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A large, population-based study in the May 2018 Pediatrics found high
prevalence of anxiety, depression and attention deficit disorders among
transgender and gender non-conforming children and adolescents. For the study,
“Mental Health of Transgender and Gender Non-Conforming Youth Compared
with their Peers”, researchers used electronic medical records to identify
a cohort of 588 transfeminine and 745 transmasculine children (ages 3 to 9
years) and adolescents (ages 10 to 17 years) enrolled in integrated health care
systems in California and Georgia. In nearly all case, mental health
diagnoses were several-fold higher among transgender/gender non-conforming
youth than among matched reference groups. The most common diagnoses overall
were attention deficit disorder (transfeminine 15 percent; transmasculine 16
percent) and depressive disorder (transfeminine 49 percent; transmasculine 62
percent). Broken down by age group, gender nonconforming children tended to
have a higher prevalence of anxiety and attention deficit disorders. In the
adolescent group, attention deficit disorders and anxiety disorders were
similarly common, but the diagnostic category with the highest prevalence in
this age group was depressive disorders (found in 49 percent of transfeminine
and 62 percent of transmasculine subjects). Most worrisome, authors said, was
the high frequency of suicidal thoughts and self-harm among the
transgender/gender non-conforming adolescents, highlighting the importance of
prompt evaluations and interventions to help save lives. Additional
Information from HealthyChildren.org:Gender Identity Development in
ChildrenTransgender/Non-Conforming Youth Experience Lower Rates of Preventive
Health CareMental Health and Teens: Watch for Danger SignsGay, Lesbian, and
Bisexual Teens: Facts for Teens and Their Parents
