{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:10:29Z","timestamp":1789564229073,"version":"build-2803163510"},"reference-count":53,"publisher":"Hogrefe Publishing Group","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zeitschrift f\u00fcr Kinder- und Jugendpsychiatrie und Psychotherapie"],"abstract":"<jats:p>Zusammenfassung: Die klinische Versorgung von Minderj\u00e4hrigen mit Geschlechtsdysphorie ist Gegenstand von anhaltender fachlicher Auseinandersetzung und Kontroverse. Diese betreffen nicht allein die unsichere Evidenzlage zur Wirksamkeit und Sicherheit k\u00f6rpermodifizierender Behandlungsma\u00dfnahmen f\u00fcr transidentifizierte junge Menschen, sondern auch grundlegende Fragen der klinischen Konzeptualisierung geschlechtsbezogenen Leidens in der Adoleszenz, entsprechender diagnostischer Zug\u00e4nge sowie normativer und medizinethischer Grundannahmen, die klinisches Handeln in diesem Feld leiten. Der vorliegende Beitrag arbeitet diese zentralen Spannungsfelder des gegenw\u00e4rtigen Fachdiskurses heraus, um eine differenzierte Orientierung in einem komplexen Versorgungsfeld zu erm\u00f6glichen.<\/jats:p>","DOI":"10.1024\/1422-4917\/a001102","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T12:53:35Z","timestamp":1789563215000},"page":"1-10","source":"Crossref","is-referenced-by-count":0,"title":["Geschlechtsdysphorie im Jugendalter: Konzeptuelle, diagnostische und normative Spannungsfelder in der klinischen Versorgung"],"prefix":"10.1024","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3981-2577","authenticated-orcid":true,"given":"Andr\u00e9","family":"Leonhardt","sequence":"first","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Psychiatrie, Psychotherapie und Psychosomatik im Kindes- und Jugendalter, Medizinische Universit\u00e4t Innsbruck, Innsbruck, \u00d6sterreich"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.q837"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1353\/ken.2022.0010"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1080\/15265161.2018.1531162"},{"issue":"11","key":"c5","first-page":"370","volume":"121","author":"Bachmann C. J.","year":"2024","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"c6","volume-title":"Time to think: The inside story of the collapse of the world\u2019s largest gender service for children","author":"Barnes H.","year":"2023"},{"key":"c7","doi-asserted-by":"publisher","DOI":"10.1080\/0092623x.2022.2121238"},{"key":"c8","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2024.2447768"},{"key":"c9","unstructured":"British Medical Association (BMA). (2024).\n                      BMA to undertake an evaluation of the Cass Review on gender identity services for children and young people.\n                      Autor. Verf\u00fcgbar unter  https:\/\/www.bma.org.uk\/bma-media-centre\/bma-to-undertake-an-evaluation-of-the-cass-review-on-gender-identity-services-for-children-and-young-people"},{"key":"c10","unstructured":"Cass, H.   (2024).\n                      Independent review of gender identity services for children and young people: Final report.\n                      Verf\u00fcgbar unter https:\/\/webarchive.nationalarchives.gov.uk\/ukgwa\/20250310143933\/https:\/\/cass.independent-review.uk\/home\/publications\/final-report\/"},{"key":"c11","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa2206297"},{"key":"c12","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2024-327994"},{"key":"c13","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-020-01844-2"},{"key":"c14","doi-asserted-by":"publisher","DOI":"10.1136\/jme-2023-109282"},{"key":"c15","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2012.653300"},{"key":"c16","unstructured":"Department of Health and Social Care. (2024).\n                      Ban on puberty blockers to be made indefinite on experts\u2019 advice.\n                      Autor. Verf\u00fcgbar unter  https:\/\/www.gov.uk\/government\/news\/ban-on-puberty-blockers-to-be-made-indefinite-on-experts-advice"},{"key":"c17","unstructured":"Deutsche Gesellschaft f\u00fcr Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie (DGKJP). (2025).\n                      S2k-Leitlinie Geschlechtsinkongruenz und Geschlechtsdysphorie im Kindesund Jugendalter \u2013 Diagnostik und Behandlung.\n                      Autor. Verf\u00fcgbar unter https:\/\/register.awmf.org\/de\/leitlinien\/detail\/028-014"},{"key":"c18","unstructured":"Endocrine Society. (2024).\n                      Endocrine Society statement in support of gender-affirming care.