Kim Wyatt, Donise Kathleen R, Brown Katherine A, Cancilliere Mary Kathryn, Chen Elizabeth S
The Warren Alpert Medical School of Brown University, Providence, RI.
Department of Psychiatry and Human Behavior at The Warren Alpert Medical School, Brown University, Providence, RI.
AMIA Jt Summits Transl Sci Proc. 2024 May 31;2024:565-574. eCollection 2024.
Transgender and nonbinary (TGNB) individuals have an increased risk of certain mental health outcomes, such as depression and suicide attempts. This population skews younger in the United States and prior studies have not included TGNB patients for the entire pediatric age range in an emergency department (ED) setting. The present study aimed to examine gender identity documentation in the electronic health record and then use that information to identify and further characterize the pediatric TGNB population presenting to a psychiatric emergency service. Preliminary findings include a greater percentage of TGNB patients compared to non-TGNB individuals who had repeat visits to the ED for high acuity psychiatric concerns. A larger portion of TGNB patients also had at least one evaluation that included suicidal ideation. These results call for increased attention on the quality of mental healthcare for TGNB youth both inside and outside of the ED.
跨性别者和非二元性别者（TGNB）出现某些心理健康问题的风险增加，例如抑郁和自杀未遂。在美国，这一群体年龄偏轻，而此前的研究并未将整个儿科年龄范围的TGNB患者纳入急诊科（ED）环境中进行研究。本研究旨在检查电子健康记录中的性别认同文件，然后利用这些信息识别并进一步描述前往精神科急诊服务的儿科TGNB人群的特征。初步研究结果显示，与非TGNB个体相比，TGNB患者因高 acuity 精神问题再次前往急诊科就诊的比例更高。更大比例的TGNB患者还至少有一次评估包括自杀意念。这些结果呼吁在急诊科内外都要更加关注TGNB青少年的心理健康护理质量。
