == |
== Persistence of transgender identity == |
Revision as of 23:03, 5 November 2023
![]() | This article needs to be updated.(June 2023) |
![]() | The examples and perspective in this article may not represent a worldwide view of the subject. (January 2022) |
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Transgender youth is a term used by organizations and people that believe that young people suffering from gender dysphoria should alleviate this condition by undergoing a permanent social and often medical transition, and society at large has a duty to respect their declared gender identity. This view is espoused by many medical organizations particularly in the United States, but also internationally; including the World Professional Association for Transgender Health[1], the American Academy of Pediatrics[2], and the Endocrine Society[3]. In contrast, the effectiveness of social and medical transition for young people suffering from gender dysphoria is disputed by a number of European countries including Finland[4] Sweden [5] and England[6], the later two have both conducted a systematic review in English[7][8]. If a gender dysphoric youth is successfully treated using psychotherapy this may lead to desistance, avoiding medicalization and reducing the need for society at large to recognize gender identity theory.
Users of the term usually build their view on the most appropriate treatment for gender dysphoria through a civil rights lens and therefore attempt to advocate for reducing the barriers to access gender affirming medical interventions[9][10]. Those who question the term consider social and medical transition interventions for the treatment of gender dysphoric youth to be interventions that may be analyzed through the lens of evidence based medicine[11] using tools such as randomized control trials and systematic reviews.
Persistence of transgender identity
If a child's gender dysphoria persists during puberty, it is likely permanent.[12][13][14] For children with gender dysphoria, the period between 10 and 13 years is crucial with regard to long-term gender identity.[12][15] Factors that are associated with gender dysphoria persisting through puberty include intensity of gender dysphoria, amount of cross-gendered behavior, and verbal identification with the desired/experienced gender (i.e. stating that they are a different gender rather than wish to be a different gender).[12][16] Prospective studies have reported that gender dysphoria in children is more heavily linked to adult homosexuality than to an adult transgender identity, especially with regard to boys.[17][18][19] The studies state that the majority of children diagnosed with gender dysphoria did not desire to be the other sex by puberty, with most growing up to identify as gay, lesbian, or bisexual, with or without therapeutic intervention.[13][14][15][16][20] The studies have been used to argue for more caution or delays in socially or medically transitioning transgender youth.[21][22][23]
The prospective studies have been criticized as irrelevant on the basis that they counted as 'desistance' cases where the child was simply gender-nonconforming rather than dysphoric and tracked diagnoses rather than gender identity or desire to transition, leading to inflation of the desistance statistics. The majority of desistance research relies on four studies published since 2008. While the subjects met the criteria for gender identity disorder as defined in the DSM-III or DSM-IV, many would not have met the updated criteria for gender dysphoria in the DSM-5, established in 2013, which unlike prior versions explicitly requires identification with a gender other than assigned at birth. In one study, 40% of those classified as "desisters" were subthreshold even for the DSM-IV criteria.[citation needed] The four studies all offered evidence that statement of transgender identity in childhood predicted transgender identity in adolescence and adulthood and the intensity of gender dysphoria in childhood likewise predicted its intensity later in life. The studies published from the 1960-1980's never used the term desistance, instead focusing on "gender-deviant behavior" - childhood femininity in people assigned male at birth - and how this more often predicts homosexuality rather than "transsexualism" in adulthood. Additionally, some of the research since 2000 and all the research prior has been criticized for citing studies that used conversion therapy: either discouraging social transition, explicitly trying to prevent or discourage the child from identifying as transgender as an adult by adulthood or adolescence, or actively employing techniques to limit there "gender-deviant" behavior. The term "desistance" itself has been criticized as pathologizing for its roots in criminal research and oppositional defiance disorder, where desistance is considered a positive outcome.[21][22][23][24]
A systematic review of research relating to desistance was published in 2022. It found that desistance was poorly defined: studies sometimes did not define it or equally defined it as desistance of transgender identity or desistance of gender dysphoria. They also found none of the definitions allowed for dynamic or nonbinary gender identities and the majority of articles published were editorial pieces. They stated the concept was based on biased research from the 1960-80s and poor quality research in the 2000s. They concluded there was a "dearth of high-quality hypothesis-driven research that currently exists" on the subject, and suggested that desistance should "be removed from clinical and research discourse to focus instead on supporting [transgender and gender-expansive] youth rather than attempting to predict their future gender identity."[22] According to a review published in 2022 considering more recent studies, the majority of pre-pubertal children who socially transition persist in their identity in 5 to 7 year follow ups.[12]
Coming out
Transgender youth may encounter family exclusion and face discrimination.[25] Some transgender youth feel that they need to remain closeted until they feel that it is safe and appropriate to come out and reveal their gender identity to their family members, and friends. In the LGBT community, to "come out" means to acknowledge one's sexual identity or gender identity and make it known to the public.
Family acceptance
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Family acceptance or lack thereof has a significant impact on the lives of transgender youth.[25] It may be impossible to predict a parent's reaction to the news of their child's gender identity and the process can be fraught for many transgender youths. In some cases, parents will react negatively to such news, and may disown the child or kick the youth out of the home. Current research suggests that transgender youth who have been entered into the juvenile justice system are more likely to have experienced family rejection, abuse, and abandonment compared to those youth who are not transgender. Because transgender youth depend on their parents for support and acceptance, family exclusion can result in them becoming emotionally vulnerable and regretting their decision to come out.[27] Parents can find gender-affirmative counsellors and doctors and connect their children with LGBTQ support groups. Many parents join organizations such as Mermaids in the UK and PFLAG in the US so they can meet other parents and learn how to advocate for their children. Additionally, reactions of parents to transgender children can change over time. For example, parents who initially reacted with negativity and hostility may eventually come around to support their transgender children.
Support
Research has overwhelmingly indicated that familial support and acceptance of transgender youth has resulted in more positive life outcomes for the individual regarding their mental, physical, and emotional health.[28][29][30]
Studies have indicated a number of ways that parents or guardians of transgender youth can show support and acceptance for their child with one of them being the opportunity for the child to speak about their gender identity. Transgender youth have found greater success and emotional stability when parents took on a supportive role rather than a controlling and dismissive stance. Troubleshooting problems during the transition as they arise, rather than pushing views on the child and dictating their process has allowed for healthier transitions.[30][31] Additionally, informing professionals and other critical individuals in the child's life aides in developing a support network for the transgender youth.[30][31][32]
Parents access to information is critical in aiding and advocating for transgender youth. Access to information supports parents in providing youth with resources regarding their gender identity such as medical care, counselling, educational literature, and local youth groups that can provide access to others in the transgender community.[30][31]
Support in school is also important to the wellbeing and mental health of trans youth. Many schools seek to support trans pupils and educators can look to a variety of trans inclusion school guidance documents to shape their support of trans pupils of all ages and the literature continues to consider best practice within the educational setting.[33]
Health risks
Family acceptance of transgender youth predicts an increase in greater self-esteem, social support, and general health status. It also protects against depression, substance abuse, and suicidal ideation and behaviors.[34] As recent as 2015, research has shown that in carefully selected patients, people who transition young suffer few ill effects,[35] and maintain a higher level of functioning than before transitioning. Additionally, results of treatment such as counselling are considered better when it is offered at an earlier age.
