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Some claim that rising rates of referrals to gender clinics are driven by an increasing number of adolescents with adverse childhood experiences ‘mistakenly’ labelling themselves as transgender and seeking medical transition, which is purported to be unlikely to alleviate their psychological distress. The proposed project will therefore examine changes from 2002 to 2022 in proportions of adolescents seeking care who are exposed to adverse childhood experiences, as well as whether exposure to such events in childhood limits the efficacy of gender-affirming care in reducing psychological distress into young adulthood. This work may lead to trauma-informed approaches to care.
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