Evidence
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
J Clin Child Adolesc Psychol. 2023 Nov 1:1-11. doi: 10.1080/15374416.2023.2272972. Online ahead of print.
ABSTRACT
Mental health disparities in transgender and gender diverse (TGD) youth are well-documented. These disparities are often studied in the context of minority stress theory, and most of this research focuses on experiences of trauma and discrimination TGD youth experience after coming out. However, TGD youth may be targets of violence and victimization due to perceived gender nonconformity before coming out. In this Future Directions, we integrate research on attachment, developmental trauma, and effects of racism and homophobia on mental health to propose a social-affective developmental framework for TGD youth. We provide a clinical vignette to highlight limitations in current approaches to mental health assessment in TGD youth and to illustrate how using a social-affective developmental framework can improve clinical assessment and treatment approaches and deepen our understanding of mental health disparities in TGD people.
PMID:37910433 | DOI:10.1080/15374416.2023.2272972
![Google](https://www.google.com/images/branding/googlelogo/2x/googlelogo_light_color_92x30dp.png)
![Google Keep](https://www.gstatic.com/images/branding/product/1x/keep_48dp.png)
![Share on Linkedin](https://psychiatryai.com/wp-content/uploads/2023/10/linkedin-logo-png-2048-1.png)
Estimated reading time: 3 minute(s)
Latest: Psychiatryai.com #RAISR4D Evidence
![](/wp-content/uploads/2024/04/bd462cc11bcf0bd0d0d6f1d0f8b7cd04-modified-1.png)
Cool Evidence: Engaging Young People and Students in Real-World Evidence
![](/wp-content/uploads/2024/04/bd462cc11bcf0bd0d0d6f1d0f8b7cd04-modified-1.png)
Real-Time Evidence Search [Psychiatry]
![](/wp-content/uploads/2024/04/pubmed.png)
AI Research
![](/wp-content/uploads/2024/05/Il5nR_nf_400x400-modified-1.png)
Future Directions in the Mental Health of Transgender Youth: Towards a Social-Affective Developmental Model of Health Disparity
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
🌐 90 Days
AI Virtual Reality Related Evidence Matrix
Mental Health Diagnoses and Suicidality Among Transgender Youth in Hospital Settings Evaluation and medical care of intersex and gender diverse youth Examining the Performance of the Sexual Minority Adolescent Stress Inventory with Transgender and Gender-Diverse Youth and Sexual Minority Emerging Adults: A Methodological Study The Role of Psychiatry for Transgender and Gender Diverse Adults Peer Bullying Victimization Trajectories for Sexually and Gender Diverse Youth from Early Childhood to Late Adolescence Effects of Alcohol Use and Minority Stress on Intimate Partner Violence Perpetration among Transgender and Gender Diverse People Characteristics of Youth Presenting for Gender Care Compared to Background Populations: Examination of Social Determinants of Health Childhood Gender Diversity and Mental Health: Protocol for the Longitudinal, Observational Gender Journey Project Despite Higher Rates of Minimally Recommended Depression Treatment, Transgender and Gender Diverse Medicare Beneficiaries with Depression Have Poorer Mental Health Outcomes: Analysis of 2009-2016 Medicare Data "To smoke feels gender": Exploring the transformative and emancipatory capacities of cannabis among transgender, non-binary and gender non-conforming (TGNC) youth "To smoke feels gender": Exploring the transformative and emancipatory capacities of cannabis among transgender, non-binary and gender non-conforming (TGNC) youth Sibling Support for Transgender and Gender-Diverse Youth: A Scoping Review Trajectories of Gender Identity and Depressive Symptoms in Youths Trajectories of Gender Identity and Depressive Symptoms in Youths Physical, Sexual, and Intimate Partner Violence Among Transgender and Gender-Diverse Individuals The pride framework: a sociocultural-developmental approach for understanding LGBTQ+ adolescents' body image and disordered eating Experiences of racism and racial disparities in health care among children and youth with autism and their caregivers: a systematic review Attitudes among physicians towards transgender and gender diverse people in Turkey: Relationship with religiousness, political view and conservatism Attitudes among physicians towards transgender and gender diverse people in Turkey: Relationship with religiousness, political view and conservatism Police Violence Exposure and Traumatic