Family behaviors can increase or decrease health risks of transgender youth.[36] Behaviors such as physical or verbal harassment, pressure to conform to gender norms, and excluding the youth from family events, will lead to higher health risks such as depression and suicide.[37] On the positive end, behaviors such as supporting the youth's gender identity by talking about it and working to support their choice even though the parent might be uncomfortable make a significant impact on boosting the youth's confidence, which works to combat health risks associated with rejection.[35]
Medical interventions
Puberty blockers are sometimes prescribed to trans children who have not yet begun puberty to temporarily halt the development of secondary sex characteristics.[38] Puberty blockers allow patients more time to solidify their gender identity before starting puberty.[39] While few studies have examined the effects of puberty blockers for transgender and gender non-conforming adolescents, the studies that have been conducted generally indicate that these treatments are reasonably safe and can improve psychological well-being.[40][41][42]
Short-term side effects of puberty blockers include headaches, fatigue, insomnia, muscle aches and changes in breast tissue, mood, and weight.[43] The potential risks of pubertal suppression in gender dysphoric youth treated with GnRH agonists may include adverse effects on bone mineralization.[44][45] Additionally, genital tissue in transgender women may not be optimal for potential vaginoplasty later in life due to underdevelopment of the penis.[46] Research on the long term effects on brain development, cognitive function, fertility, and sexual function is limited.[45][47][48][49] In the Netherlands, youth are allowed to begin cross sex hormones at age 16, following their course of puberty blockers.[citation needed]
Some studies support the rights of children to provide informed consent to puberty blockers, saying that if parents are unjustly opposed to a child's transition, the child would have no recourse for needed treatment, drawing parallels to the right of children of Jehovah's Witnesses to blood transfusions, in addition to pointing to psychological benefits from access to blockers and intense psychological and physical harm that can come from lack of access. Trans minors, especially homeless trans youth, without standard access to blockers may seek them from unreliable sources leading to dangerous side effects. Trans youth have also spoken out in support of their right to blockers.[50][51][52][53][54][55][56]
In Bell v Tavistock, the High Court of Justice of England and Wales ruled that it was unlikely that a child under the age of 16 could be Gillick competent to consent to puberty blocking treatment.[57] This was overturned by the court of appeal, which ruled that children under 16 could consent to receive puberty blockers.[58]
For those who are above age 18 and do not require parental consent, there are several medical interventions available. For those wishing to transition from male to female, options consist of facial feminisation surgery, vaginoplasty, breast augmentation surgery, and cross-sex hormones. For those wishing to transition from female to male, options consist of penile construction surgery, breast reduction surgery, and cross-sex hormones.[59] Under American Psychiatric Association criteria, in order for any individual to receive these medical treatments, they must have a written diagnosis of gender dysphoria and have undergone up to a year's worth of therapy.[60] If they are a citizen of Malta, there is a quick and relatively simple paperwork process to change their gender marker.[61] In contrast, the United States has a difficult and extensive process that requires medical proof of need and returning to your home state to obtain various legal documents. In the United States to change an individual's existing gender marker and name, visits must be made to change the driver's license, social security card, banking documents, and passport.[citation needed]
Vulnerability
Transgender youth are especially vulnerable to a multitude of risks, including substance use disorders, suicide, childhood abuse, sexual abuse/assault, and psychiatric disorders.[62]
Gender dysphoria
Gender dysphoria is a strong, persistent discomfort and distress with one's gender, anatomy, birth sex, and even societal attitudes toward their gender variance.[63] Transgender youth who experience gender dysphoria tend to be very conscious of their body.[64][better source needed]
Physical, sexual, and verbal abuse
Transgender and gender nonconforming youth are at an increased risk for physical, verbal, and sexual abuse. Childhood gender noncomformity is correlated with abuse.[65] Transgender youth who face physical abuse may be forced to leave their homes, or choose to leave.[citation needed] Lack of support at home and constant harassment at school may lead to academic difficulties for the youth as well, who face a much higher drop out level compared to their cisgender counterparts.[62]
Homelessness and survival sex
In the US, according to the National Healthcare for the Homeless Council, one fifth of LGBT youth have unstable housing or lack housing altogether, as of 2014.[66] It is estimated that between 20% and 40% of homeless youth are a part of the LGBT population.[35] Reasons for home insecurity among LGBT youth include family rejection and conflict, domestic violence, and difficulty within various institutions such as school or the foster care system.[66] LGBT youth who find themselves in homeless shelters may not have their needs met.[67][clarification needed]
Homelessness among LGBT youth may lead to survival sex, the act of engaging in prostitution in order to fulfill one's extreme needs.[49] One multi-city study[clarification needed] found that about one in four homeless and runaway youth has engaged in survival sex.[68] Risks associated with survival sex include the transmission of STI/STDs (sexually transmitted infection/disease).[49]
Medical inequality
Transgender youth can face difficulty in obtaining medical treatment for their gender dysphoria. This lack of access is often due to doctors refusing to treat youth, or youth fearing negative reactions from health care providers. Psychiatrists, endocrinologists and family physicians now have clear guidelines on how to provide care to trans youth of early puberty through its completion.[69]
The transgender population is at increased risk for STI transmission compared to the general population.[62]
Hostile educational environment
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School settings can be places of bullying for transgender youth. Several problems may be faced at schools, including verbal and physical harassment and assault, sexual harassment, social exclusion and isolation, and other interpersonal problems with peers. A 2021 report found that most transgender students in the US had experienced harassment and feeling unsafe in school settings.[70] These experiences vary between individuals and schools attended. Larger schools tend to have safer climates for transgender students, as do schools with more low income and religious and ethnic minorities.[71]
A 2009 study of 6th through 12th grade transgender students in the United States showed that most experienced a hostile school climate with regular harassment from peers.[72][needs update?][73] 82% of these youth reported that they felt unsafe at school because of their gender identity, and almost 90% reported experiencing homophobic harassment from peers frequently.[73] A majority of these students also reported physical harassment at school, with nearly half reporting that they had been punched, kicked, or injured with a weapon.[73] Sexual harassment among these students was also reported with alarming frequency (76%).[73] Restrooms and locker rooms pose an especially high threat to transgender students, who frequently reported fear and anxiety about using these facilities at school because of experiences of harassment by both peers and adults when using them. Negative comments about gender presentation may be frequently overheard in these places, and surveyed students have reported being "pushed around", "getting the crap beat out of them", and "getting their asses kicked" by peers.[73] A 2017 study of U.S. students in grades 9–12 found that 27% of transgender students reported feeling unsafe at school, a sharp contrast with only 5% of cisgender boys and 7% of cisgender girls who reported similar feelings.[74]
School administrations may not take reports of victimization of transgender students seriously. Only a third of transgender students who reported victimization[when?] to school staff members feel that their situation was taken care of adequately and effectively.[73]
