Transgender youth

A trans boy holding a trans pride flag

Transgender youth are children or adolescents who do not identify with the sex they were assigned at birth. Because transgender youth are usually dependent on their parents for care, shelter, financial support, and other needs, they face different challenges compared to adults. According to the World Professional Association for Transgender Health, the American Psychological Association, and the American Academy of Pediatrics, appropriate care for transgender youth may include supportive mental health care, social transition, and/or puberty blockers, which delay puberty and the development of secondary sex characteristics to allow children more time to explore their gender identity.[1][2][3]

According to the American Academy of Pediatrics, by age four, most children have a stable sense of their gender identity, and research substantiates that children who are prepubertal and assert a transgender or gender diverse identity know their gender as clearly and as consistently as their developmentally equivalent peers who identify as cisgender and benefit from the same level of social acceptance.[4][5] A review published in 2022 found the majority of pre-pubertal children who socially transition persist in their identity in 5- to 7-year follow-ups.[6] Gender dysphoria is likely to be permanent if it persists during puberty.[6][7][8]

  1. ^ Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming People (PDF). World Professional Association for Transgender Health. 2012. pp. 20–21. Archived (PDF) from the original on 26 November 2020. Retrieved 25 November 2020.
  2. ^ "Guidelines for Psychological Practice With Transgender and Gender Nonconforming People" (PDF). American Psychological Association. Archived (PDF) from the original on 29 September 2019. Retrieved 17 July 2020.
  3. ^ "Supporting and Caring For Transgender Children" (PDF). American Academy of Pediatrics. Archived (PDF) from the original on 24 July 2021. Retrieved 17 July 2020.
  4. ^ Rafferty J (18 September 2018). "Gender Identity Development in Children". American Academy of Pediatrics. Archived from the original on 31 October 2019. Retrieved 3 January 2023.
  5. ^ Rafferty J, Committee on Psychological Aspects of Child and Family Health, Committee on Adolescence, Section on Lesbian, Gay, Bisexual, and Transgender Health and Wellness, et al. (2018). "Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents". Pediatrics. 142 (4). doi:10.1542/peds.2018-2162. PMID 30224363. S2CID 52288840. Archived from the original on 30 December 2022. Retrieved 3 January 2023.
  6. ^ a b Roberts C (11 May 2022). "Persistence of Transgender Gender Identity Among Children and Adolescents". Pediatrics. 150 (2). doi:10.1542/peds.2022-057693. ISSN 0031-4005. PMID 35538638. S2CID 248694688.
  7. ^ Cite error: The named reference Jameson was invoked but never defined (see the help page).
  8. ^ Cite error: The named reference Dulcan was invoked but never defined (see the help page).