Stress Among Youth: A Systematic Review Addressing the Healthcare Needs of Transgender Youth in the Emergency Department Arrest History and Health Among U.S. Sexual and Gender Minority Youth, 2022 Arrest History and Health Among U.S. Sexual and Gender Minority Youth, 2022 ADHD Prevalence Rose, Yet Disparities Remain: Commentary on the 2022 National Survey of Children's Health ADHD Prevalence Rose, Yet Disparities Remain: Commentary on the 2022 National Survey of Children's Health A Web-Based Intervention to Support the Mental Well-Being of Sexual and Gender Minority Young People: Mixed Methods Co-Design of Oneself Are Differences Evident in the Ways Boys and Girls Appraise and Interpret Their Traumatic Experiences? A Qualitative Analysis of Youth Trauma Narratives Differences in Subjective Transition Outcomes Between Transgender and Gender-Diverse Individuals Who Completed Mandatory Psychiatric Assessment and Those Who Received Gender-Affirmative Medical Treatment in Croatia: A Cross-Sectional Online Survey Mental Health of Transgender Youth Following Gender Identity Milestones by Level of Family Support "You Have to Humanize Your feelings:" Black fathers' Reflections on How Youth Violence Prevention and Penetrations Influence Their Overall Health and Fathering Practices "You Have to Humanize Your feelings:" Black fathers' Reflections on How Youth Violence Prevention and Penetrations Influence Their Overall Health and Fathering Practices Bullying Victimization is Associated with Heightened Rates of Anxiety and Depression Among Autistic and ADHD Youth: National Survey of Children's Health 2016-2020 Officer gunpoint during police stops: Repercussions for youth mental health and perceived safety The Potential of Minimum Wage Increases to Reduce Youth Homicide Disparities: Diminishing Returns for Black Youth Cultural continuity, identity, and resilience among indigenous youth: Honoring the legacies of Michael Chandler and Christopher Lalonde Disparities in Psychiatric Emergency Department Boarding of Children and Adolescents Knowledge gaps in existing research exploring sexual fluidity and mental health among young adults Socio-Economic Status and Bullying Victimization in India: A Study About Social Misfit and Minority Perception The role of recurrent trauma on post-traumatic stress disorder symptoms and substance use among trauma exposed youth Asian Rainbow Youth in New Zealand: Protective Factors Coping with ethnic-racial discrimination: Protective-reactive effects of shift-and-persist coping on internalizing symptoms among Black American adolescents "We Followed their Lead": Exploring Relational Change and Support among Caregivers of Transgender and Gender Diverse Youth Clarifying the Links between Perceived Stress and Depressiveness: a Longitudinal Study of COVID-19's Effects on Adolescents in Germany Caregiver-Youth Communication Patterns and Sexual and Reproductive Health Among American Indian Youth A Scoping Review of the Intersectionality of Autism and Intellectual and Developmental Disability with Social Inequity on Diagnosis and Treatment of Youth A Scoping Review of the Intersectionality of Autism and Intellectual and Developmental Disability with Social Inequity on Diagnosis and Treatment of Youth The Association Between Sexual Violence and Suicidal Ideation Among Transgender Women and the Role of Gender-Affirming Healthcare Providers in Seven Urban Areas in the United States, 2019 to 2020 The Risk for Readmission to Juvenile Detention: The Role of Trauma Exposure and Trauma-related Mental Health Disorders Conceptualizing disparities and differences in the psychobiology of traumatic stress The roles of dating and victimization on adverse mental health among teens: Survey findings during the COVID-19 pandemic The mental and behavioral health crisis in youth: Strategic solutions post COVID-19 pandemic: An American Academy of Nuring consensus paper Trauma Exposure and Post-Traumatic Stress Disorder Among Youth in a High-Risk Family Study: Associations with Maternal and Paternal Alcohol Use Disorder Development of a family-level intervention for families with transgender and/or nonbinary youth: Lessons and recommendations Trans and Gender-Diverse Latinx Individuals in the Southern United States: Experiences With Violence and Service Utilization Immigration stress and internalizing symptoms among Latinx and Asian American students: The roles of school climate and community violence Examining the Risks