In one study[which?] of transgender youth, three quarters of the participants dropped out of school, almost all citing the main reason the constant acts of violence against them due to their gender identity. Anti-transgender bullying in schools has also been found to directly correlate with other negative outcomes, such as homelessness, unemployment, incarceration, and drug use.[73]
A national survey conducted by GLSEN found that 75% of transgender youth feel unsafe at school, and those who are able to persevere have significantly lower GPAs and are more likely to miss school out of concern for their safety.[75] These students also reported to be less likely to plan on continuing their education.[76]
Suicide
A 2007 study of transgender youth found that, of the youth interviewed, about half had seriously contemplated ending their own lives. Of those who had thought about suicide, about half had actually made an attempt. Overall, 18% of all interviewed transgender teenagers reported an attempted suicide that was linked to their transgender identity.[64] In a 2014 study, it is found that these statistics are even higher for those who became homeless because of bias against their gender identity or have been denied medical care because they were transgender; this brings the numbers up to 69% for those who were made homeless because of gender identity, and 60% for those denied medical care because they were transgender, with a general statistic stating that around 40% of transgender youth have attempted suicide.[77] In the 2011 National Transgender Discrimination Survey, which surveyed 6,450 transgender individuals, 41% of respondents reported attempting suicide compared to 1.6% of the general population (a rate 25 times more elevated). Reported rates of attempted suicide were even higher for those who were unemployed, experienced harassment and physical or sexual abuse, or low household income.[78] However, a study on the impact of parental support on trans youth found that among trans children with supportive parents, only 4% attempted suicide, a 93% decrease.[79]
Transgender youth may face victimization from peers and family members' negative reactions to their atypical gender presentation, increasing their risk of life-threatening behaviors.[64][better source needed]
Numerous studies, across various countries, have noted suicide attempt rates for transgender children ranging from 30 to 50%, at least double the rates of age-matched cisgender peers.[80][81][82][83]
Discrimination in court
Individuals involved in the juvenile justice system have reported that transgender youth have an exceptionally difficult experience. This is because, for a transgender youth, a sentence to a juvenile detention facility could mean that transition is stopped while they are detained.[citation needed]
Juvenile justice professionals are bound to the rules of ethics to ensure all youth are treated fairly. However, many transgender youth[who?] felt[when?] as if they were not adequately represented or respected in court.[clarification needed][84] This included treatment from prosecutors, court-appointed defense attorneys, and judges, including one case in which a judge refused to hear the case of a transgender girl due to the way she was dressed.[84] In another case, a prosecutor requested confinement for a transgender defendant rather than being returned home. The judge agreed to the confinement, even though the defendant was not an apparent danger or flight risk.[85]
Detention centers
In a 2009 survey, some juvenile detention centers stated that they already had difficulties with housing girls and boys on the same campus, and that mixing in transgender youth according to their identified gender in one dormitory would only create more problems. Transgender boys are harder to place because of the high level of violence in the boy's facilities, and the high risk of sexual assault.[85]
As a result of these difficulties, transgender youth are frequently placed in solitary confinement.[citation needed] The centers assert that the solitary confinement is for their safety because the facilities cannot keep them protected if they are mixed in with the general population. However, confinement strips them of any recreational and educational programming that is imperative to maintaining mental stability. Oftentimes these isolations are based on beliefs that LGBTQ youth are sexual predators, and should not be around other confined youth, or with individuals of the opposite gender.[27] One transgender youth in New York was placed in isolation for three weeks, despite her request to be placed in general population.[86] Following her isolation, she was placed in observation for three months, whereas others are only in observation for one week.[86]
Additionally, the safety of detention facilities is a primary issue as reported from LGBT youth in detention centers and individuals who work in the juvenile justice system.[87] Transgender youth are at risk for abuse from both staff and other youth in the center.[27] This can include staff abusing the youth or ignoring incidents of rape and abuse.[27] Youth who were interviewed stated that they feared for their safety, and complaints about abuse went unheard and unresolved.[87]
Staff members in juvenile detention centers are not properly trained in order to deal with some of the issues faced by transgender youth, such as use of proper pronouns or adequate clothing choices.[88] This can be due to the varying amount of comfort around the issue of transgender youth and sexual identification, which has an impact on the treatment the youth receive.[88] For example, one transgender girl stated that she did not have problems with the boys in her detention center, but she did with the staff.[85] She said the staff would call her "him" and "he," even though she identified as female,[85] and they refused to accept her transition from male to female.
Societal and legal attitudes
On a global scale, transgender individuals face varying levels of acceptance or denial based on their location's attitude towards the LGBT community. Factors that influence acceptance or denial of their identity tend to surround political interests, religious affiliations, and whether their identity is still labeled as a mental health disorder.[89] Acceptance levels tend to predominantly be higher in countries located in the Global North.[89] Despite higher levels, acceptance rates still vary from country to country, Malta and the United States of America are two examples of countries where legislation and the social acceptance levels have curated a safer environment for transgender individuals.
Malta
In early April 2015, Malta adopted a bill titled the "Gender Identity, Gender Expression and Sex Characteristics Act" (GIGESC Bill). The bill allows minors to have their parents apply to have their legal gender marker changed for them or to have a gender marker held from their birth certificate until their gender identity has been self-determined. The bill also prevents surgeries from being performed on intersex infants until their gender identity has been discovered; the parents are no longer required to make an immediate decision and medical personnel cannot override this decision because the bill also outlaws the request to view medical records.[90] For individuals who are no longer a minor, they only need to request a notary for self-declaration, again the individual cannot be asked for medical records when changing their legal gender or performing any other legal changes in conjunction to their gender identity. Also, the entire process can be completed in less than thirty days.[90]
Other European countries
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While there are other European countries who have created allowances and encouraged acceptance of transgender individuals, some require compulsory sterilization and have lengthy legal proceedings.[91]
Mexico
In Mexico City, transgender teenagers over the age of 12 may change their legal gender as of August 27, 2021.[92] In Jalisco, following a decree on October 29, 2020, trans children and teenagers from all Mexican states were able to change their legal gender with parental consent, but since the implementation of new legislation in April 2022, recognition of transgender identities has been limited to people over the age of 18.[93] In Oaxaca State, transgender teenagers over the age of 12 may change their legal gender as of October 2021.[94]
United States
