Skip Nav Destination
Pediatric Collections: LGBTQ+: Support and Care (Part 3: Caring for Transgender Children)
By
American Academy of Pediatrics
American Academy of Pediatrics
Search for other works by this author on:
American Academy of Pediatrics
ISBN electronic:
978-1-61002-542-3
ISBN print:
978-1-61002-541-6
Publication date:
May 2021
Part 3 of this first-of-its-kind 3-part series helps show how pediatric primary care providers (PPCPs) are uniquely situated to screen, identify, and care for transgender and gender-diverse youths.
Pediatric Collections: LGBTQ+: Support and Care (Part 3: Caring for Transgender Children)
By: American Academy of Pediatrics
https://doi.org/10.1542/9781610025423
ISBN (print): 978-1-61002-541-6
ISBN (electronic): 978-1-61002-542-3
Publisher: American Academy of Pediatrics
Published: 2021
Download citation file:
Table of Contents
-
Caring for Transgender Childrenp3-4ByMichelle Forcier, MD, MPH;Michelle Forcier, MD, MPHAAP Section on LGBT Health and Wellness; Professor, Division of Pediatrics, Alpert School of Medicine, Brown University, Providence RI with an acknowledgements of my privilege as a white, able, queer, gender-expansive and medically educated person living in land belonging to Narragansett, Wampanoag, Niantic, Nipmuc, Pequot indigenous peoples.Search for other works by this author on:Ilana Sherer, MDIlana Sherer, MDAAP Section on LGBT Health and Wellness, Pediatrician, Palo Alto Medical Foundation, Clinical Faculty, Pediatrics, University of California San Francisco. White, queer, cisgender, educated person living on Ohlone land.Search for other works by this author on:
-
Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescentsp5-18ByJason Rafferty, MD, MPH, EdM, FAAPJason Rafferty, MD, MPH, EdM, FAAPDepartment of Pediatrics, Hasbro Children’s Hospital, Providence, Rhode Island; Thundermist Health Centers, Providence, Rhode Island; and Department of Child Psychiatry, Emma Pendleton Bradley Hospital, East Providence, Rhode IslandSearch for other works by this author on:
-
Primary Care Considerations for Transgender and Gender-Diverse Youthp19-34ByJason R. Rafferty, MD, MPH, EdM;Jason R. Rafferty, MD, MPH, EdM‡Warren Alpert Medical School of Brown University, Providence, RI†Rhode Island Hospital/Hasbro Children’s Hospital, Providence, RI*Thundermist Health Centers, Woonsocket, RISearch for other works by this author on:Abigail A. Donaldson, MD;Abigail A. Donaldson, MD‡Warren Alpert Medical School of Brown University, Providence, RI†Rhode Island Hospital/Hasbro Children’s Hospital, Providence, RISearch for other works by this author on:Michelle Forcier, MD, MPHMichelle Forcier, MD, MPH‡Warren Alpert Medical School of Brown University, Providence, RI†Rhode Island Hospital/Hasbro Children’s Hospital, Providence, RISearch for other works by this author on:
-
Mental Health, Drug, and Violence Interventions for Sexual/Gender Minorities: A Systematic Reviewp35-54ByRobert W. S. Coulter, PhD, MPH;Robert W. S. Coulter, PhD, MPHaDepartment of Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PennsylvaniabCenter for LGBT Health Research, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PennsylvaniacDepartment of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PennsylvaniadDepartment of Pediatrics, School of Medicine, University of Pittsburgh and Division of Adolescent and Young Adult Medicine, UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PennsylvaniaSearch for other works by this author on:James E. Egan, PhD, MPH;James E. Egan, PhD, MPHaDepartment of Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PennsylvaniabCenter for LGBT Health Research, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PennsylvaniaSearch for other works by this author on:Suzanne Kinsky, MPH, PhD;Suzanne Kinsky, MPH, PhDaDepartment of Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PennsylvaniabCenter for LGBT Health Research, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PennsylvaniaeCenter for High-Value Health