of Multiple Types of Interpersonal Victimization for Transgender and Gender Non-Conforming College Students Developmental couple therapy for complex trauma: Results of an implementation pilot study Supporting Youth Exposed to Violence in the Post-Pandemic: Prevention and Intervention Strategies Discontinuities in and Perceptions of Mental Health Service Path of Violent Young Offenders: A Qualitative Descriptive Study P-Factor(s) for Youth Psychopathology Across Informants and Models in 24 Societies Discontinuities in and Perceptions of Mental Health Service Path of Violent Young Offenders: A Qualitative Descriptive Study Youth mental health care use during the COVID-19 pandemic in Alberta, Canada: an interrupted time series, population-based study Youth mental health care use during the COVID-19 pandemic in Alberta, Canada: an interrupted time series, population-based study Anxiety sensitivity among Black youth: A cross-sectional analysis of the direct and indirect effects of community violence exposure, neighborhood risk, parenting practices, and peer effects
Evidence Blueprint
Future Directions in the Mental Health of Transgender Youth: Towards a Social-Affective Developmental Model of Health Disparity
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
☊ AI-Driven Related Evidence Nodes
(recent articles with at least 5 words in title)
More Evidence
![](https://psychiatryai.com/wp-content/uploads/2023/04/psychiatryai_com.webp)
Future Directions in the Mental Health of Transgender Youth: Towards a Social-Affective Developmental Model of Health Disparity
🌐 365 Days
AI Virtual Reality Related Evidence Matrix
Puberty Assessment and Consideration of Gonadotropin-Releasing Hormone Agonists in Transgender and Gender-Diverse Youth Mental Health Diagnoses and Suicidality Among Transgender Youth in Hospital Settings Exploring the Minnesota Multiphasic Personality Inventory (MMPI)-3 in a transgender and gender diverse sample How social is social media for transgender and gender-diverse youth? Association of online social experiences with internalizing mental health problems Self-Reported Sexual Behavior of Transgender Youth Evaluation and medical care of intersex and gender diverse youth Social media use and experiences among transgender and gender diverse adolescents Examining the Performance of the Sexual Minority Adolescent Stress Inventory with Transgender and Gender-Diverse Youth and Sexual Minority Emerging Adults: A Methodological Study The Workplace Experiences of Transgender and Gender Diverse Employees: A Systematic Literature Review Using the Minority Stress Model Cognitive and Developmental Profiles Associated with Self-Reported Sexual and Gender Minority Stigmatization Among Binary Transgender Adolescents The Role of Psychiatry for Transgender and Gender Diverse Adults The Role of Psychiatry for Transgender and Gender Diverse Adults The Role of Psychiatry for Transgender and Gender Diverse Adults Experiences of stress and social safety among sexual and gender minority youth by disability status Key Challenges and Potential Strategies for Engaging Youth with Lived Experience in Clinical Science Identifying protective factors for gender diverse adolescents' mental health Peer Bullying Victimization Trajectories for Sexually and Gender Diverse Youth from Early Childhood to Late Adolescence Gender minority stress and diurnal cortisol profiles among transgender and gender diverse people in the United States Non-affirmation minority stress, internalized transphobia, and subjective cognitive decline among transgender and gender diverse veterans aged 45 years and older Autistic and non-autistic transgender youth are similar in gender development and sexuality phenotypes Changes in Gender Dysphoria, Interpersonal Minority Stress, and Mental Health Among Transgender Youth After One Year of Hormone Therapy Effects of Alcohol Use and Minority Stress on Intimate Partner Violence Perpetration among Transgender and Gender Diverse People Characteristics of Youth Presenting for Gender Care Compared to Background Populations: Examination of Social Determinants of Health Childhood Gender Diversity and Mental Health: Protocol for the Longitudinal, Observational Gender Journey Project Estimate and needs of the transgender adult population: the SPoT study Mental Health and Marginalization Stress in Transgender and Gender Diverse Adults: Differences between Urban and Non-Urban Experiences Common Intersection of Autism and