Trans adolescents' mental health

a scoping review

Authors

  • Noelia Núñez-Descalzo Servicio de Radiodiagnóstico del Hospital Clínico Universitario Lozano Blesa, Servicio Aragonés de Salud
  • Ángel Gasch-Gallén Universidad de Zaragoza, Departamento de Fisiatría y Enfermería (Facultad de Ciencias de la Salud) https://orcid.org/0000-0002-3087-8899
  • Carlos Navas-Ferrer Universidad de Zaragoza, Departamento de Fisiatría y Enfermería (Facultad de Ciencias de la Salud) https://orcid.org/0000-0003-2887-7835

DOI:

https://doi.org/10.46661/relies.11297

Keywords:

Transgender Persons, Gender Identity, Mental Health, Systematic Review

Abstract

The aim of this scoping review was to identify the scope and nature of the existing literature on the mental health of transgender adolescents in Europe and to explore the role of nurses in their care. The following databases were used: MEDLINE, Web of Science, Scopus, Cuiden Plus, LILACS, and the Cochrane Library. A total of 12 studies published between 2013 and 2024 were included, focusing on the mental health of European transgender individuals aged 13 to 17. The main themes addressed in the studies analysed included suicide, gender dysphoria, and internalising and externalising problems. Transgender adolescents experience greater psychological distress compared to their cisgender peers. Notably, family relationships and peer interactions were identified as protective or risk factors for the mental health issues faced by transgender adolescents. No information was found regarding the role of nurses in supporting transgender adolescents through the transition process.

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References

American Psychological Association. (2011). Respuestas a sus preguntas: Sobre las personas trans, la identidad de género y la expresión de género. https://www.apa.org/topics/lgbtq/brochure-personas-trans.pdf

Arksey, H., y O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19-32. https://doi.org/10.1080/1364557032000119616 DOI: https://doi.org/10.1080/1364557032000119616

Arnoldussen, M., Steensma, T. D., Popma, A., van der Miesen, A. I. R., Twisk, J. W. R., y de Vries, A. L. C. (2020). Re-evaluation of the Dutch approach: Are recently referred transgender youth different compared to earlier referrals? European Child y Adolescent Psychiatry, 29(6), 803-8011. https://doi.org/10.1007/s00787-019-01394-6 DOI: https://doi.org/10.1007/s00787-019-01394-6

Carrasco-Medina, J., Defossez, D., (2019). Estatus jurídicos de las personas transexuales en la Unión Europea y Latinoamérica. Revista Científica Uisrael, 6(3), 24-42. https://doi.org/10.35290/rcui.v6n3.2019.99 DOI: https://doi.org/10.35290/rcui.v6n3.2019.99

Ciria-Barreiro, E., Moreno-Maldonado, C., Rivera, F., y Moreno, C. (2021). A Comparative Study of Health and Well-being Among Cisgender and Binary and Nonbinary Transgender Adolescents in Spain. LGBT Health, 8(8), p536-p544. https://doi.org/10.1089/lgbt.2020.0477 DOI: https://doi.org/10.1089/lgbt.2020.0477

Conn, B., Chen, D., Olson-Kennedy, J., Chan, Y., Ehrensaft, D., Garofalo, R., Rosenthal, S., Tishelman, A., & Hidalgo, M. (2023). High Internalized Transphobia and Low Gender Identity Pride Are Associated With Depression Symptoms Among Transgender and Gender-Diverse Youth. The Journal of adolescent health: official publication of the Society for Adolescent Medicine. https://doi.org/10.1016/j.jadohealth.2023.02.036 DOI: https://doi.org/10.1016/j.jadohealth.2023.02.036

de Graaf, N. M., Cohen-Kettenis, P. T., Carmichael, P., de Vries, A. L. C., Dhondt, K., Laridaen, J., Pauli, D., Ball, J., y Steensma, T. D. (2018). Psychological functioning in adolescents referred to specialist gender identity clinics across Europe: A clinical comparison study between four clinics. European Child y Adolescent Psychiatry, 27(7), 909-919. SPRINGER. https://doi.org/10.1007/s00787-017-1098-4 DOI: https://doi.org/10.1007/s00787-017-1098-4

