Difference in Psychiatric Hospital Admissions Between Cisgender and Transgender and Gender Nonconforming Youth, Before and During the Start of the COVID-19 Pandemic.

IF 2.3 3区 医学 Q2 PSYCHIATRY
Child Psychiatry & Human Development Pub Date : 2025-04-01 Epub Date: 2023-07-19 DOI:10.1007/s10578-023-01571-4
Dalton Martin, Sean Lynch, Timothy D Becker, Parul Shanker, Paige Staudenmaier, Alicia Leong, Timothy Rice
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引用次数: 0

Abstract

This retrospective study of 1101 children and adolescents examines differences in psychiatric admissions between cisgender and transgender/gender nonconforming (TGNC) youth between June 2018 and November 2021. Sociodemographic and clinical characteristics for each admission were extracted from medical records. We compared proportion of total admissions and clinical characteristics between cisgender and TGNC youth, during specified time frames of pre-COVID-19, during quarantine, and post-quarantine. During quarantine, 294 (89.9%) youth identified as cisgender and 33 (10.1%) youth identified as TGNC. Post-quarantine, 205 (88.4%) youth identified as cisgender and 27 (11.6%) identified as TGNC. TGNC patients had more history of mood disorders (p < 0.001), self-injurious behavior (p < 0.001), and suicide attempt (p = 0.007), whereas cisgender patients had more history of Attention-deficit/Hyperactivity Disorder (ADHD) (p = 0.011) and violence (p < 0.001) across each time frame of the study. TGNC patients were more likely to be admitted due to suicidal ideation (p = 0.003), whereas cisgender patients were more often admitted for aggression (p < 0.001). There was no change across COVID-19 time periods in terms of any psychiatric history variable among patients identifying as TGNC. The proportion of admitted youth identifying as TGNC increased by 8.1% from pre-COVID-19 to post-quarantine (p < 0.001). These findings suggest that TGNC youth might be particularly vulnerable to mental health crises when faced with pandemic-related stressors. Further research on the vulnerabilities of TGNC youth during sudden and extreme social changes and how this can impact their mental health is necessary, as global pandemics could and are anticipated to repeat.

Abstract Image

在COVID-19大流行开始之前和期间,顺性别、跨性别和性别不符合青年在精神病院住院的差异
这项对1101名儿童和青少年的回顾性研究调查了2018年6月至2021年11月期间顺性别和跨性别/性别不符合(TGNC)青少年在精神病入院方面的差异。从医疗记录中提取每次入院的社会人口学和临床特征。我们比较了顺性别和TGNC青年在covid -19前、隔离期间和隔离后的特定时间框架内的总入院比例和临床特征。在隔离期间,294名(89.9%)青年被确定为顺性别,33名(10.1%)青年被确定为TGNC。隔离后,205名(88.4%)青年被确定为顺性别,27名(11.6%)青年被确定为TGNC。TGNC患者有更多的情绪障碍史(p
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来源期刊
CiteScore
0.50
自引率
3.40%
发文量
174
期刊介绍: Child Psychiatry & Human Development is an interdisciplinary international journal serving the groups represented by child and adolescent psychiatry, clinical child/pediatric/family psychology, pediatrics, social science, and human development. The journal publishes research on diagnosis, assessment, treatment, epidemiology, development, advocacy, training, cultural factors, ethics, policy, and professional issues as related to clinical disorders in children, adolescents, and families. The journal publishes peer-reviewed original empirical research in addition to substantive and theoretical reviews.
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