Discrimination in the United States is considered illegal.[95] Many transgender youth face struggles in attempting to transition and to be accepted in the U.S. According to the Human Rights Campaign, as of 2015, in 32 states an individual can be fired for being transgender and in 33 states an individual can be refused housing.[96][97] Transgender people are also disproportionately targeted for hate crimes. One report studying data from 1995 to 1999 found that 20% of transgender people who were murdered were victims of anti-transgender hate crimes. Anti-transgender violence also caused 40% of police reports by the transgender population.[98] In 2013, the state of California signed a bill in to legislation titled the School Success and Opportunity Act giving transgender students the full rights and opportunities that their cisgender peers are granted.[99] For individuals who are minors, if their parents consent, they are able to begin receiving puberty blockers at a young age and later receive cross sex hormones and then transitional surgeries upon turning 18 years of age.[100][better source needed] For those who are not minors, they are able to participate in any body altering transitional experience that they desire if they are able to financially afford it and after going through a year of therapy to affirm this decision, but will have to jump over several hurdles for it to also be legally marked.[59] The western and northeastern states are currently the most tolerant of the transgender population and have the most laws to protect those individuals.[101]
During the first 4 months of 2021, there was a wave of legislation aiming to restrict access to gender-affirming healthcare treatments to transgender youth, as 28 Republican-controlled state legislatures have drafted or passed a number of bills of this sort.[102] In April, Arkansas passed the Save Adolescents From Experimentation (SAFE) Act, which banned medical treatment and procedures for transgender youth under the age of 18. The law warns health care providers that administering procedures such as puberty-blockers, cross-sex hormone therapy, and gender-affirming surgeries can result in losing their medical license.[102] Colorado, Florida, Illinois, Kentucky, Missouri, Oklahoma, South Carolina, South Dakota, and West Virginia have proposed similar laws that would prevent trans youth from having access to gender-affirming health care.[102] Opponents of the bills criminalizing transition-related treatment for transgender youth are concerned that it prevents doctors from following health care guidelines approved by organizations like the American Medical Association.[102]
On May 10, 2021, the Biden administration announced that it would provide transgender people protection against discrimination in health care, in an effort to restore civil rights protections for LGBTQ people that were eliminated by his predecessor.[103] The policy reestablished that the federal government will protect transgender people, once again prohibiting discrimination on the basis of sexual orientation and gender identity by health care providers and health-related organizations who receive federal funding.[103]
Health and Human Services' (HHS) reversal of Affordable Care Act, Section 1557 was backed up by landmark Supreme Court decision Bostock v. Clayton County (2020) that ruled that LGBTQ individuals are protected against employment discrimination on the basis of their gender identity or sexual orientation.[104] HHS concludes that the Bostock decision applies to health care as well, which led to the revising of the ACA civil rights provision.[103] HHS Secretary Xavier Becerra said in a statement: "The Supreme Court has made clear that people have a right not to be discriminated against on the basis of sex and receive equal treatment under the law, no matter their gender identity or sexual orientation. Fear of discrimination can lead individuals to forgo care, which can have serious negative health consequences".[103]
On April 7, 2022, the Alabama legislature passed HB 322, which bans transgender youth from using sex-segregated school facilities aligning with their gender and prohibits discussion of sexual orientation and gender identity in grades K-5, copying language from a recent Florida bill. A few hours later they passed SB 184, which criminalizes the provision of gender-affirming medical care for transgender minors, making it a felony punishable by up to 10 years in prison to help - or suggest - a child medically or socially transition and mandating that school employees report a child's gender identity to their parents. The bill makes exceptions for intersex youth and circumcision. During the debate, its sponsor, Rep. Shay Shelnutt, compared gender-affirming care to vaping or getting a tattoo. The Southern Poverty Law Center, GLBTQ Legal Advocates & Defenders, and the Human Rights Campaign announced plans to challenge the bill, on behalf of medical best practices as supported by most major American medical associations, two medical care providers, and the families who would be harmed by the bill.[105][106][107]
Transgender youth activists
- Eli Erlick (b. 1995), American trans activist[108]
- Aimee Challenor (b. 1997), British politician and transgender activist[109]
- Jazz Jennings (b. 2000), American activist and television personality[110]
- Lily Madigan (b. 1998), British activist, and first openly transgender woman to become a Women's Officer within the Labour Party[111]
- Nicole Maines (b. 1997), American actress and transgender rights activist, plays the first television transgender superhero on CW's Supergirl[112]
Media representations
The film Ma Vie en Rose (My Life in Pink) (1997) by Alain Berliner follows a young child named Ludovic who is assigned male but who lives as a girl and tries to make others agree with her identification. Ludovic's "gender play" incurs conflict within the family and prejudice from the neighbors.[113]
The film Tomboy (2011) by Céline Sciamma follows a 10-year-old with the given name Laure who, after moving to a new neighborhood, dresses as a boy and adopts the name Mikäel.[citation needed]
The 2015 Documentary film Louis Theroux: Transgender Kids follows documentarian Louis Theroux's exploration of the burgeoning transgender youth therapy community in San Francisco, California. He interviews several transgender youth as they engage in medical, social, and psychological therapies to conform to their desired gender identities.[114]
See also
- Gender dysphoria in children
- Healthcare and the LGBT community
- Homelessness among LGBT youth in the United States
- Legal status of transgender people
- List of transgender-related topics
- List of transgender-rights organizations
- Suicide among LGBT youth
- Transphobia
References
- ^ Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People (PDF). World Professional Association for Transgender Health. 2012. pp. 20–21. Archived (PDF) from the original on 26 November 2020. Retrieved 25 November 2020.
- ^ Rafferty, Jason. "Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents". Pediatrics. Pediatrics. Retrieved 11/05/2023.
{{cite web}}
: Check date values in:|access-date=
(help) - ^ Hembree, Wylie. "Gender Dysphoria/Gender Incongruence Guideline Resources". Endochrine. Retrieved 5 November 2023.
- ^ Cook, Michael. "Policy shift in Finland for gender dysphoria treatment". BioEdge. Retrieved 5 November 2023.
- ^ "Sweden puts brakes on treatments for trans minors". France24. Retrieved 5 November 2023.
- ^ Lawless, Jill. "England's health service says it won't give puberty blockers to children at gender clinics". APNews. Retrieved 5 November 2023.
- ^ Ludvigsson,, Jonas. "A systematic review of hormone treatment for children with gender dysphoria and recommendations for research". Acta Paediatrica. 112: 2279–2292. doi:https://doi.org/10.1111/apa.16791.
{{cite journal}}
: Check|doi=
value (help); External link in
(help)CS1 maint: extra punctuation (link)|doi=
- ^ "Nice Evidence Reviews". The Cass Review. Retrieved 5 November 2023.
- ^ TransHub. https://www.transhub.org.au/.
{{cite web}}
: Missing or empty|title=
(help) - ^ "LGBTQ Youth". GLAAD.
- ^ Abbruzzese, E. "The Myth of "Reliable Research" in Pediatric Gender Medicine: A critical evaluation of the Dutch Studies-and research that has followed". Journal of Sex Marital Therapy. 49 (6). doi:DOI: 10.1080/0092623X.2022.2150346.
{{cite journal}}
:|access-date=
requires|url=
(help); Check|doi=
value (help); External link in
(help)|ref=
- ^ a b c d Cite error: The named reference
Roberts
was invoked but never defined (see the help page). - ^ a b Jameson L, de Kretser DM, Marshall JC, De Groot LJ (2013). Endocrinology Adult and Pediatric: Reproductive Endocrinology. Elsevier Health Sciences. p. 483. ISBN 978-0323221528.
- ^ a b Dulcan, MK (2015). Dulcan's Textbook of Child and Adolescent Psychiatry, Second Edition. American Psychiatric Pub. p. 591. ISBN 978-1585624935.