de Graaf, N. M., Steensma, T. D., Carmichael, P., VanderLaan, D. P., Aitken, M., Cohen Kettenis, P. T., de Vries, A. L. C., Kreukels, B. P. C., Wasserman, L., Wood, H., y Zucker, K. J. (2022). Suicidality in clinic-referred transgender adolescents. European Child y Adolescent Psychiatry, 31(1), 67-83. https://doi.org/10.1007/s00787-020-01663-9 DOI: https://doi.org/10.1007/s00787-020-01663-9

de Vries, A. L. C., Steensma, T. D., Cohen-Kettenis, P. T., VanderLaan, D. P., y Zucker, K. J. (2016). Poor peer relations predict parent- and self-reported behavioral and emotional problems of adolescents with gender dysphoria: A cross-national, cross clinic comparative analysis. European Child y Adolescent Psychiatry, 25(6), 579- 588. https://doi.org/10.1007/s00787-015-0764-7 DOI: https://doi.org/10.1007/s00787-015-0764-7

Federación Estatal LGTBI+. FELGTBI+. https://felgtbi.org/ . Accedido el 30 de abril de 2024.

Fernández-Rodríguez, M., Guerra-Mora, P., y Martín-Sánchez, E. (2017). Características de los adolescentes con disforia de género remitidos a la Unidad de Tratamiento de Identidad de Género. Revista Española de Salud Pública, 91, e201701016.

Foucault, M. (2008). Historia de la sexualidad. 1. La voluntad de saber. Siglo veintiuno. Heino, E., Froid, S., Marttunen, M., y Kaltiala, R. (2023). Transgender identity is associated with severe suicidal ideation among Finnish adolescents. International Journal of Adolescent Medicine and Health, 35(1), 101-108. https://doi.org/10.1515/ijamh-2021-0018 DOI: https://doi.org/10.1515/ijamh-2021-0018

Gil-Borrelli, C, Velasco, C, Martí-Pastor, M, y Latasa, P. (2018). La identidad de género, factor de desigualdad olvidado en los sistemas de información de salud de España. Gaceta Sanitaria, 32(2), 184-186. https://dx.doi.org/10.1016/j.gaceta.2017.10.004 DOI: https://doi.org/10.1016/j.gaceta.2017.10.004

Herrmann, L., Barkmann, C., Bindt, C., Fahrenkrug, S., Breu, F., Grebe, J., y Becker Hebly, I. (2024). Binary and Non-binary Gender Identities, Internalizing Problems, and Treatment Wishes Among Adolescents Referred to a Gender Identity Clinic in Germany. Archives of Sexual Behavior, 53(1), 91-106. https://doi.org/10.1007/s10508-023-02674-8 DOI: https://doi.org/10.1007/s10508-023-02674-8

Kaltiala-Heino, R., Työläjärvi, M., y Lindberg, N. (2019). Gender dysphoria in adolescent population: A 5-year replication study. Clinical Child Psychology and Psychiatry, 24(2), 379-387. https://doi.org/10.1177/1359104519838593 DOI: https://doi.org/10.1177/1359104519838593

Kirkbride, J. B., Anglin, D. M., Colman, I., Dykxhoorn, J., Jones, P. B., Patalay, P., Pitman, A., Soneson, E., Steare, T., Wright, T., y Griffiths, S. L. (2024). The social determinants of mental health and disorder: Evidence, prevention and recommendations. World Psychiatry, 23(1), 58-90. https://doi.org/10.1002/wps.21160 DOI: https://doi.org/10.1002/wps.21160

LeVasseur, J. J. (2002). A phenomenological study of the art of nursing: Experiencing the turn. ANS. Advances in Nursing Science, 24(4), 14-26. https://doi.org/10.1097/00012272-200206000-00007 DOI: https://doi.org/10.1097/00012272-200206000-00007

Ley 18/2018, de 20 de diciembre, de igualdad y protección integral contra la discriminación por razón de orientación sexual, expresión e identidad de género en la Comunidad Autónoma de Aragón. Boletín Oficial del Estado, 50, de 27 de febrero de 2019. https://www.boe.es/buscar/act.php?id=BOE-A-2019-2712

Littman, L. (2018). Rapid-onset gender dysphoria in adolescents and young adults: A study of parental reports. / Parent reports of adolescents and young adults perceived to show signs of a rapid onset of gender dysphoria. [sic]. PLoS ONE, 13(8), e0202330. https://doi.org/10.1371/journal.pone.0202330 DOI: https://doi.org/10.1371/journal.pone.0202330

Medico, D., Pullen Sansfaçon, A., Zufferey, A., Galantino, G., Bosom, M., y Suerich Gulick, F. (2020). Pathways to gender affirmation in trans youth: A qualitative and participative study with youth and their parents. Clinical Child Psychology and Psychiatry, 25(4), 1002-1014. https://doi.org/10.1177/1359104520938427 DOI: https://doi.org/10.1177/1359104520938427

Meleis, A. I. (2012). Theoretical nursing: Development and progress (5ª ed.), Wolters Kluwer: Philadelphia.

