Adding to the evidence base

Here at GIDS we are always thinking about the best way to support all young people who come to our service. Some of this thinking includes contributing to or being involved in research studies. Other ways that GIDS and the clinicians who work here add to the evidence base is through papers in medical journals or presentations at conferences. Below are some projects that are underway, and some that are completed.

We have linked to the items that are published, but some might be behind a paywall depending on the journal in which they appear.

We have added research in 2018 to this page, and will be working backwards to add previous years over the next few months.

Early intervention study

This study, published in February 2021 in the peer-reviewed journal PLOS ONE, looks at psychosocial functioning, quality of life and treatment pathways after GnRHa pubertal suppression in young adolescents with gender dysphoria.

The study shows that puberty blockers are a well-received intervention in carefully selected patients.

From the introduction to the study: “Pubertal suppression by means of gonadotropin-releasing hormone analogues (GnRHa) has gained increasing acceptance internationally as a recommended treatment option for young people of tanner stages two and over with gender dysphoria (GD), yet there is limited evidence of the psychosocial and physical outcomes of the treatment in this group. We prospectively evaluated the psychological, social and physical risks and benefits involved in pubertal suppression in a group of young people with gender dysphoria.”

Read more about the Early Intervention Study.

Read the paper on the PLOS ONE website.

 

The Longitudinal Outcomes of Gender Identity in Children (LOGIC) study

The Tavistock and Portman NHS Foundation Trust has been awarded £1.3 million by the National Institute for Health Research (NIHR) to carry out an independent study that will inform better, more individualised care for young people and their families struggling with issues relating to gender identity.

This new Longitudinal Outcomes of Gender Identity in Children (LOGIC) study is innovative and will include both quantitative and qualitative approaches. Uniquely, an independent team of researchers will follow a whole group of volunteer young people. The young people will be recruited from among those who have been referred to the Gender Identity Development Service (GIDS). The study will follow these young people, whether they remain in contact with NHS services or not, regardless of their path. This will allow the independent researchers to compare and investigate outcomes for the entire cohort, including both those who go on to use physical interventions (such as hormone blockers) and those who do not. The findings generated from this research will enable services to provide better care for patients and their families.

Visit the LOGIC study website.

The journal of Clinical Child Psychology and Psychiatry – 2019 Special Issue: Transgender Identity

We worked with the journal of Clinical Child Psychology and Psychiatry to create a Special Issue about 'transgender identity'. The issue includes a group of papers that originated from our work. you can see links to many of the articles below.

  • Langton, T., Wren, B., & Carmichael, P. (2018). Seeing the child in context: Supporting gender diverse children and their families in multiple ways–An introduction to this special edition. Clinical child psychology and psychiatry, 1359104518800143.
    https://doi.org/10.1177%2F1359104518800143
  • Churcher Clarke, A., & Spiliadis, A. (2019). ‘Taking the lid off the box’: The value of extended clinical assessment for adolescents presenting with gender identity difficulties. Clinical child psychology and psychiatry, 1359104518825288.
    https://doi.org/10.1177%2F1359104518825288
  • Matthews, T., Holt, V., Sahin, S., Taylor, A., & Griksaitis, D. (2019). Gender Dysphoria in looked-after and adopted young people in a gender identity development service. Clinical child psychology and psychiatry, 24(1), 112-128.
    https://doi.org/10.1177%2F1359104518791657
  • Davidson, S., & Miller, A. (in press). Co-ordinating meaning within a gender identity development service - What can the theory of the Co-ordinated Management of meaning offer clinicians working with young people, and their families, exploring their gender identities. Clinical child psychology and psychiatry
  • https://doi.org/10.1177%2F1359104519838313
  • Davidson, S., Morrison, A., Skagerberg, E., Russell, I., & Hames, A. (2018). A therapeutic group for young people with diverse gender identifications. Clinical child psychology and psychiatry, 1359104518800165.
    https://doi.org/10.1177%2F1359104518800165
  • Twist, Jos, and Nastasja M. de Graaf. (2018) Gender diversity and non-binary presentations in young people attending the United Kingdom’s National Gender Identity Development Service. Clinical child psychology and psychiatry, 1359104518804311.
    https://doi.org/10.1177%2F1359104518804311
  • Mann, Georgina; Taylor, Amelia; Wren, Bernadette; De Graaf, Nastasja. (2018). Review of the literature on self-injurious thoughts and behaviours in gender-diverse children and young people in the United Kingdom." Clinical child psychology and psychiatry, 1359104518812724
    https://doi.org/10.1177%2F1359104518812724
  • De Graaf, Nastasja; Manjra, Ilham; Zitz, Claudia; Hames, Anna; (2018), Thinking about ethnicity and gender diversity in children and young people, Clinical Child Psychology and Psychiatry, 1359104518805801
    https://doi.org/10.1177%2F1359104518805801
  • de Graaf, N. M., & Carmichael, P. (2018). Reflections on emerging trends in clinical work with gender diverse children and adolescents. Clinical child psychology and psychiatry, 1359104518812924.
    https://doi.org/10.1177%2F1359104518812924