- ^ a b Fuss J, Auer MK, Briken P (November 2015). "Gender dysphoria in children and adolescents: a review of recent research". Current Opinion in Psychiatry. 28 (6): 430–434. doi:10.1097/YCO.0000000000000203. PMID 26382161. S2CID 23690783.
- ^ a b Ristori J, Steensma TD (2 January 2016). "Gender dysphoria in childhood". International Review of Psychiatry. 28 (1): 13–20. doi:10.3109/09540261.2015.1115754. PMID 26754056. S2CID 5461482.
- ^ Kreukels B, Steensma TD, de Vries A (2013). Gender Dysphoria and Disorders of Sex Development: Progress in Care and Knowledge. Springer Science & Business Media. p. 61. ISBN 978-1461474418.
- ^ Fatemi H, Clayton PJ (2016). The Medical Basis of Psychiatry. Springer. p. 302. ISBN 978-1493925285.
- ^ LeVay S (2010). Gay, Straight, and the Reason Why: The Science of Sexual Orientation. Oxford University Press. p. 91. ISBN 978-0199753192.
- ^ Marcdante K, Kliegman RM (2014). Nelson Essentials of Pediatrics E-Book. Elsevier Health Sciences. p. 75. ISBN 978-0323226981.
- ^ a b Ashley, Florence (2 September 2021). "The clinical irrelevance of "desistance" research for transgender and gender creative youth". Psychology of Sexual Orientation and Gender Diversity. 9 (4): 387–397. doi:10.1037/sgd0000504. ISSN 2329-0390. S2CID 239099559. Archived from the original on 3 March 2022. Retrieved 3 March 2022.
- ^ a b c Karrington, Baer (1 June 2022). "Defining Desistance: Exploring Desistance in Transgender and Gender Expansive Youth Through Systematic Literature Review". Transgender Health. 7 (3): 189–212. doi:10.1089/trgh.2020.0129. ISSN 2688-4887. PMC 9829142. PMID 36643060.
- ^ a b Temple Newhook, Julia; Pyne, Jake; Winters, Kelley; Feder, Stephen; Holmes, Cindy; Tosh, Jemma; Sinnott, Mari-Lynne; Jamieson, Ally; Pickett, Sarah (3 April 2018). "A critical commentary on follow-up studies and "desistance" theories about transgender and gender-nonconforming children". International Journal of Transgenderism. 19 (2): 212–224. doi:10.1080/15532739.2018.1456390. ISSN 1553-2739. S2CID 150338824.
Due to such shifting diagnostic categories and inclusion criteria over time, these studies included children who, by current DSM-5 standards, would not likely have been categorized as transgender (i.e., they would not meet the criteria for gender dysphoria) and therefore, it is not surprising that they would not identify as transgender at follow-up. Current criteria require identification with a gender other than what was assigned at birth, which was not a necessity in prior versions of the diagnosis.
- ^ Steensma, Thomas (2018). "A critical commentary on "A critical commentary on follow-up studies and "desistence" theories about transgender and gender non-conforming children"". International Journal of Transgenderism. 19 (2): 225–230. doi:10.1080/15532739.2018.1468292. S2CID 150062632.
- ^ a b Said, Hashem (3 October 2014). "Young trans people still struggling for social acceptance". Al Jazeera America. Archived from the original on 22 August 2019. Retrieved 21 April 2016.
- ^ Ford Jr., Ron; Ford, Vanessa (3 June 2016). "Opinion | Parents of transgender child: Our magnetic 5-year-old is not a threat to anyone". The Washington Post. Archived from the original on 31 August 2021.
- ^ a b c d Hunt, Jerome; Moodie-Mills, Aisha C. (2012). The unfair criminalization of gay and transgender youth: An overview of the experiences of LGBT Youth in the Juvenile Justice System (Report). Washington, DC: Center for American Progress. Archived from the original on 11 October 2016.
- ^ Catalpa, Jory M.; McGuire, Jenifer K. (1 February 2018). "Family Boundary Ambiguity Among Transgender Youth". Family Relations. 67 (1): 88–103. doi:10.1111/fare.12304. ISSN 1741-3729.
- ^ Le, Victory; Arayasirikul, Sean; Chen, Yea-Hung; Jin, Harry; Wilson, Erin C (1 July 2016). "Types of social support and parental acceptance among transfemale youth and their impact on mental health, sexual debut, history of sex work and condomless anal intercourse". Journal of the International AIDS Society. 19 (3 (Suppl 2)): 20781. doi:10.7448/ias.19.3.20781. ISSN 1758-2652. PMC 4949317. PMID 27431467.
- ^ a b c d Riley, Elizabeth; Sitharthan, Gomathi; Clemson, Lindy; Diamond, Milton (April 2013). "Recognising the needs of gender-variant children and their parents". Sex Education. 13 (6): 644–659. doi:10.1080/14681811.2013.796287. S2CID 146453141.
- ^ a b c "Supporting & Caring for Transgender Children | Human Rights Campaign". Human Rights Campaign. Archived from the original on 29 April 2019. Retrieved 20 April 2018.
- ^ Katz-Wise, Sabra L.; Budge, Stephanie L.; Orovecz, Joe J.; Nguyen, Bradford; Nava-Coulter, Brett; Thomson, Katharine (2017). "Imagining the future: Perspectives among youth and caregivers in the trans youth family study". Journal of Counseling Psychology. 64 (1): 26–40. doi:10.1037/cou0000186. PMC 5224913. PMID 28068129.
- ^ Horton, Cal (2020). "Thriving or Surviving? Raising Our Ambition for Trans Children in Primary and Secondary Schools". Frontiers in Sociology. 5: 67. doi:10.3389/fsoc.2020.00067. PMC 8022833. PMID 33869473.
- ^ Ryan, Caitlin; Russell, Stephen T.; Huebner, David; Diaz, Rafael; Sanchez, Jorge (1 November 2010). "Family Acceptance in Adolescence and the Health of LGBT Young Adults". Journal of Child and Adolescent Psychiatric Nursing. 23 (4): 205–213. doi:10.1111/j.1744-6171.2010.00246.x. ISSN 1744-6171. PMID 21073595.
- ^ a b c Tishelman, Amy C.; Kaufman, Randi; Edwards-Leeper, Laura; Mandel, Francie H.; Shumer, Daniel E.; Spack, Norman P. (February 2015). "Serving transgender youth: Challenges, dilemmas, and clinical examples". Professional Psychology: Research and Practice. 46 (1): 37–45. doi:10.1037/a0037490. PMC 4719579. PMID 26807001.
- ^ Grossman, Arnold H.; D'Augelli, Anthony R. (1 October 2007). "Transgender Youth and Life-Threatening Behaviors". Suicide and Life-Threatening Behavior. 37 (5): 527–537. doi:10.1521/suli.2007.37.5.527. ISSN 1943-278X. PMID 17967119.
- ^ "Family Acceptance Project — Helping LGBT Youths". www.socialworktoday.com. Archived from the original on 24 February 2021. Retrieved 26 January 2021.
