Changes to Measures of Social Transition, Support, Health Professional Use, Medication Use, Family Functioning, and Suicidality After Attending FASST in the One-Group, Pre- and Post-FASST Study
| . | Pre-FASST . | Post-FASST . | Difference Between Pre- and Post-FASSTa . | |||||
|---|---|---|---|---|---|---|---|---|
| n . | % (n) . | n . | % (n) . | n . | Changeb (%) . | 95% CI (%) . | P . | |
| Full transition | ||||||||
| Overall | 135 | 33.3 (45) | 133 | 51.9 (69) | 142 | 18.5 | 9.7 to 27.3 | <.001 |
| Full transition of the following | ||||||||
| Name | 126 | 45.2 (57) | 125 | 66.4 (83) | 137 | 19.0 | 9.7 to 28.3 | <.001 |
| Pronouns | 133 | 42.9 (57) | 133 | 60.9 (81) | 142 | 15.8 | 7.1 to 24.5 | <.001 |
| Look | 133 | 69.2 (92) | 132 | 75.0 (99) | 142 | 6.2 | −1.8 to 14.1 | .128 |
| Full transition at the following | ||||||||
| Home | 135 | 43.7 (59) | 133 | 62.4 (83) | 142 | 17.0 | 8.0 to 25.9 | <.001 |
| School | 134 | 42.5 (57) | 128 | 59.4 (76) | 141 | 14.8 | 6.1 to 23.5 | .001 |
| Online | 118 | 66.9 (79) | 125 | 73.6 (92) | 135 | 5.4 | −4.0 to 14.9 | .260 |
| Concerns regarding social transition | ||||||||
| Knowledge | 137 | 24.8 (34) | 135 | 15.6 (21) | 142 | −10.6 | −19.8 to −1.5 | .023 |
| Safety | 137 | 65.7 (90) | 135 | 57.0 (77) | 142 | −7.4 | −18.1 to 3.3 | .175 |
| Support | 137 | 60.6 (83) | 135 | 40.0 (54) | 142 | −18.4 | −29.2 to −7.5 | .001 |
| Full support from the following: | ||||||||
| Familyc | 136 | 77.9 (106) | 135 | 82.2 (111) | 141 | 4.0 | −3.5 to 11.6 | .298 |
| Friends | 126 | 96.0 (121) | 126 | 96.8 (122) | 137 | 0 | 0 to 0 | .997 |
| Teachers | 124 | 67.7 (84) | 124 | 73.4 (91) | 136 | 5.0 | −4.9 to 15.0 | .324 |
| Health professional used | ||||||||
| General practitioner | 139 | 78.4 (109) | 134 | 75.4 (101) | 142 | −5.1 | −12.3 to 20.0 | .160 |
| Pediatrician | 135 | 17.0 (23) | 132 | 20.5 (27) | 140 | 2.9 | −1.5 to 7.3 | .193 |
| Psychiatrist | 134 | 21.6 (29) | 132 | 22.7 (30) | 139 | −0.6 | −7.3 to 6.1 | .860 |
| Psychologist | 137 | 58.4 (80) | 133 | 60.2 (80) | 142 | 3.7 | −5.2 to 12.6 | .412 |
| Othere | 136 | 27.9 (38) | 132 | 32.6 (43) | 140 | 4.3 | −6.8 to 15.4 | .447 |
| Medication use | ||||||||
| Antidepressants | 139 | 29.5 (41) | 134 | 29.9 (40) | 142 | −0.1 | −0.4 to 0.3 | .712 |
| Period suppressorsf | 104 | 14.4 (15) | 99 | 51.5 (51) | 105 | 35.0 | 24.0 to 46.9 | <.001 |
| FAD General Functioning Subscale | ||||||||
| Unhealthy family functioningg | 120 | 55.8 (67) | 118 | 44.9 (53) | 126 | −11.0 | −21.4 to −0.6 | .039 |
| Columbia Suicide Severity Rating Scale | ||||||||
| High risk | 119 | 13.4 (16) | 86 | 9.3 (8) | 123 | 0 | 0 to 0 | .912 |
| . | Pre-FASST . | Post-FASST . | Difference Between Pre- and Post-FASSTa . | |||||
|---|---|---|---|---|---|---|---|---|
| n . | % (n) . | n . | % (n) . | n . | Changeb (%) . | 95% CI (%) . | P . | |
| Full transition | ||||||||
