Referanser

Referenser; 

behandling av barn och ungdom

Vad är ROGD:


Littman L. "Rapid-onset gender dysphoria in adolescents and young adults: A study of parental reports". PLoS One. 2018 13

e0202330. doi: 10.1371/journal.pone.0202330. eCollection 2018.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6095578/


Ingen evidens att hormonbehandling och “könskorrigering”ger förbättrad hälsa eller livskvalitet.


(Viktigaste studien, utredning beställd av UK, West Midlands “Landsting” och The Guardian för att utvärdera nyttan av “könskorrigeringar”)

ARIF studie (Univ Birmingham, professional statistics centre)

genderchallenge: Artikler

https://www.theguardian.com/society/2004/jul/30/health.mentalhealth


(sid 3, avsnit 1.4 par 3 "Det foreligger lite evidensbasert kunnskap når det gjelder effekt av helsehjelp til personer som har plager og ubehag ved kjønnsdysfori").

"Rett til rett Kjønn", 2015, (Rapport från Norska Helsedirektoratet ) https://www.regjeringen.no/contentassets/d3a092a312624f8e88e63120bf886e1a/rapport_juridisk_kjonn_100415.pdf


(Deras slutsats är att behandling av ungdomar inte är evidensbaserad och måste anses vara experimentell)

https://blogs.bmj.com/bmjebmspotlight/2019/02/25/gender-affirming-hormone-in-children-and-adolescents-evidence-review/?fbclid=IwAR1QarwLnObg2l30e60EDkk9Ji4j4eO8b3PXAIu5cQUH2EK0W7vI03NP3gU


http://womanmeanssomething.com/transition-as-treatment-the-best-studies-show-the-worst-outcomes/?fbclid=IwAR26vuu2yWEEdjXA5t1vc_exg6QqcmVJbrzgOdTF-Jp4XW4Q3YiktmZZa9A


(Chefspsykiater, Johns Hopkins Medical Center, efter 40 år med "könskorrigeringar")

Paul McHugh, "Transgender Surgery Isn't the Solution", Wall St Journal, 13 may, 2016.

https://www.wsj.com/articles/paul-mchugh-transgender-surgery-isnt-the-solution-1402615120


De flesta barn/ ungdomar växer av sig könsinkongruens under puberteten ...(men om man ger pubertetsblockare så blir 100% fast i könsdysfori !)


(Review 12 studier som alla visar samma sak)

James Cantor, Sexology Today, "Do trans- kids stay trans- when they grow up?" 2016. January 11.

http://www.sexologytoday.org/2016/01/do-trans-kids-stay-trans-when-they-grow_99.html

Full kommentar:  James Cantor, Sexology Today, 2017, 15 december

http://www.sexologytoday.org/2017/12/faulty-statistics-on-how-many-trans.html


Steensma, T. D., McGuire, J. K., Kreukels, B. P. C., Beekman, A. J., & Cohen-Kettenis, P. T. (2013). "Factors associated with desistence and persistence of childhood gender dysphoria: A quantitative follow-up study". Journal of the American Academy of Child and Adolescent Psychiatry, 52, 582–590.


(Pubertetsblockare gör att 100% av behandlade barn blir kvar i könsdysfori!)

Paul W. Hruz, Lawrence S. Mayer, and Paul R. McHugh, "Growing Pains: Problems with Puberty Suppression in Treating Gender Dysphoria," The New Atlantis. 2017. 52: pp. 3-36.

https://www.thenewatlantis.com/publications/growing-pains


Suicidrisk minskar inte efter könsinkongruens bekräftande operation och hormonbehandling


(Suicid minskar inte utan ökar något efter könskorrigering, ca x20 högre än “normal”)

Dhejne C, Lichtenstein P, Boman M, Johansson AL, Långström N, Landén M.

"Long-term follow-up of transsexual persons undergoing sex reassignment surgery: cohort study in Sweden". PLoS One. 2011. 6:e16885.