- ^ Stevens, Jaime; Gomez-Lobo, Veronica; Pine-Twaddell, Elyse (1 December 2015). "Insurance Coverage of Puberty Blocker Therapies for Transgender Youth". Pediatrics. 136 (6): 1029–1031. doi:10.1542/peds.2015-2849. ISSN 0031-4005. PMID 26527547. Archived from the original on 19 November 2020. Retrieved 3 March 2021.
- ^ Alegría, Christine Aramburu (1 October 2016). "Gender nonconforming and transgender children/youth: Family, community, and implications for practice". Journal of the American Association of Nurse Practitioners. 28 (10): 521–527. doi:10.1002/2327-6924.12363. ISSN 2327-6924. PMID 27031444. S2CID 22374099.
- ^ Mahfouda, Simone; Moore, Julia K; Siafarikas, Aris; Zepf, Florian D; Lin, Ashleigh (2017). "Puberty suppression in transgender children and adolescents". The Lancet Diabetes & Endocrinology. 5 (10). Elsevier BV: 816–826. doi:10.1016/s2213-8587(17)30099-2. ISSN 2213-8587. PMID 28546095. S2CID 10690853.
The few studies that have examined the psychological effects of suppressing puberty, as the first stage before possible future commencement of CSH therapy, have shown benefits."
- ^ Rafferty, Jason (October 2018). "Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents". Pediatrics. 142 (4): e20182162. doi:10.1542/peds.2018-2162. PMID 30224363. Archived from the original on 19 July 2019. Retrieved 23 July 2019.
Often, pubertal suppression...reduces the need for later surgery because physical changes that are otherwise irreversible (protrusion of the Adam's apple, male pattern baldness, voice change, breast growth, etc) are prevented. The available data reveal that pubertal suppression in children who identify as TGD generally leads to improved psychological functioning in adolescence and young adulthood.
- ^ Hembree, Wylie C; Cohen-Kettenis, Peggy T; Gooren, Louis; Hannema, Sabine E; Meyer, Walter J; Murad, M Hassan; Rosenthal, Stephen M; Safer, Joshua D; Tangpricha, Vin; T'Sjoen, Guy G (November 2017). "Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline". The Journal of Clinical Endocrinology & Metabolism. 102 (11): 3881. doi:10.1210/jc.2017-01658. PMID 28945902.
Treating GD/gender-incongruent adolescents entering puberty with GnRH analogs has been shown to improve psychological functioning in several domains
- ^ "Puberty Blockers". www.stlouischildrens.org. Retrieved 18 August 2022.
- ^ Rafferty, Jason (October 2018). "Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents". Pediatrics. 142 (4): e20182162. doi:10.1542/peds.2018-2162. PMID 30224363. Archived from the original on 19 July 2019. Retrieved 23 July 2019.
- ^ a b Rosenthal SM (2016). "Transgender youth: current concepts". Ann Pediatr Endocrinol Metab. 21 (4): 185–192. doi:10.6065/apem.2016.21.4.185. PMC 5290172. PMID 28164070.
- ^ Giovanardi, Guido (1 September 2017). "Buying time or arresting development? The dilemma of administering hormone blockers in trans children and adolescents". Porto Biomedical Journal. 2 (5): 153–156. doi:10.1016/j.pbj.2017.06.001. ISSN 2444-8664. PMC 6806792. PMID 32258611.
- ^ Cite error: The named reference
:122
was invoked but never defined (see the help page). - ^ de Vries, Annelou L. C.; Cohen-Kettenis, Peggy T. (2012). "Clinical management of gender dysphoria in children and adolescents: the Dutch approach". Journal of Homosexuality. 59 (3): 301–320. doi:10.1080/00918369.2012.653300. ISSN 1540-3602. PMID 22455322. S2CID 11731779.
- ^ a b c Shapiro, Lila. "New Report Offers A Look At 'Survival Sex' and the LGBTQ Youth Who Are Turning To It". The Huffington Post. Archived from the original on 26 August 2017. Retrieved 13 May 2017.
- ^ Beattie, Cameron (1 January 2022). "High court should not restrict access to puberty blockers for minors". Journal of Medical Ethics. 48 (1): 71–76. doi:10.1136/medethics-2020-107055. ISSN 0306-6800. PMID 33593872. S2CID 231939788. Archived from the original on 20 January 2022. Retrieved 20 January 2022.
- ^ Kremen, Jessica; Williams, Coleen; Barrera, Ellis P.; Harris, Rebecca M.; McGregor, Kerry; Millington, Kate; Guss, Carly; Pilcher, Sarah; Tishelman, Amy C.; Baskaran, Charumathi; Carswell, Jeremi (1 May 2021). "Addressing Legislation That Restricts Access to Care for Transgender Youth". Pediatrics. 147 (5): e2021049940. doi:10.1542/peds.2021-049940. ISSN 0031-4005. PMID 33883246. S2CID 233351473.
- ^ Hoffman, Neal D.; Alderman, Elizabeth M. (1 December 2021). "Improving Our Understanding of Medical Decision-Making Competence in Puberty Suppression". Pediatrics. 148 (6): e2021053451. doi:10.1542/peds.2021-053451. ISSN 0031-4005. PMID 34850190. S2CID 240421673. Archived from the original on 3 March 2022. Retrieved 20 January 2022.
- ^ Giordano, Simona; Garland, Fae; Holm, Soren (1 May 2021). "Gender dysphoria in adolescents: can adolescents or parents give valid consent to puberty blockers?". Journal of Medical Ethics. 47 (5): 324–328. doi:10.1136/medethics-2020-106999. ISSN 0306-6800. PMID 33692171. S2CID 232172479. Archived from the original on 20 January 2022. Retrieved 20 January 2022.
- ^ Vrouenraets, Lieke Josephina Jeanne Johanna; Fredriks, A. Miranda; Hannema, Sabine E.; Cohen-Kettenis, Peggy T.; de Vries, Martine C. (1 October 2016). "Perceptions of Sex, Gender, and Puberty Suppression: A Qualitative Analysis of Transgender Youth". Archives of Sexual Behavior. 45 (7): 1697–1703. doi:10.1007/s10508-016-0764-9. ISSN 1573-2800. PMC 4987409. PMID 27251640. Archived from the original on 3 March 2022. Retrieved 20 January 2022.
- ^ Clark, Beth A.; Marshall, Sheila K.; Saewyc, Elizabeth M. (1 February 2020). "Hormone therapy decision-making processes: Transgender youth and parents". Journal of Adolescence. 79: 136–147. doi:10.1016/j.adolescence.2019.12.016. ISSN 0140-1971. PMID 31972534. S2CID 210882333. Archived from the original on 3 March 2022. Retrieved 20 January 2022.
- ^ Priest, Maura (1 February 2019). "Transgender Children and the Right to Transition: Medical Ethics When Parents Mean Well but Cause Harm". The American Journal of Bioethics. 19 (2): 45–59. doi:10.1080/15265161.2018.1557276. ISSN 1526-5161. PMID 30784385. S2CID 73456261. Archived from the original on 3 March 2022. Retrieved 20 January 2022.
