Faculty of Education, University of Western Ontario, 1137 Western Rd, London, ON, N6G 1G7, Canada.
School of Public Health Sciences, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L 3G5, Canada.
Child Psychiatry Hum Dev. 2023 Jun;54(3):826-836. doi: 10.1007/s10578-021-01289-1. Epub 2021 Dec 3.
Recent research suggests that transgender and/or gender nonconforming (TGNC) youth present with heightened levels of mental health problems compared to peers. This study seeks to examine the mental health needs of a large sample of treatment-seeking TGNC youth by comparing them to cisgender males and females. Participants were 94,804 children and youth ages 4-18 years (M = 12.1, SD = 3.72) who completed the interRAI Child and Youth Mental Health Instrument (ChYMH) or Screener (ChYMH-S) at participating mental health agencies in the Ontario, Canada. Overall, the mental health presentations of TGNC youth were similar to cisgender females but at higher acuity levels. TGNC youth showed significantly higher levels of anxiety, depression, social disengagement, positive symptoms, risk of suicide/self-harm, and were more likely to report experiencing emotional abuse, past suicide attempts, and a less strong, supportive family relationship than cisgender females and males. Clinical implications of these findings are discussed.
最近的研究表明，与同龄人相比，跨性别和/或性别不一致（TGNC）的年轻人表现出更高水平的心理健康问题。本研究通过将 TGNC 青年与顺性别男性和女性进行比较，旨在检查大量寻求治疗的 TGNC 青年的心理健康需求。参与者为 94804 名 4-18 岁的儿童和青少年（M=12.1，SD=3.72），他们在加拿大安大略省的参与心理健康机构完成了跨性别和非二元青年心理健康评估工具（ChYMH）或筛查器（ChYMH-S）。总体而言，TGNC 青年的心理健康表现与顺性别女性相似，但严重程度更高。TGNC 青年表现出明显更高水平的焦虑、抑郁、社会脱节、阳性症状、自杀/自残风险，并且比顺性别女性和男性更有可能报告经历过情感虐待、过去的自杀企图以及较弱、支持性的家庭关系。讨论了这些发现的临床意义。
