{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:12:00Z","timestamp":1787238720772,"version":"build-2736575974"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2018,5,21]],"date-time":"2018-05-21T00:00:00Z","timestamp":1526860800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To reflect on the role of psychiatry in authorising physical treatments for Gender Dysphoria and to examine the quality of evidence for gender-reassignment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A Medline search was performed with the subject term \u201ctranssexualism\u201d or \u201cgender dysphoria\u201d and \u201coutcome\u201d or \u201cfollow-up\u201d in the title. Studies published from 2005 onwards reporting psychosocial outcomes were selected for review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most available evidence indicating positive outcomes for gender reassignment is of poor quality. The few studies with robust methodology suggest that some patients have poor outcomes and may be at risk of suicide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The author raises questions about the implications for ethical treatment of transgender individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1039856218775216","type":"journal-article","created":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T02:06:41Z","timestamp":1526954801000},"page":"460-463","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Psychiatry\u2019s ethical involvement in gender-affirming care"],"prefix":"10.1177","volume":"26","author":[{"given":"Roberto","family":"D\u2019Angelo","sequence":"first","affiliation":[{"name":"Training and Supervising Analyst, Institute of Contemporary Psychoanalysis, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,5,21]]},"reference":[{"key":"bibr1-1039856218775216","doi-asserted-by":"publisher","DOI":"10.1177\/1039856216649773"},{"key":"bibr2-1039856218775216","doi-asserted-by":"publisher","DOI":"10.1080\/03057070802038058"},{"key":"bibr3-1039856218775216","first-page":"166","volume":"107","author":"Bartholemew R","year":"2014","journal-title":"J R Soc Med"},{"key":"bibr4-1039856218775216","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1353\/sor.2011.0020","volume":"78","author":"Najmabadi A","year":"2011","journal-title":"Social Res"},{"key":"bibr5-1039856218775216","volume-title":"Transgender history: The roots of today\u2019s revolution","author":"Stryker S","year":"2017","edition":"2"},{"key":"bibr6-1039856218775216","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2012.653300"},{"key":"bibr7-1039856218775216","unstructured":"World Professional Association for Transgender Health. Standards of care for the health of transsexual, transgender, and gender non-conforming people, 7th version, https:\/\/www.wpath.org\/media\/cms\/Documents\/Web%20Transfer\/SOC\/Standards%20of%20Care%20V7%20-%202011%20WPATH.pdf (2011, accessed 10 May 2018)."},{"key":"bibr8-1039856218775216","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2012.653303"},{"key":"bibr9-1039856218775216","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2012.653310"},{"key":"bibr10-1039856218775216","doi-asserted-by":"crossref","unstructured":"Zucker K. J., Wood H., Singh D., Bradley S. J. (2012). A Developmental, biopsychosocial model for the treatment of children with gender identity disorder. 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The man I am trying to be is not me. 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