 

Other research published in 2019

  • Tobin Joseph, Joanna Ting and Gary Butler*.
    The effect of GnRH analogue treatment on bone mineral density in young adolescents with gender dysphoria: findings from a large national cohort
    https://doi.org/10.1515/jpem-2019-0046
  • Churcher Clarke, A., & Spiliadis, A. (2019). ‘Taking the lid off the box’: The value of extended clinical assessment for adolescents presenting with gender identity difficulties. Clinical child psychology and psychiatry, 1359104518825288.
  • Matthews, T., Holt, V., Sahin, S., Taylor, A., & Griksaitis, D. (2019). Gender Dysphoria in looked-after and adopted young people in a gender identity development service. Clinical child psychology and psychiatry, 24(1), 112-128.
  • Davidson, S., & Miller, A. (in press). Co-ordinating meaning within a gender identity development service - What can the theory of the Co-ordinated Management of meaning offer clinicians working with young people, and their families, exploring their gender identities. Clinical child psychology and psychiatry

Research published in 2018

Research published in 2017

  1. Twist, Jos (2017) Transitioning Together: Narratives of Sexuality and Intimacy in Partners of Trans People, Psychology of Sexualities Review, 8(2)
  2. Twist, Jos; Barker Meg; Nel, Pieter; Horley, Nic (2017) Transitioning together: a narrative analysis of the support accessed by partners of trans people, Sexual and Relationship Therapy, 32(2), pp 227–243
  3. Twist, J (2017). Pushing at the edges in uncertain places: Jos Twist in Conversation with Bernadette Wren, Psychology of Sexualities Review, Vol. 8, No. 1
  4. De Graaf, Nastasja; Cohen-Kettenis, P.T; Carmichael, Polly; de Vries, A.L.C; Dhondt, K; Laridaen, J.; Pauli, D.; Ball, J.; Steensma, T.D. (2017) Psychological functioning in adolescents referred to specialist gender identity clinics across Europe: a clinical comparison study between four clinics (2018) European Child and Adolescent Psychiatry.

Research published in 2016

  1. R. Costa, P. Carmichael, M. Colizzi (2016) To treat or not to treat: puberty suppression in childhood-onset gender dysphoria Nature Reviews Urology
  2. D. Di Ceglie 2016 - Autonomy and Decision Making in Children and Adolescents with Gender Dysphoria" in the ' Lunch with the  expert' session of the 18th 'World Congress of Pediatric Adolescent Gynaecology' (WCPAG) in Florence. June 2016.
  3. D. Di Ceglie 2016 - Atypical Gender Identity Development: Current Views, at the Young European Scientists (Yes)-Meeting, Faculty of Medicine, Porto (Portugal). September 2016.
  4. D. Di Ceglie 2016 - Book launch: Quagliata E., Di Ceglie D., Eds. "Lo sviluppo dell'identità sessuale e  l'identità di genere." Casa Editrice: Astrolabio-     Ubaldini, Roma, at Palazzo San Macuto, Camera dei Deputati, Roma

Research published in 2015

  1. Burns, J., & Zitz, C. (2015). Clinical Psychology. In The Palgrave Handbook of the Psychology of Sexuality and Gender (pp. 263-279). Palgrave Macmillan UK.
  2. Costa, R., Dunsford, M., Skagerberg, E., Holt, V., Carmichael, P. & Colizzi, M. (2015). Psychological Support, Puberty Suppression, and Psychosocial Functioning in Adolescents with Gender Dysphoria. International Society for Sexual Medicine
  3. Skagerberg, E., Di Ceglie, D. & Carmichael, P. (2015). Autistic Features in Children & Adolescents with Gender Dysphoria. Journal Autism Dev Disorder.
  4. Webb, I. (2015). An exploration of the Body Image Scale in young people : a comparison of persons with features of gender dysphoria and control samples. (Doctoral dissertation, University of East London).
  5. Wren, B. (2015) A clinical service for gender non-conforming young people: what can a liberation psychology perspective contribute? Liberation Psychology Perspective

