Department of Psychiatry, University of California, San Francisco (Smith); National LGBT Health Education Center, Fenway Institute, Boston (Goldhammer, Keuroghlian); Department of Psychiatry, Massachusetts General Hospital, Boston (Keuroghlian).
Psychiatr Serv. 2019 Jan 1;70(1):65-67. doi: 10.1176/appi.ps.201800232. Epub 2018 Oct 18.
Transgender people who experience serious mental illness represent a uniquely vulnerable population. Because of limited research, however, recommendations for treating this population are scarce. In this article, the authors describe the challenge of recognizing gender dysphoria in people with serious mental illness. They then discuss why existing evidence and clinical experience support provision of gender-affirming medical and surgical treatments for transgender people who have serious mental illness and also demonstrate capacity to make informed medical decisions. More research is needed to develop evidence-based treatments and programs for transgender people with serious mental illness.
跨性别者如果同时患有严重的精神疾病，他们的处境会变得尤为脆弱。但由于相关研究有限，目前针对这一人群的治疗建议还十分缺乏。本文作者描述了在严重精神疾病患者中识别性别焦虑的挑战。他们还讨论了为什么现有证据和临床经验支持为患有严重精神疾病且有能力做出明智医疗决策的跨性别者提供性别肯定的医疗和手术治疗。需要进一步的研究来为患有严重精神疾病的跨性别者开发基于证据的治疗方法和项目。