Care, UPMC, Pittsburgh, PennsylvaniaSearch for other works by this author on:M. Reuel Friedman, PhD;M. Reuel Friedman, PhDbCenter for LGBT Health Research, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PennsylvaniafDepartment of Infectious Diseases and Microbiology, University of Pittsburgh, Pittsburgh, PennsylvaniaSearch for other works by this author on:Kristen L. Eckstrand, MD, PhD;Kristen L. Eckstrand, MD, PhDgDepartment of Psychiatry University of Pittsburgh, Pittsburgh, PennsylvaniaSearch for other works by this author on:Jessica Frankeberger, MPH;Jessica Frankeberger, MPHaDepartment of Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PennsylvaniaSearch for other works by this author on:Barbara L. Folb, MM, MLS, MPH;Barbara L. Folb, MM, MLS, MPHaDepartment of Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PennsylvaniahHealth Sciences Library System, University of Pittsburgh, Pittsburgh, PennsylvaniaSearch for other works by this author on:Christina Mair, PhD;Christina Mair, PhDaDepartment of Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PennsylvaniaSearch for other works by this author on:Nina Markovic, PhD;Nina Markovic, PhDbCenter for LGBT Health Research, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PennsylvaniaiDepartment of Dental Public Health, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PennsylvaniaSearch for other works by this author on:Anthony Silvestre, PhD;Anthony Silvestre, PhDbCenter for LGBT Health Research, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PennsylvaniaSearch for other works by this author on:Ron Stall, PhD, MPH;Ron Stall, PhD, MPHaDepartment of Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PennsylvaniabCenter for LGBT Health Research, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PennsylvaniaSearch for other works by this author on:Elizabeth Miller, MD, PhDElizabeth Miller, MD, PhDaDepartment of Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PennsylvaniadDepartment of Pediatrics, School of Medicine, University of Pittsburgh and Division of Adolescent and Young Adult Medicine, UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PennsylvaniaSearch for other works by this author on:
-
Ethical Issues in Gender-Affirming Care for Youthp55-63ByLaura L. Kimberly, MSW, MBE;Laura L. Kimberly, MSW, MBEaDivision of Medical Ethics, Department of Population Health, New York University School of Medicine, New York, New YorkbHansjörg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, New YorkSearch for other works by this author on:Kelly McBride Folkers, MA;Kelly McBride Folkers, MAaDivision of Medical Ethics, Department of Population Health, New York University School of Medicine, New York, New YorkSearch for other works by this author on:Phoebe Friesen, PhD;Phoebe Friesen, PhDcEthox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, United KingdomSearch for other works by this author on:Darren Sultan, BA;Darren Sultan, BAbHansjörg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, New YorkSearch for other works by this author on:Gwendolyn P. Quinn, PhD;Gwendolyn P. Quinn, PhDaDivision of Medical Ethics, Department of Population Health, New York University School of Medicine, New York, New YorkdDepartment of Obstetrics and Gynecology, New York University School of Medicine, New York, New YorkSearch for other works by this author on:Alison Bateman-House, PhD, MPH, MA;Alison Bateman-House, PhD, MPH, MAaDivision of Medical Ethics, Department of Population Health, New York University School of Medicine, New York, New YorkSearch for other works by this author on:Brendan Parent, JD;Brendan Parent, JDaDivision of Medical Ethics, Department of Population Health, New York University School of Medicine, New York, New YorkSearch for other works by this author on:Craig Konnoth, JD, MPhil;Craig Konnoth, JD, MPhileColorado Law, University of Colorado, Boulder, ColoradoSearch for other works by this author on:Aron Janssen, MD;Aron Janssen, MDfDepartment of Child and Adolescent