Gender Diversity in Youth: Clinical Perspectives and Practices Barriers to fertility preservation access in transgender and gender diverse adolescents: a narrative review Despite Higher Rates of Minimally Recommended Depression Treatment, Transgender and Gender Diverse Medicare Beneficiaries with Depression Have Poorer Mental Health Outcomes: Analysis of 2009-2016 Medicare Data An Intersectional Exploration of Outness, Encountered Discrimination and Violence, and Non-Suicidal Self-Injury among Asexual Youth across Gender Identities Individual Affirming Care: Psychological and Social Approaches to Trans and Gender-Diverse Youth An Intersectional Exploration of Outness, Encountered Discrimination and Violence, and Non-Suicidal Self-Injury among Asexual Youth across Gender Identities Gender Experiences of Transgender Youth: How Changeable is the Gender Experience of Binary vs. Nonbinary Identifying Transgender Youth and What Factors Are Involved? "To smoke feels gender": Exploring the transformative and emancipatory capacities of cannabis among transgender, non-binary and gender non-conforming (TGNC) youth "To smoke feels gender": Exploring the transformative and emancipatory capacities of cannabis among transgender, non-binary and gender non-conforming (TGNC) youth Online Group Psychotherapy to Increase Self-acceptance and Reduce Shame Among Transgender Migrants: An Observational Report Sibling Support for Transgender and Gender-Diverse Youth: A Scoping Review Trajectories of Gender Identity and Depressive Symptoms in Youths Trajectories of Gender Identity and Depressive Symptoms in Youths Self-harm and suicidality among trans and gender diverse youth from culturally and linguistically diverse backgrounds-A scoping review Lower levels of social support are associated with risk for future suicide attempts in a clinical sample of transgender and gender diverse adults Physical, Sexual, and Intimate Partner Violence Among Transgender and Gender-Diverse Individuals Extending Gender- and Sex-Based Analyses in Cannabis Research: Findings from an Online Sample of Gender Diverse Young Adult Consumers The pride framework: a sociocultural-developmental approach for understanding LGBTQ+ adolescents' body image and disordered eating Experiences of racism and racial disparities in health care among children and youth with autism and their caregivers: a systematic review Effect of gender identity on the association between gender dysphoria and suicidality via appearance anxiety among transgender and gender-diverse young people: moderated mediation study Disparities in Behaviors and Experiences Among Transgender and Cisgender High School Students - 18 U.S. States, 2021 Attitudes among physicians towards transgender and gender diverse people in Turkey: Relationship with religiousness, political view and conservatism Attitudes among physicians towards transgender and gender diverse people in Turkey: Relationship with religiousness, political view and conservatism Police Violence Exposure and Traumatic Stress Among Youth: A Systematic Review Addressing the Healthcare Needs of Transgender Youth in the Emergency Department The Impact of Gender Affirming Medical Care During Adolescence on Adult Health Outcomes Among Transgender and Gender Diverse Individuals in the United States: The Role of State-Level Policy Stigma The Transgender and Gender Diverse and Attention Deficit Hyperactivity Disorder Nexus: A Systematic Review Comparing eating disorder treatment outcomes of transgender and gender diverse adolescents with those of cisgender adolescents Gender-Affirming Medical Treatments Linking trauma to mental health in the statewide Texas Youth Depression and Suicide Research Network (TX-YDSRN) Symptom Severity and Health Impacts of Functional Tic-Like Behaviors in Youth Cascading Influences of Caregiver Experiences of Discrimination and Adolescent Antisocial Behavior Arrest History and Health Among U.S. Sexual and Gender Minority Youth, 2022 Arrest History and Health Among U.S. Sexual and Gender Minority Youth, 2022 ADHD Prevalence Rose, Yet Disparities Remain: Commentary on the 2022 National Survey of Children's Health ADHD Prevalence Rose, Yet Disparities Remain: Commentary on the 2022 National Survey of Children's Health Addressing Structural Racism in Child and Adolescent Psychiatry in Psychotherapy A Web-Based Intervention to Support the Mental Well-Being of Sexual and Gender Minority Young People: Mixed Methods Co-Design of Oneself