Kaltiala-Heino Riittakerttu, Sumia Maria, Työläjärvi Marja, Lindberg Nina
University of Tampere, School of Medicine, 33014 University of Tampere, Tampere, Finland ; Department of Adolescent Psychiatry, Tampere University Hospital, 33380 Pitkäniemi, Finland.
Department of Adolescent Psychiatry, Tampere University Hospital, 33380 Pitkäniemi, Finland.
Child Adolesc Psychiatry Ment Health. 2015 Apr 9;9:9. doi: 10.1186/s13034-015-0042-y. eCollection 2015.
Increasing numbers of adolescents present in adolescent gender identity services, desiring sex reassignment (SR). The aim of this study is to describe the adolescent applicants for legal and medical sex reassignment during the first two years of adolescent gender identity team in Finland, in terms of sociodemographic, psychiatric and gender identity related factors and adolescent development.
Structured quantitative retrospective chart review and qualitative analysis of case files of all adolescent SR applicants who entered the assessment by the end of 2013.
The number of referrals exceeded expectations in light of epidemiological knowledge. Natal girls were markedly overrepresented among applicants. Severe psychopathology preceding onset of gender dysphoria was common. Autism spectrum problems were very common.
The findings do not fit the commonly accepted image of a gender dysphoric minor. Treatment guidelines need to consider gender dysphoria in minors in the context of severe psychopathology and developmental difficulties.
在青少年性别认同服务机构中，希望进行性别重置（SR）的青少年数量不断增加。本研究的目的是描述芬兰青少年性别认同团队成立头两年中申请法律和医学性别重置的青少年情况，包括社会人口统计学、精神病学和性别认同相关因素以及青少年发育情况。
对2013年底进入评估阶段的所有青少年性别重置申请人的病例档案进行结构化定量回顾性图表审查和定性分析。
根据流行病学知识，转诊人数超出预期。申请人群中出生时被认定为女性的比例明显过高。性别焦虑症发作前出现严重精神病理学症状很常见。自闭症谱系问题非常普遍。
研究结果不符合性别焦虑症未成年人的普遍认知形象。治疗指南需要在严重精神病理学和发育困难的背景下考虑未成年人的性别焦虑症。