Psychiatry, and New York University School of Medicine, New York, New YorkSearch for other works by this author on:Lesha D. Shah, MD;Lesha D. Shah, MDfDepartment of Child and Adolescent Psychiatry, and New York University School of Medicine, New York, New YorkSearch for other works by this author on:Rachel Bluebond-Langner, MD;Rachel Bluebond-Langner, MDbHansjörg Wyss Department of Plastic Surgery, New York University School of Medicine, New York, New YorkSearch for other works by this author on:Caroline Salas-Humara, MDCaroline Salas-Humara, MDgDepartment of Pediatrics, New York University School of Medicine, New York, New YorkSearch for other works by this author on:
-
Hormonal Treatment and Cardiovascular Risk Profile in Transgender Adolescentsp64-72ByMaartje Klaver, MD, PhD;Maartje Klaver, MD, PhDaAmsterdam University Medical Center, Amsterdam, NetherlandsSearch for other works by this author on:Renée de Mutsert, PhD;Renée de Mutsert, PhDbLeiden University Medical Center, Leiden, NetherlandsSearch for other works by this author on:Maria A.T.C. van der Loos, MD;Maria A.T.C. van der Loos, MDaAmsterdam University Medical Center, Amsterdam, NetherlandsSearch for other works by this author on:Chantal M. Wiepjes, MD;Chantal M. Wiepjes, MDaAmsterdam University Medical Center, Amsterdam, NetherlandsSearch for other works by this author on:Jos W.R. Twisk, PhD;Jos W.R. Twisk, PhDaAmsterdam University Medical Center, Amsterdam, NetherlandsSearch for other works by this author on:Martin den Heijer, MD, PhD;Martin den Heijer, MD, PhDaAmsterdam University Medical Center, Amsterdam, NetherlandsSearch for other works by this author on:Joost Rotteveel, MD, PhD;Joost Rotteveel, MD, PhDaAmsterdam University Medical Center, Amsterdam, NetherlandsSearch for other works by this author on:Daniel T. Klink, MD, PhDDaniel T. Klink, MD, PhDcGhent University Hospital, Ghent, BelgiumSearch for other works by this author on:
-
Mental Health and Timing of Gender-Affirming Carep73-80ByJulia C. Sorbara, MD, MSc;Julia C. Sorbara, MD, MScaDivision of Endocrinology, The Hospital for Sick Children and University of Toronto, Toronto, Ontario, CanadabDepartment of Pediatrics, The Hospital for Sick Children and University of Toronto, Toronto, Ontario, CanadaSearch for other works by this author on:Lyne N. Chiniara, MD;Lyne N. Chiniara, MDaDivision of Endocrinology, The Hospital for Sick Children and University of Toronto, Toronto, Ontario, CanadaSearch for other works by this author on:Shelby Thompson, MD;Shelby Thompson, MDbDepartment of Pediatrics, The Hospital for Sick Children and University of Toronto, Toronto, Ontario, CanadaSearch for other works by this author on:Mark R. Palmert, MD, PhDMark R. Palmert, MD, PhDaDivision of Endocrinology, The Hospital for Sick Children and University of Toronto, Toronto, Ontario, CanadabDepartment of Pediatrics, The Hospital for Sick Children and University of Toronto, Toronto, Ontario, CanadacDepartment of Physiology, Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaSearch for other works by this author on:
-
Challenges in Timing Puberty Suppression for Gender-Nonconforming Adolescentsp81-82ByAnnelou L.C. de Vries, MD, PhDAnnelou L.C. de Vries, MD, PhDDepartment of Child and Adolescent Psychiatry, Amsterdam University Medical Centers, Location VUMC, Amsterdam, NetherlandsSearch for other works by this author on:
-
Timing of Puberty Suppression and Surgical Options for Transgender Youthp83-90ByTim C. van de Grift, MD, MBA, PhD;Tim C. van de Grift, MD, MBA, PhDaDepartment of Plastic, Reconstructive and Hand Surgery, Vrije Universiteit Medical Center, Amsterdam, NetherlandsbAmsterdam Public Health Research Institute, Amsterdam, NetherlandsdDepartment of Child and Adolescent Psychiatry, Vrije Universiteit Medical Center, Amsterdam, NetherlandsSearch for other works by this author on:Zosha J. van Gelder, MD;Zosha J. van Gelder, MDaDepartment of Plastic, Reconstructive and Hand Surgery, Vrije Universiteit Medical Center, Amsterdam, NetherlandsSearch