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Commentary on: Taylor J, Hall R, Heathcote C, et al (2024). Clinical guidelines for children and adolescents experiencing gender dysphoria or incongruence: a systematic review of guideline quality (part 1)Archives of Disease in Childhood Published Online First: 09 April 2024. doi: 10.1136/archdischild-2023–3 26 499
Implications for practice and research Clinicians should exercise caution when following clinical guidelines for managing gender dysphoria in youth due to concerns about methodological issues and evidence quality. Research on long-term outcomes of interventions is urgently needed to inform robust and transparent guidelines, incorporating input from gender diverse youth and families.
The visibility and acceptance of transgender identities have increased, leading to more young individuals questioning their gender or identifying as transgender.
Commentary on: Roden R C, Billman M, Francesco A, Mullin R, Tassi C, Wozolek B, Heppard B, Essayli J, & Stuckey-Peyrot H (2024). Treatment goals of adolescents and young adults for gender dysphoria. Pediatrics, 153(1), e2023062202. https://doi.org/10.1542/peds.2023-062202.
Implications for practice and research Clinicians should individualise gender-affirming care for transgender and non-binary adolescents, respecting their specific medical and surgical treatment goals as presented at initial healthcare appointments. Future research should separately analyse the distinct treatment aspirations of gender-diverse (‘eclectic’) adolescents to refine clinical guidelines and inform public policy.
An increasing number of adolescents and young adults seek medical care for gender affirmation.
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