Menéndez-Osorio, F. (2020). Suicidio: Clínica o voluntad de morir. Cuadernos de Psiquiatría comunitaria, 17(1), 11-26. https://dialnet.unirioja.es/servlet/articulo?codigo=7692017

Ministerio de Sanidad, Servicios Sociales e Igualdad. (2018). Glosario de términos sobre diversidad afectivo sexual. https://www.sanidad.gob.es/ciudadanos/enfLesiones/enfTransmisibles/sida/docs/glos arioDiversidad110418.pdf

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097 DOI: https://doi.org/10.1371/journal.pmed.1000097

Pérez-Barrero, S. A. (2005). Los mitos sobre el suicidio. La importancia de conocerlos. Revista Colombiana de Psiquiatría, 34(3), 386-394. http://www.scielo.org.co/scielo.php?script=sci_abstractypid=S0034-74502005000300005ylng=enynrm=isoytlng=es

Puckett, J., Tornello, S., Mustanski, B., & Newcomb, M. (2021). Gender Variations, Generational Effects, and Mental Health of Transgender People in Relation to Timing and Status of Gender Identity Milestones. Psychology of sexual orientation and gender diversity, 9 2, 165-178. https://doi.org/10.1037/SGD0000391 DOI: https://doi.org/10.1037/sgd0000391

Restar A. J. (2020). Methodological Critique of Littman's (2018) Parental-Respondents Accounts of "Rapid-Onset Gender Dysphoria". Archives of sexual behavior, 49(1), 61–66. https://doi.org/10.1007/s10508-019-1453-2 DOI: https://doi.org/10.1007/s10508-019-1453-2

Ristori, J., Rossi, E., Cocchetti, C., Mazzoli, F., Castellini, G., Vignozzi, L., Ricca, V., Maggi, M., y Fisher, A. D. (2020). Sexual habits among Italian transgender adolescents: A cross-sectional study. International Journal of Impotence Research, 33(7), 687-693. https://doi.org/10.1038/s41443-021-00427-6 DOI: https://doi.org/10.1038/s41443-021-00427-6

Thoma, B., Jardas, E., Choukas-Bradley, S., & Salk, R. (2022). Perceived Gender Transition Progress, Gender Congruence, and Mental

Health Symptoms Among Transgender Adolescents. The Journal of adolescent health: official publication of the Society for Adolescent Medicine. https://doi.org/10.1016/j.jadohealth.2022.09.032 DOI: https://doi.org/10.1016/j.jadohealth.2022.09.032

Vale-Nieves, O. (2019). Disforia de género: La psicopatologización de las sexualidades alternas. Quaderns de Psicologia, 21(2), e1478. https://doi.org/10.5565/rev/qpsicologia.1478 DOI: https://doi.org/10.5565/rev/qpsicologia.1478

Van Cauwenberg, G., Dhondt, K., y Motmans, J. (2020). Ten years of experience in counselling gender diverse youth in Flanders, Belgium. A clinical overview. International Journal of Impotence Research, 33(7), 671-678. https://doi.org/10.1038/s41443-021-00441-8 DOI: https://doi.org/10.1038/s41443-021-00441-8

Vrouenraets, L. J. J. J., de Vries, A. L. C., de Vries, M. C., van der Miesen, A. I. R., y Hein, I. M. (2021). Assessing Medical Decision-Making Competence in Transgender Youth. Pediatrics, 148(6), e2020049643. https://doi.org/10.1542/peds.2020-049643 DOI: https://doi.org/10.1542/peds.2020-049643

Published

2025-04-25

How to Cite

Núñez-Descalzo, N., Gasch-Gallén, Ángel, & Navas-Ferrer, C. (2025). Trans adolescents’ mental health: a scoping review. RELIES: Revista Del Laboratorio Iberoamericano Para El Estudio Sociohistórico De Las Sexualidades, 1–19. https://doi.org/10.46661/relies.11297

Issue

Section

Disidencias sexuales y de género