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However, only 17.1% of the professionals reported that they discussed sexuality-related issues with the majority (&amp;gt;75%) of their patients (adolescents: 19.9%, parents: 14.4%) Additionally, only 2.3 % of the participants discussed gender nonconformity regularly with patients. Information about sexual side effects of prescribed medication was infrequently (20.3%) provided: antidepressants (40.0%), antipsychotics (34.0%), benzodiazepines (5.1%) and stimulants (2.4%). The most frequently cited reasons for not discussing these topics were a lack of awareness, own feelings of discomfort, and the patients\u2019 supposed feelings of shame. There was no gender differences observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical implications<\/jats:title>\n                    <jats:p>Recommendations for professionals include to be aware of these topics, initiating age-appropriate conversation and use inclusive language.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Strengths and limitations<\/jats:title>\n                    <jats:p>The present study included a diverse and representative group of mental health care professionals. Frequency of sexual communication was based on self-report, which brings a risk of bias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite a recognized need to engage in age-appropriate communication about sexuality and gender identity in youth mental health care, mental health providers seem to remain hesitant to discuss such topics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.jsxm.2022.01.001","type":"journal-article","created":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T12:18:52Z","timestamp":1643458732000},"page":"421-429","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":33,"title":["Talking About Sexuality with Youth: A Taboo in Psychiatry?"],"prefix":"10.1093","volume":"19","author":[{"given":"Sara L.","family":"Bungener","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Post","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inez","family":"Berends","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas D.","family":"Steensma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annelou L.C.","family":"de Vries","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arne","family":"Popma","sequence":"additional","affiliation":[{"name":"Center of Expertise on Gender Dysphoria, Department of Child and Adolescent Psychiatry, Department of Medical Psychology, Amsterdam University Medical Centers , Amsterdam , the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,1,29]]},"reference":[{"key":"2023072610144501300_bib0001","author":"World Health Organization, WHO","year":"2006"},{"key":"2023072610144501300_bib0002","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1016\/j.jadohealth.2014.11.019","article-title":"Transitions in body and behavior: A meta-analytic study on the relationship between pubertal development and adolescent sexual behavior","volume":"56","author":"Baams","year":"2015","journal-title":"J Adolesc Health"},{"key":"2023072610144501300_bib0003","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1007\/s10508-007-9281-1","article-title":"Sexual trajectories during adolescence: Relation to demographic characteristics and sexual risk","volume":"38","author":"de Graaf","year":"2009","journal-title":"Arch Sex Behav"},{"key":"2023072610144501300_bib0004","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/1475-2832-2-2","article-title":"Low self-esteem and psychiatric patients: Part I - The relationship between low self-esteem and psychiatric diagnosis","volume":"2","author":"Silverstone","year":"2003","journal-title":"Ann Gen Hosp Psychiatry"},{"key":"2023072610144501300_bib0005","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.schres.2014.01.042","article-title":"The potential role of sleep in sexual dysfunction in patients with schizophrenia","volume":"154","author":"Boin","year":"2014","journal-title":"Schizophr Res"},{"key":"2023072610144501300_bib0006","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1177\/019027250406700304","article-title":"Self-esteem, depressive symptoms, and adolescents\u2019 sexual onset","volume":"67","author":"Longmore","year":"2004","journal-title":"Soc Psychol Q"},{"key":"2023072610144501300_bib0007","article-title":"Sexuality in people living with a serious mental illness: A meta-synthesis of qualitative evidence [published online ahead of print, 2020 Oct 12]","author":"Hortal-Mas","year":"2020","journal-title":"J Psychiatr Ment Health Nurs"},{"key":"2023072610144501300_bib0008","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1525\/sp.2007.54.1.78","article-title":"Foote-Ardah CE. 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