for other works by this author on:Margriet G. Mullender, MBA, PhD;Margriet G. Mullender, MBA, PhDaDepartment of Plastic, Reconstructive and Hand Surgery, Vrije Universiteit Medical Center, Amsterdam, NetherlandsdDepartment of Child and Adolescent Psychiatry, Vrije Universiteit Medical Center, Amsterdam, NetherlandsSearch for other works by this author on:Thomas D. Steensma, PhD;Thomas D. Steensma, PhDbAmsterdam Public Health Research Institute, Amsterdam, NetherlandsdDepartment of Child and Adolescent Psychiatry, Vrije Universiteit Medical Center, Amsterdam, NetherlandsSearch for other works by this author on:Annelou L.C. de Vries, MD, PhD;Annelou L.C. de Vries, MD, PhDcDepartment of Medical Psychology and Sexology, Vrije Universiteit Medical Center, Amsterdam, NetherlandsdDepartment of Child and Adolescent Psychiatry, Vrije Universiteit Medical Center, Amsterdam, NetherlandsSearch for other works by this author on:Mark-Bram Bouman, MD, PhDMark-Bram Bouman, MD, PhDaDepartment of Plastic, Reconstructive and Hand Surgery, Vrije Universiteit Medical Center, Amsterdam, NetherlandsdDepartment of Child and Adolescent Psychiatry, Vrije Universiteit Medical Center, Amsterdam, NetherlandsSearch for other works by this author on:
-
Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideationp91-98ByJack L. Turban, MD, MHS;Jack L. Turban, MD, MHSaDepartment of Psychiatry, Massachusetts General Hospital, Boston, MassachusettsSearch for other works by this author on:Dana King, ALM;Dana King, ALMbThe Fenway Institute, Boston, MassachusettsSearch for other works by this author on:Jeremi M. Carswell, MD;Jeremi M. Carswell, MDcDivision of Endocrinology, Boston Children’s Hospital, Boston, MassachusettsSearch for other works by this author on:Alex S. Keuroghlian, MD, MPHAlex S. Keuroghlian, MD, MPHaDepartment of Psychiatry, Massachusetts General Hospital, Boston, MassachusettsbThe Fenway Institute, Boston, MassachusettsSearch for other works by this author on:
-
Body Dissatisfaction and Mental Health Outcomes of Youth on Gender-Affirming Hormone Therapyp101-109ByLaura E. Kuper, PhD;Laura E. Kuper, PhDaChildren’s Health Systems of Texas, Dallas, TexasbUniversity of Texas Southwestern Medical Center, Dallas, TexasSearch for other works by this author on:Sunita Stewart, PhD;Sunita Stewart, PhDaChildren’s Health Systems of Texas, Dallas, TexasbUniversity of Texas Southwestern Medical Center, Dallas, TexasSearch for other works by this author on:Stephanie Preston, MD;Stephanie Preston, MDbUniversity of Texas Southwestern Medical Center, Dallas, TexasSearch for other works by this author on:May Lau, MD, MPH;May Lau, MD, MPHaChildren’s Health Systems of Texas, Dallas, TexasbUniversity of Texas Southwestern Medical Center, Dallas, TexasSearch for other works by this author on:Ximena Lopez, MDXimena Lopez, MDaChildren’s Health Systems of Texas, Dallas, TexasbUniversity of Texas Southwestern Medical Center, Dallas, TexasSearch for other works by this author on:
-
Mental Health of Transgender Children Who Are Supported in Their Identitiesp110-117ByKristina R. Olson, PhD;Kristina R. Olson, PhDDepartment of Psychology, University of Washington, Seattle, WashingtonSearch for other works by this author on:Lily Durwood, BA;Lily Durwood, BADepartment of Psychology, University of Washington, Seattle, WashingtonSearch for other works by this author on:Madeleine DeMeules, BA;Madeleine DeMeules, BADepartment of Psychology, University of Washington, Seattle, WashingtonSearch for other works by this author on:Katie A. McLaughlin, PhDKatie A. McLaughlin, PhDDepartment of Psychology, University of Washington, Seattle, WashingtonSearch for other works by this author on:
-
Social Transition: Supporting Our Youngest Transgender Childrenp118-119ByIlana Sherer, MDIlana Sherer, MDPalo Alto Medical Foundation, Dublin, California; and Child and Adolescent Gender Center, Benioff Children’s Hospital, University of California, San Fransisco, CaliforniaSearch for other works by this author on:
