eprintid: 10187308 rev_number: 8 eprint_status: archive userid: 699 dir: disk0/10/18/73/08 datestamp: 2024-02-15 12:55:52 lastmod: 2024-02-15 12:55:52 status_changed: 2024-02-15 12:55:52 type: article metadata_visibility: show sword_depositor: 699 creators_name: Khadr, Sophie creators_name: Masic, Una creators_name: Clarke, Venetia creators_name: Lynn, Richard M creators_name: Holt, Victoria creators_name: Carmichael, Polly title: Key socio-demographic characteristics of children and adolescents with gender dysphoria: A British Isles surveillance study ispublished: pub divisions: UCL divisions: B02 divisions: D13 divisions: G25 keywords: Gender dysphoria, child, adolescent, mental health, transgender, gender diverse, gender distress note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. abstract: The present research used linked surveillance systems (British Paediatric Surveillance Unit; and the Child and Adolescent Psychiatry Surveillance System) over a 19 month period (1 November 2011–31 May 2013) to notify of young people (4–15.9 years) presenting to secondary care (paediatrics or child and adolescent mental health services) or specialist gender services with features of gender dysphoria (GD). A questionnaire about socio-demographic, mental health, and GD features was completed. Presence of GD was then assessed by experts in the field using then-current criteria (DSM-IV-TR). Incidence across the British Isles was 0.41–12.23 per 100,000. 230 confirmed cases of GD were noted; the majority were white (94%), aged ≥12 years (75.3%), and were assigned female at birth (57.8%). Assigned males presented most commonly in pre-adolescence (63.2%), and assigned females in adolescence (64.7%). Median age-of-onset of experiencing GD was 9.5 years (IQR 5-12); the majority reported long-standing features (2–5 years in 36.1%, ≥5 years in 26.5%). Only 82.5% attended mainstream school. Bullying was reported in 47.4%, previous self-harm in 35.2%, neurodiversity in 16%, and 51.5% had ≥1 mental health condition. These findings suggest GD is rare within this age group but that monitoring wellbeing and ensuring support for co-occurring difficulties is vital. date: 2022-10 date_type: published publisher: SAGE PUBLICATIONS INC official_url: http://dx.doi.org/10.1177/13591045221108840 oa_status: green full_text_type: other language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 2087659 doi: 10.1177/13591045221108840 medium: Print-Electronic lyricists_name: Lynn, Richard lyricists_id: RMLYN29 actors_name: Mustafa, Adelat actors_id: AMUST21 actors_role: owner funding_acknowledgements: [Tavistock and Portman NHS Foundation Trust] full_text_status: public publication: Clinical Child Psychology and Psychiatry volume: 27 number: 4 pagerange: 1106-1123 pages: 18 event_location: England issn: 1359-1045 citation: Khadr, Sophie; Masic, Una; Clarke, Venetia; Lynn, Richard M; Holt, Victoria; Carmichael, Polly; (2022) Key socio-demographic characteristics of children and adolescents with gender dysphoria: A British Isles surveillance study. Clinical Child Psychology and Psychiatry , 27 (4) pp. 1106-1123. 10.1177/13591045221108840 <https://doi.org/10.1177/13591045221108840>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10187308/1/Lynn_1Blind%20Final%20GD%20Surveillance%20paper.pdf