| Overall | 135 | 33.3 (45) | 133 | 51.9 (69) | 142 | 18.5 | 9.7 to 27.3 | <.001 |
| Full transition of the following | ||||||||
| Name | 126 | 45.2 (57) | 125 | 66.4 (83) | 137 | 19.0 | 9.7 to 28.3 | <.001 |
| Pronouns | 133 | 42.9 (57) | 133 | 60.9 (81) | 142 | 15.8 | 7.1 to 24.5 | <.001 |
| Look | 133 | 69.2 (92) | 132 | 75.0 (99) | 142 | 6.2 | −1.8 to 14.1 | .128 |
| Full transition at the following | ||||||||
| Home | 135 | 43.7 (59) | 133 | 62.4 (83) | 142 | 17.0 | 8.0 to 25.9 | <.001 |
| School | 134 | 42.5 (57) | 128 | 59.4 (76) | 141 | 14.8 | 6.1 to 23.5 | .001 |
| Online | 118 | 66.9 (79) | 125 | 73.6 (92) | 135 | 5.4 | −4.0 to 14.9 | .260 |
| Concerns regarding social transition | ||||||||
| Knowledge | 137 | 24.8 (34) | 135 | 15.6 (21) | 142 | −10.6 | −19.8 to −1.5 | .023 |
| Safety | 137 | 65.7 (90) | 135 | 57.0 (77) | 142 | −7.4 | −18.1 to 3.3 | .175 |
| Support | 137 | 60.6 (83) | 135 | 40.0 (54) | 142 | −18.4 | −29.2 to −7.5 | .001 |
| Full support from the following: | ||||||||
| Familyc | 136 | 77.9 (106) | 135 | 82.2 (111) | 141 | 4.0 | −3.5 to 11.6 | .298 |
| Friends | 126 | 96.0 (121) | 126 | 96.8 (122) | 137 | 0 | 0 to 0 | .997 |
| Teachers | 124 | 67.7 (84) | 124 | 73.4 (91) | 136 | 5.0 | −4.9 to 15.0 | .324 |
| Health professional used | ||||||||
| General practitioner | 139 | 78.4 (109) | 134 | 75.4 (101) | 142 | −5.1 | −12.3 to 20.0 | .160 |
| Pediatrician | 135 | 17.0 (23) | 132 | 20.5 (27) | 140 | 2.9 | −1.5 to 7.3 | .193 |
| Psychiatrist | 134 | 21.6 (29) | 132 | 22.7 (30) | 139 | −0.6 | −7.3 to 6.1 | .860 |
| Psychologist | 137 | 58.4 (80) | 133 | 60.2 (80) | 142 | 3.7 | −5.2 to 12.6 | .412 |
| Othere | 136 | 27.9 (38) | 132 | 32.6 (43) | 140 | 4.3 | −6.8 to 15.4 | .447 |
| Medication use | ||||||||
| Antidepressants | 139 | 29.5 (41) | 134 | 29.9 (40) | 142 | −0.1 | −0.4 to 0.3 | .712 |
| Period suppressorsf | 104 | 14.4 (15) | 99 | 51.5 (51) | 105 | 35.0 | 24.0 to 46.9 | <.001 |
| FAD General Functioning Subscale | ||||||||
| Unhealthy family functioningg | 120 | 55.8 (67) | 118 | 44.9 (53) | 126 | −11.0 | −21.4 to −0.6 | .039 |
| Columbia Suicide Severity Rating Scale | ||||||||
| High risk | 119 | 13.4 (16) | 86 | 9.3 (8) | 123 | 0 | 0 to 0 | .912 |
n, the total number of patients varies because patients and parents may not be required to complete a questionnaire (based on age of young person) or choose not to.
Mixed-effect logistic models were used with time of assessment, age and sex (except for period suppressors) as fixed effects and the individual as a random effect.
Difference in proportions adjusted for age and birth-assigned sex.
Includes support from mother, father, other parent/guardian, and siblings.
Seen at least once in the previous 12 mo for concerns related to gender identity.
Includes counsellors, nurses, and social workers.
Among birth-assigned female individuals.
Unhealthy functioning defined as an FAD score of >2, as previously published. 21