- ^ "Puberty blockers: Under-16s 'unlikely to be able to give informed consent'". BBC News. December 2020. Archived from the original on 30 December 2020. Retrieved 29 December 2020.
- ^ Siddique, Haroon (17 September 2021). "Appeal court overturns UK puberty blockers ruling for under-16s 17 September 2021". Guardian. Archived from the original on 17 September 2021. Retrieved 17 September 2021.
- ^ a b Milrod, Christine (2014). "How Young is Too Young: Ethical Concerns in Genital Surgery of the Transgender MTF Adolescent". Journal of Sexual Medicine. 11 (2): 338–346. doi:10.1111/jsm.12387. PMID 24238576.
- ^ Diagnostic and Statistical Manual of Mental Disorders IV (PDF). American Psychiatric Association. 1978. pp. 576–582. Archived (PDF) from the original on 4 March 2016. Retrieved 16 December 2015.
- ^ "Malta breaks EU taboo on trans-gender rights". euobserver.com. 17 April 2015. Archived from the original on 25 November 2015. Retrieved 27 October 2015.
- ^ a b c Grossman, Arnold H.; D'augelli, Anthony R. (2006). "Transgender youth: Invisible and vulnerable". Journal of Homosexuality. 51 (1): 111–128. doi:10.1300/j082v51n01_06. PMID 16893828. S2CID 2939809.
- ^ Stein, Edward (2012). "Commentary on the Treatment of Gender Variant and Gender Dysphoric Children and Adolescents: Common Themes and Ethical Reflections". Journal of Homosexuality. 59 (3): 480–500. doi:10.1080/00918369.2012.653316. PMID 22455332. S2CID 26620767.
- ^ a b c Grossman, Arnold H.; D'Augelli, Anthony R. (2007). "Transgender Youth and Life‐Threatening Behaviors". Suicide and Life-Threatening Behavior. 37 (5): 527–537. doi:10.1521/suli.2007.37.5.527. PMID 17967119.
- ^ Tobin, Valerie; Delaney, Kathleen R. (19 May 2019). "Child abuse victimization among transgender and gender nonconforming people: A systematic review". Perspectives in Psychiatric Care. 55 (4). Wiley: 576–583. doi:10.1111/ppc.12398. ISSN 0031-5990. PMID 31104337. S2CID 159038640.
- ^ a b "Gender Minority and Homeless Transgender Population". National Health Care for the Homeless Council: In Focus. 3 (1). 2014.
- ^ "Housing & Homelessness". National Center for Transgender Equality. Archived from the original on 25 November 2015. Retrieved 24 November 2015.
- ^ Halcon, Linda; Lifson, Alan (2004). "Prevalence and predictors of sexual risks among homeless youth". Journal of Youth and Adolescence. 33: 71–80. doi:10.1023/a:1027338514930. ISSN 0047-2891. S2CID 73034882.
- ^ Endocrine Society Guidelines The Journal of Clinical Endocrinology & Metabolism, Volume 102, Issue 11, 1 November 2017, Pages 3869–3903, https://doi.org/10.1210/jc.2017-01658 Archived 3 March 2022 at the Wayback Machine • http://sherbourne.on.ca/wp-content/uploads/2014/02/Guidelines-and-Protocols-for-Comprehensive- Primary-Care-for-Trans-Clients-2015.pdf
- ^ Joseph Kosciw, Caitlin Clark, Leesh Menard, The 2021 National School Climate Survey, GLSEN
- ^ Kosciw, Joseph G.; Greytak, Emily A.; Diaz, Elizabeth M. (2009). "Who, what, where, when, and why: Demographic and ecological factors contributing to hostile school climate for lesbian, gay, bisexual, and transgender youth". Journal of Youth and Adolescence. 38 (7): 976–988. doi:10.1007/s10964-009-9412-1. PMID 19636740. S2CID 14479123.
- ^ Greytak, Emily; Kosciw, Joseph; Diaz, Elizabeth (2009). "The 2009 National School Climate Survey" (PDF). GLSEN Research. Retrieved 29 June 2023.
- ^ a b c d e f g "Peer Violence and Bullying Against transgender and Gender Nonconforming Youth" (PDF). National Center for Transgender Equality. May 2011. Archived (PDF) from the original on 5 October 2016. Retrieved 13 May 2017., citing the 2009 GLSEN report
- ^ Johns, Michelle M. (2019). "Transgender Identity and Experiences of Violence Victimization, Substance Use, Suicide Risk, and Sexual Risk Behaviors Among High School Students — 19 States and Large Urban School Districts, 2017". MMWR. Morbidity and Mortality Weekly Report. 68 (3): 67–71. doi:10.15585/mmwr.mm6803a3. ISSN 0149-2195. PMC 6348759. PMID 30677012.
- ^ "Community Influences on LGBT Student Safety | GLSEN". Archived from the original on 25 March 2016. Retrieved 11 February 2016.
- ^ "Youth & Students | National Center for Transgender Equality". Archived from the original on 19 February 2016. Retrieved 11 February 2016.
- ^ Emily Alpert Reyes (28 January 2014). "Transgender Study Looks At 'Exceptionally High Suicide-Attempt' Rate". Los Angeles Times. Archived from the original on 10 May 2015. Retrieved 13 May 2017.
- ^ Grant, Jaime M.; Mottet, Lisa A.; Tanis, Justin. "Injustice At Every Turn: A Report of the National Transgender Discrimination Survey". Archived from the original on 19 February 2016. Retrieved 6 February 2016.
- ^ Travers, Robb; Bauer, Greta; Pyne, Jake; Bradley, Kaitlin; Gale, Lorraine; Papadimitriou, Maria (2 October 2012). "Impacts of Strong Parental Support for Trans Youth" (PDF). TransPulse Canada.
- ^ Bachmann, S (6 July 2018). "Epidemiology of Suicide and the Psychiatric Perspective". International Journal of Environmental Research and Public Health. 15 (7): 1425. doi:10.3390/ijerph15071425. PMC 6068947. PMID 29986446.
- ^ Virupaksha, HG; Muralidhar, D; Ramakrishna, J (2016). "Suicide and Suicidal Behavior among Transgender Persons". Indian Journal of Psychological Medicine. 38 (6): 505–509. doi:10.4103/0253-7176.194908. PMC 5178031. PMID 28031583.
- ^ Toomey, Russell B.; Syvertsen, Amy K.; Shramko, Maura (11 September 2018). "Transgender Adolescent Suicide Behavior". Pediatrics. 142 (4): e20174218. doi:10.1542/peds.2017-4218. ISSN 0031-4005. PMC 6317573. PMID 30206149.
- ^ Stanley-Becker, Isaac (14 September 2018). "More than half of transgender male adolescents attempt suicide, study says". Washington Post. Archived from the original on 26 November 2018. Retrieved 25 November 2018.
- ^ a b Dank, Meredith (2015). "Locked In. Interactions with the Criminal Justice and Child Welfare Systems for LGBTQ Youth, YMSM, and YWSW Who Engage in Survival Sex" (PDF). Archived (PDF) from the original on 16 January 2017. Retrieved 17 December 2017.