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0016885


Adams N, Hitomi M, Moody C.  "Varied Reports of Adult Transgender Suicidality: Synthesizing and Describing the Peer-Reviewed and Gray Literature". Transgend Health. 2017. 2:60-75. 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5436370/


Stora risker och medicinska biverkningar av pubertetsblockare och hormonbehandling


(Rapport från Brittiska National Health Service/ Tavistock 2019: Ingen evidens för positiv effekt. För flickor: Pubertetsblockare förvärrar suicid-tankar, dysfori, självskada).

https://www.transgendertrend.com/tavistock-experiment-puberty-blockers/


(Transsexuella med hormonbehandlingar 2-3 ggr större risk för stroke, bekräftar tidigare slutsats från Nat.Inst.Health (NIH), USA).

Nienke M. Nota , Chantal M. Wiepjes , Christel J.M. de Blok , Louis J.G. Gooren , Baudewijntje P.C. Kreukels , Martin den Heijer

"Occurrence of Acute Cardiovascular Events in Transgender Individuals Receiving Hormone Therapy
Results From a Large Cohort Study". Circulation. 2019. 139:1461–1462

https://www.hormonesmatter.com/lupron-reproductive-injury/?fbclid=IwAR3A2KDCgTF_6CNtCewbiOVXYAzDMAHg7MLRiIZGikFsbtIFQj7RDQxvDac


Getahun D, Nash R, et al. "Cross-sex Hormones and Acute Cardiovascular Events in Transgender Persons: A Cohort Study". Ann Intern Med. 2018. 169:205-213.


(Minnet försämras med pubertetsblockare).

Schneider MA, Spritzer PM, Soll BMB, Fontanari AMV, Carneiro M, Tovar-Moll F, Costa AB, da Silva DC, Schwarz K,, Anes M, Tramontina S, Lobato MIR. "Brain Maturation, Cognition and Voice Pattern in a Gender Dysphoria Case under Pubertal Suppression". Front Hum Neurosci. 2017. 11:528.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5694455/


(Meta studie från Göteborg, summering på svenska: Saknas evidence att "quality of life" förbättras).

https://alfresco.vgregion.se/alfresco/service/vgr/storage/node/content/workspace/SpacesStore/441006af-62a7-4f19-be73-6d698bf635f5/2018_102%20Rapport%20K%c3%b6nsdysfori.pdf?a=false&guest=true&fbclid=IwAR2_BBlVfFBKok9XZ7JiTXfwOfTgcCXIzAySkh6wlXUJK8s_L_8XZy-tdIA


Mul D, Versluis-den Bieman HJ, Slijper FM, Oostdijk W, Waelkens JJ, Drop SL. "Psychological assessments before and after treatment of early puberty in adopted children". Acta Paediatr. 2001. 90:965-71.


http://www.drlaidlaw.com/site/gender-sanity/press-releases/JCEM.html?fbclid=IwAR2Ty4hwOhVIIwfdWKZoKV6msR5KED84ya2iUi0Kr93gunG44OOMjwM77zo


Chew D, Anderson J, Williams K, et al. "Hormonal Treatment in Young People With Gender Dysphoria: A Systematic Review. Pediatrics". 2018. 141(4):e20173742


(Literatur review. Slutsats: "..protocol is founded upon an unscientific gender ideology, lacks an evidence base, and violates the long-standing ethical principle of “First do no harm.”)

"Gender Dysphoria in Children. American College of Pediatricians". nov 2018

https://www.acpeds.org/the-college-speaks/position-statements/gender-dysphoria-in-children


Mycket hög samsjuklighet (komorbiditet) med psykiatrisk problematik


(Procent beteckningarna anger hur många som uppvisar psykisk sjukdom/problematik samsjuklighet vid upplevd könsinkongruens. MtF=Male-to-Female, FtM = Female-to-Male).


75%. MtF & FtM, (d v s även flickor – överrepresenterade! Visar att psykisk problematik och könsdysfori ökat kraftigt för flickor)

Kaltiala-Heino R, Sumia M, Työläjärvi M, Lindberg N. "Two years of gender identity service for minors: overrepresentation of natal girls with severe problems in adolescent development". Child Adolesc Psychiatry Ment Health. 2015 Apr 9;9:9. doi: 10.1186/s13034-015-0042-y. eCollection 2015.


30% MtF

Goddard JC, Vickery RM, Qureshi A, Summerton DJ, Khoosal D, Terry TR. "Feminizing genitoplasty in adult transsexuals: early and long-term surgical results". BJU Int. 2007;100:607-613. reassignment surgery (30).


49% MtF

Löwenberg H, Lax H, Neto RR, Krege S. "Complications, subjective satisfaction and sexual experience by gender reassignment surgery in male-to-female transsexual". Z Sexualforsch. 2010;23:328-347.


46.9% MtF, (Citat från artikeln: "The authors of the study stress the great importance of including personality assessment in standard GID diagnostic procedures, as presence or absence of psychiatric disease comorbidity is one of the contributing factors to the successful or unsuccessful SRS outcome" ).

Hess J. et al. "It is also possible that the positive results of our survey represent patients’ wish for social desirability rather than the real situation". Dtsch Arztebl Int. 2014 Nov; 111(47): 795-801.


66.6% MtF, 46% FtM.

Duišin D, Batinić B, Barišić J, Djordjevic ML, Vujović S, Bizic M."Personality disorders in persons with gender identity disorder."

ScientificWorldJournal. 2014;2014:809058. doi: 10.1155/2014/809058. Epub 2014 May 13.


77% MtF,  23% FtM.

Madeddu F, Prunas A, Hartmann D. "Prevalence of axis II disorders in a sample of clients undertaking psychiatric evaluation for sex reassignment surgery". Psychiatric Quarterly. 2009. 80:261-267


Autistiska symptom vanliga vid könsdysfori, många ångrare


(Många referenser i denna review, ett av de främsta forskningscentra för transsexualism).

van der Miesen AIR, de Vries ALC, Steensma TD, Hartman CA. "Autistic Symptoms in Children and Adolescents with Gender Dysphoria". J Autism Dev Disord. 2018. 48:1537-1548

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889781/


Strang JF, Powers MD, Knauss M, Sibarium E, Leibowitz SF, Kenworthy L, Sadikova E, Wyss S, Willing L, Caplan R, Pervez N, Nowak J, Gohari D, Gomez-Lobo V, Call D, Anthony LG. "They Thought It Was an Obsession: Trajectories and Perspectives of Autistic Transgender and Gender-Diverse Adolescents". J Autism Dev Disord. 2018;48:4039-4055.


(US Survey, mer än 27,000 svarare. 11% MtF gjort officiell detransition, ångrare är sannolikt mångdubbelt fler, x5 högre än vad ANOVA/ KI rapporterar). 

Quora: How common is it for transgender people to regret their gender transition, possibly to the point of transitioning back? 

https://www.quora.com/How-common-is-it-for-transgender-people-to-regret-their-gender-transition-possibly-to-the-point-of-transitioning-back

Summary of the US Survey:  http://www.ustranssurvey.org/reports#USTS


(UK NHS, Tavistock: 9,5% "öppet" ångrare vid debut av könsdyfori under tonåren).
Churcher Clarke, A., Spiliadis, A. ‘Taking the lid off the box’: The value of extended clinical assessment for adolescents presenting with gender identity difficulties. 2019. https://doi.org/10.1177/1359104518825288

 

Full psykiatrisk utredning (av kliniskt erfarna Psykiatriker och team av experter) måste föregå affirmativ behandling


(Slutsatsen är från Endocrinological Society. Deras punkt 1.1 & 1.2 i artikeln. Artikeln är samtidigt "International Guidelines" och är skriven av de internationellt mest erfarna och starkaste centra i forskning & behandling av transsexualism).

Wylie C Hembree Peggy T Cohen-Kettenis Louis Gooren Sabine E Hannema Walter J Meyer M Hassan Murad Stephen M Rosenthal Joshua D Safer Vin Tangpricha Guy G T’Sjoen. "Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline". The Journal of Clinical Endocrinology & Metabolism, 102: 3869–3903,

https://doi.org/10.1210/jc.2017-01658


GENID Skandinavia

 

Gender Identity Challenge - Skandinavia. 

Org.nr 802519-9087

Bankgiro: 5337-7321

Swish: 1235403357

Stockholm