TY  - JOUR
PY  - 2024//
TI  - Gender-affirming care in the assessment and treatment of psychosis risk: considering minority stress in current practice and future research
JO  - Early intervention in psychiatry
A1  - Ceccolini, Christopher J.
A1  - Green, James B.
A1  - Friedman-Yakoobian, Michelle S.
SP  - 207
EP  - 216
VL  - 18
IS  - 3
N2  - INTRODUCTION: Although research has documented the marked disparities in rates of psychosis-spectrum diagnoses in various socially marginalized populations, there is limited research addressing the needs of gender expansive individuals in the context of psychosis-spectrum illnesses using a minority stress lens. As clinical high-risk for psychosis (CHR-p) assessment and treatment becomes accessible to increasingly diverse populations, there is a need for clinicians to demonstrate greater clinical competency working with individuals across diverse social backgrounds and identities.     METHODS: We examined rates of gender expansive (GE) patients seeking evaluation at an urban-based CHR-p clinic and compared the diagnostic profile of GE individuals to cisgender patients. Post-hoc analyses were conducted on clinical variables with significant differences between the cisgender and GE groups.     RESULTS: The proportion of GE patients seeking evaluation increased from 2017 (9.3%) to 2021 (16.7%). Compared to cisgender youth, GE patients had significantly higher depressive, social anxiety, borderline personality disorder symptoms, higher levels of suicidality and non-suicidal self-injurious behaviour, and lower role functioning. Gender identity was predictive of suicidality controlling for social anxiety, borderline symptoms, and role functioning.     CONCLUSIONS: We review implications for CHR-p treatment and discuss ways to integrate minority stress theory and gender-affirming practices into coordinated specialty care for CHR-p patients.<p />  <p>Language: en</p>
LA  - en
SN  - 1751-7885
UR  - http://dx.doi.org/10.1111/eip.13456
ID  - ref1
ER  -