Research published in 2014

  1. Di Ceglie, D. (2014) “Gender dysphoria in young people” in “Clinical topics in child and adolescent psychiatry” (ed S. Huline-Dickens, Royal College of Psychiatrists Publications, London).
  2. Di Ceglie, D., Skagerberg, E., Baron-Cohen, S. & Auyeung, B. (2014). Empathising and systemising in adolescents with gender dysphoria. Opticon1826, (16): 6, 1-8.
  3. Gregor, C., Davidson, S. & Hingley-Jones, H. (2014). The experience of gender dysphoria for pre-pubescent children and their families: a review of the literature. Child & Family Social Work. doi:10.1111/cfs.12150.
  4. Holt, V., Skagerberg, E. & Dunsford, M. (2014). Young people with features of gender
  5. dysphoria: Demographics and associated difficulties. Clinical Child Psychology and Psychiatry.
  6. Wren, B. (2014). Thinking postmodern and practising in the Enlightenment: managing uncertainty in the treatment of children and adolescents. Feminism and Psychology. doi: 10.1177/0959353514526223.
  7. Zitz, C., Burns, J. & Tacconelli, E. (2014). Trans men and friendships: A foucauldian discourse analysis. Feminism and Psychology. doi: 10.1177/0959353514526224.

Research published in 2013

  1. Di Ceglie, D. (2013) “Care for gender-dysphoric children” in “Gender dysphoria and disorders of sex development: Progress in care and knowledge” (eds B.P.C. Kreukels et al New York: Springer).
  2. Skagerberg, E., Davidson, S. & Carmichael, P. (2013). Internalising and externalising behaviours in a group of young people with gender dysphoria. International Journal of Transgenderism, 14, 105-112.
  3. Skagerberg, E., Parkinson, R. & Carmichael, P. (2013). Self-harming thoughts and behaviours in a group of children and adolescents with gender dysphoria. International Journal of Transgenderism, 14, 86-92.
  4. Khadr, S. N., Carmichael, P., Holt, V., Roche, E. F., & Viner, R. M. (2014). UK and Irish surveillance study of gender identity disorder (GID) in children and adolescents. Journal of Adolescent Health, 54(2), S56-S57.

Research published in 2012

  1. Di Ceglie, D. (2012). Identity and inability to mourn in the skin I live in (2012). International Journal of Psychoanalysis, 93, 1308-1313.
  2. Di Ceglie, D. (2012). Atypical gender identity development and autistic spectrum features. Neuropsychiatrie de l Enfance et de l Adolescence 60(5):S36-S37
  3. Di Ceglie, D. (2012). Response to Alessandra Lemma – APP lecture research off the couch: revisiting the transsexual conundrum. Psychoanalytic Psychotherapy, 26, 290-293.

Research published in 2011

  1. Jones, R. M., Wheelwright, S., Farrell, K., Martin, E., Green, R., Di Ceglie, D. & Baron-Cohen, S. (2011). Brief report: Female-to-male transsexual people and autistic traits. Journal of Autism and Developmental Disorders, 42 (2): 301-306.
  2. Wiseman, M. & Davidson, S. (2011). Problems with binary gender discourse: Using context to promote flexibility and connection in gender identity. Clinical Child Psychology & Psychiatry, 13, 1-10.

Research published in 2009

  1. Carmichael, P. & Davidson, S. (2009). A Gender Identity Development Service. The Psychologist: 22(11), 916-917.
  2. Di Ceglie, D. (2009). Engaging young people with atypical gender identity development in therapeutic work: A developmental approach. Journal of Child Psychotherapy, 35, 3-12.
  3. Eracleous, E. & Davidson, S. (2009). The gender identity development service: Examples of multi-agency working. Clinical Psychology Forum, 201, 46 – 50.
  4. Holt, V. (2009). Atypical gender development in children and adolescents. In S.
  5. Bailey & M. Shooter (Eds.), The young mind: An essential guide to mental health for young adults, parents and teachers.London: Transworld Publishers.

Research published in 2008

  1. Di Ceglie, D. (2008). Working at the edge: Engaging in therapeutic work with young people with atypical gender identity development. Neuropsychiatrie de l'Enfance et de l'Adolescence, 56(6), 403-406.