- ^ a b c d Majd, Katayoon; Marksamer, Jody; Reyes, Carolyn (Fall 2009). Hidden Injustice: Lesbian, Gay, Bisexual, and Transgender Youth in Juvenile Courts (PDF) (Report). Legal Services for Children (San Francisco, CA), National Juvenile Defender Center (San Francisco, CA), and National Center for Lesbian Rights (Washington D.C.). Archived (PDF) from the original on 11 December 2020. Retrieved 5 January 2020.
- ^ a b Feinstein, R., Greenblatt, A., Hass, L., Kohn, S., & Rana, J., (2001). A Report on Lesbian, Gay, Bisexual, and Transgendered Youth in the New York Juvenile Justice System. Urban Justice Center, New York, NY.
- ^ a b Woronoff, R., Estrada, R., Sommer, S., & Marzullo, M. A. (2006). Out of the Margins: A Report on Regional Listening Forums Highlighting the Experiences of Lesbian, Gay, Bisexual, Transgender, and Questioning Youth in Care Archived 1 March 2021 at the Wayback Machine. Washington, DC: Child Welfare League of America and New York, NY: Lambda Legal Defense and Education Fund.
- ^ a b Holsinger, Kristi; Hodge, Jessica P. (January 2016). "The Experiences of Lesbian, Gay, Bisexual, and Transgender Girls in Juvenile Justice Systems". Feminist Criminology. 11 (1): 23–47. doi:10.1177/1557085114557071. S2CID 147209339.
- ^ a b "The Global Divide on Homosexuality". Pew Research Center's Global Attitudes Project. 4 June 2013. Archived from the original on 3 November 2013. Retrieved 16 December 2015.
- ^ a b Kohler, Richard (April 2015). "Malta Adopts Ground-breaking Trans and Intersex Law – TGEU Press Release". Transgender Europe. TGEU. Archived from the original on 3 November 2016. Retrieved 3 December 2016.
- ^ "Document | Amnesty International" (PDF). www.amnesty.org. 4 February 2014. Archived from the original on 2 October 2015. Retrieved 27 October 2015.
- ^ "Adolescentes de la CDMX podrán tramitar cambio de género en actas de nacimiento". Expansión Política. 28 August 2021. Retrieved 23 April 2022.
- ^ "Jalisco sancionará terapias de conversión y aprueba ley de identidad de género". El Financiero. 7 April 2022. Retrieved 23 April 2022.
- ^ "Aprueban ley para que desde los 12 años puedan elegir género en Oaxaca". La Jornada. 6 October 2021. Retrieved 23 April 2022.
- ^ "US Supreme Court backs protection for LGBT workers". BBC News. 15 June 2020. Archived from the original on 17 June 2020. Retrieved 1 October 2020.
- ^ "Transgender FAQ | Resources". Human Rights Campaign. Archived from the original on 8 September 2013. Retrieved 27 October 2015.
- ^ "Housing for LGBT People: What You Need to Know About Property Ownership". Human Rights Campaign. Archived from the original on 1 November 2015. Retrieved 27 October 2015.
- ^ Currah, Paisley; Minter, Shannon. "Transgender Equality A HANDBOOK FOR ACTIVISTS AND POLICYMAKERS" (PDF). thetaskforce.org. NGLTF. Archived (PDF) from the original on 13 December 2016. Retrieved 3 December 2016.
- ^ "Being a Transgender Student in the United States: An Uneven Landscape". RH Reality Check. 10 September 2013. Archived from the original on 25 November 2015. Retrieved 27 October 2015.
- ^ Spack, Norman (16 April 2014). "How I Help Transgender Teens Become Who They Want To Be". TED. Archived from the original on 29 September 2015. Retrieved 10 October 2015.
- ^ "National Equality Map". Snapshot: LGBT Equality by State. Transgender Law Center. Archived from the original on 5 September 2015. Retrieved 13 May 2017.
- ^ a b c d "A Wave of Anti-Transgender Legislation". The New York Times. 20 April 2021. ISSN 0362-4331. Archived from the original on 17 May 2021. Retrieved 17 May 2021.
- ^ a b c d Division, News (10 May 2021). "HHS Announces Prohibition on Sex Discrimination Includes Discrimination on the Basis of Sexual Orientation and Gender Identity". HHS.gov. Archived from the original on 13 May 2021. Retrieved 17 May 2021.
{{cite web}}
:|first=
has generic name (help) - ^ Bostock v. Clayton County, No. 17-1618, 590 U.S. ___ (2020).
- ^ Yurcaba, Jo. "Alabama passes bills to target trans minors and LGBTQ classroom discussion". NBC News. Retrieved 8 April 2022.
- ^ "Alabama SB184". trackbill.com. Retrieved 8 April 2022.
- ^ "Doctors and Families to Challenge Alabama's Criminalization of Healthcare for Transgender Children and Adolescents". Human Rights Campaign. 7 April 2022. Retrieved 8 April 2022.
- ^ "Trans* 100 List Highlights Activists That Media Ignores Archived January 4, 2014, at the Wayback Machine". Retrieved January 3, 2014.
- ^ Andalo, Debbie (11 May 2017). "Growing up transgender: 'I wish I could have come out younger'". The Guardian. Archived from the original on 28 August 2018. Retrieved 28 August 2018.
- ^ "Transgender pre-teen Jazz Jennings on Her Documentary". windycitymediagroup.com. 30 November 2011. Archived from the original on 4 September 2014. Retrieved 28 August 2014.
- ^ Diavolo, Lucy (5 November 2018). "21 Under 21: Lily Madigan's Political Moxie Is Fueled by Bigots' Attention". Teen Vogue. Archived from the original on 26 January 2021. Retrieved 3 March 2021.
- ^ Schaffstall, Katherine (10 September 2018). "Transgender 'Supergirl' Actress Talks Transition, Superhero Role on CW Series'". hollywoodreporter.com. Archived from the original on 5 January 2021. Retrieved 3 March 2021.
- ^ Ma Vie en Rose (1997), archived from the original on 28 January 2017, retrieved 18 October 2017
- ^ Hogan, Michael (5 April 2015). "Louis Theroux: Transgender Kids, review: 'excellent storytelling'". The Telegraph. Archived from the original on 10 April 2015. Retrieved 11 April 2015.
External links
- If You Are Concerned About Your Child's Gender Behaviors: A Parent guide. Archived 9 August 2020 at the Wayback Machine A publication of Children's National Medical Center's Outreach Program for Children with Gender-Variant Behavior and Their Families
- ABC News: Understanding Transgender Children
- Transgender Community Questions & Answers With Johanna Olson, MD – CHLA's Transyouth Program
- Case, Kim A.; Meier, S. Colton (January 2014). "Developing Allies to Transgender and Gender-Nonconforming Youth: Training for Counselors and Educators". Journal of LGBT Youth. 11 (1): 62–82. doi:10.1080/19361653.2014.840764. ISSN 1936-1653. S2CID 143135968.