\n                      Autor. Verf\u00fcgbar unter  https:\/\/www.endocrine.org\/news-and-advocacy\/news-room\/2024\/statement-in-support-of-gender-affirming-care"},{"key":"c19","doi-asserted-by":"publisher","DOI":"10.1002\/hast.1583"},{"key":"c20","doi-asserted-by":"publisher","DOI":"10.1080\/15265161.2025.2497990"},{"key":"c21","doi-asserted-by":"publisher","DOI":"10.1192\/bjb.2020.73"},{"key":"c22","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2024.2362304"},{"key":"c23","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2024.2328249"},{"key":"c24","doi-asserted-by":"publisher","DOI":"10.57814\/ggfg-4j14"},{"key":"c25","doi-asserted-by":"publisher","DOI":"10.1080\/0092623x.2024.2329761"},{"key":"c26","doi-asserted-by":"publisher","DOI":"10.1080\/17405629.2025.2533168"},{"key":"c27","doi-asserted-by":"publisher","DOI":"10.1080\/15265161.2025.2504397"},{"key":"c28","doi-asserted-by":"publisher","DOI":"10.1080\/17405629.2025.2546574"},{"key":"c29","doi-asserted-by":"publisher","DOI":"10.1177\/26344041241269298"},{"key":"c30","doi-asserted-by":"publisher","DOI":"10.13109\/prkk.2024.73.8.737"},{"key":"c31","doi-asserted-by":"publisher","DOI":"10.1080\/0092623x.2024.2362774"},{"key":"c32","doi-asserted-by":"publisher","DOI":"10.1080\/0092623x.2025.2455133"},{"key":"c33","unstructured":"McNamara, M. \n\t\t\t\t\t\t\tBaker, K. \n\t\t\t\t\t\t\tConnelly, K. \n\t\t\t\t\t\t\tJanssen, A. \n\t\t\t\t\t\t\tOlson-Kennedy, J. \n\t\t\t\t\t\t\tPang, K. C. , et. al.  (2024).\n                      An evidence-based critique of \u201eThe Cass Review\u201c on gender-affirming care for adolescent gender dysphoria\n                      . Verf\u00fcgbar unter https:\/\/law.yale.edu\/sites\/default\/files\/documents\/integrity-project_cass-response.pdf#"},{"key":"c34","unstructured":"NHS England. (2024a).\n                      Clinical Policy: Puberty suppressing hormones (PSH) for children and young people who have gender incongruence\/gender dysphoria\n                      [1927]. Autor. Verf\u00fcgbar unter  https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2024\/03\/clinical-commissioning-policy-gender-affirming-hormones-v2.pdf"},{"key":"c35","unstructured":"NHS England. (2024b).\n                      Clinical Commissioning Policy. Prescribing of gender affirming hormones (masculinising or feminising hormones) as part of the Children and Young People\u2019s Gender Service.\n                      Autor. Verf\u00fcgbar unter  https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2024\/03\/clinical-commissioning-policy-prescribing-of-gender-affirming-hormones.pdf"},{"key":"c36","unstructured":"NHS England. (2024c).\n                      Children and young people\u2019s gender services: implementing the Cass Review recommendations.\n                      Autor Verf\u00fcgbar unter  https:\/\/www.england.nhs.uk\/long-read\/children-and-young-peoples-gender-services-implementing-the-cass-review-recommendations\/"},{"key":"c37","unstructured":"NHS England. (2026).\n                      Service specification: NHS Children and Young People\u2019s Gender Service.\n                      Autor. Verf\u00fcgbar unter  https:\/\/www.england.nhs.uk\/publication\/service-specification-nhs-children-and-young-peoples-gender-service"},{"key":"c38","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-025-02581-7"},{"key":"c39","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-024-01143-8"},{"key":"c40","doi-asserted-by":"publisher","DOI":"10.1055\/a-0978-7137"},{"key":"c41","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-024-02817-5"},{"key":"c42","doi-asserted-by":"publisher","DOI":"10.1080\/17405629.2026.2650279"},{"key":"c43","unstructured":"Socialstyrelsen. (2022).\n                      Care of children and adolescents with gender dysphoria. Summary of national Guidelines December 2022\n                      . Autor. Verf\u00fcgbar unter  https:\/\/www.socialstyrelsen.se\/contentassets\/444af6c0a5fb429c9b56fd51b931a816\/2023-1-8330.pdf"},{"key":"c44","doi-asserted-by":"publisher","DOI":"10.1024\/1422-4917\/a000724"},{"key":"c45","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2023-326500"},{"key":"c46","unstructured":"Thomas, T.   (2026). Doctors\u2019 union drops opposition to Cass review of NHS gender healthcare. Verf\u00fcgbar unter  https:\/\/www.theguardian.com\/world\/2026\/may\/07\/doctors-union-cass-review-nhs-gender-healthcare"},{"key":"c47","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.q2137"},{"key":"c48","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.24722"},{"key":"c49","unstructured":"U.S. Department of Health and Human Services (HHS). (2025).\n                      Treatment for pediatric gender dysphoria: Review of evidence and best practices\n                      . Autor. 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