Long-term follow-up of individuals undergoing sex reassignment surgery: Psychiatric morbidity and mortality

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

Long-term follow-up of individuals undergoing sex reassignment surgery: Psychiatric morbidity and mortality. / Simonsen, Rikke Kildevæld; Giraldi, Annamaria; Kristensen, Ellids; Hald, Gert Martin.

In: Nordic Journal of Psychiatry, Vol. 70, No. 4, 18.05.2016, p. 241-247.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Simonsen, RK, Giraldi, A, Kristensen, E & Hald, GM 2016, 'Long-term follow-up of individuals undergoing sex reassignment surgery: Psychiatric morbidity and mortality', Nordic Journal of Psychiatry, vol. 70, no. 4, pp. 241-247. https://doi.org/10.3109/08039488.2015.1081405

APA

Simonsen, R. K., Giraldi, A., Kristensen, E., & Hald, G. M. (2016). Long-term follow-up of individuals undergoing sex reassignment surgery: Psychiatric morbidity and mortality. Nordic Journal of Psychiatry, 70(4), 241-247. https://doi.org/10.3109/08039488.2015.1081405

Vancouver

Simonsen RK, Giraldi A, Kristensen E, Hald GM. Long-term follow-up of individuals undergoing sex reassignment surgery: Psychiatric morbidity and mortality. Nordic Journal of Psychiatry. 2016 May 18;70(4):241-247. https://doi.org/10.3109/08039488.2015.1081405

Author

Simonsen, Rikke Kildevæld ; Giraldi, Annamaria ; Kristensen, Ellids ; Hald, Gert Martin. / Long-term follow-up of individuals undergoing sex reassignment surgery: Psychiatric morbidity and mortality. In: Nordic Journal of Psychiatry. 2016 ; Vol. 70, No. 4. pp. 241-247.

Bibtex

@article{6ba60e23b89741bca8330973eb74ae71,
title = "Long-term follow-up of individuals undergoing sex reassignment surgery: Psychiatric morbidity and mortality",
abstract = "Background: There is a lack of long-term register-based follow-up studies of sex-reassigned individuals concerning mortality and psychiatric morbidity. Accordingly, the present study investigated both mortality and psychiatric morbidity using a sample of individuals with transsexualism which comprised 98{\%} (n = 104) of all individuals in Denmark. Aims: (1) To investigate psychiatric morbidity before and after sex reassignment surgery (SRS) among Danish individuals who underwent SRS during the period of 1978–2010. (2) To investigate mortality among Danish individuals who underwent SRS during the period of 1978–2010. Method: Psychiatric morbidity and mortality were identified by data from the Danish Psychiatric Central Research Register and the Cause of Death Register through a retrospective register study of 104 sex-reassigned individuals. Results: Overall, 27.9{\%} of the sample were registered with psychiatric morbidity before SRS and 22.1{\%} after SRS (p = not significant). A total of 6.7{\%} of the sample were registered with psychiatric morbidity both before and after SRS. Significantly more psychiatric diagnoses were found before SRS for those assigned as female at birth. Ten individuals were registered as deceased post-SRS with an average age of death of 53.5 years. Conclusions: No significant difference in psychiatric morbidity or mortality was found between male to female and female to male (FtM) save for the total number of psychiatric diagnoses where FtM held a significantly higher number of psychiatric diagnoses overall. Despite the over-representation of psychiatric diagnoses both pre- and post-SRS the study found that only a relatively limited number of individuals had received diagnoses both prior to and after SRS. This suggests that generally SRS may reduce psychological morbidity for some individuals while increasing it for others.",
keywords = "sex reassignment surgery (SRS), transsexualism, Follow-up, gender identity disorder, psychiatric morbidity, mortality",
author = "Simonsen, {Rikke Kildev{\ae}ld} and Annamaria Giraldi and Ellids Kristensen and Hald, {Gert Martin}",
year = "2016",
month = "5",
day = "18",
doi = "10.3109/08039488.2015.1081405",
language = "English",
volume = "70",
pages = "241--247",
journal = "Nordic Journal of Psychiatry",
issn = "0803-9488",
publisher = "Taylor & Francis",
number = "4",

}

RIS

TY - JOUR

T1 - Long-term follow-up of individuals undergoing sex reassignment surgery: Psychiatric morbidity and mortality

AU - Simonsen, Rikke Kildevæld

AU - Giraldi, Annamaria

AU - Kristensen, Ellids

AU - Hald, Gert Martin

PY - 2016/5/18

Y1 - 2016/5/18

N2 - Background: There is a lack of long-term register-based follow-up studies of sex-reassigned individuals concerning mortality and psychiatric morbidity. Accordingly, the present study investigated both mortality and psychiatric morbidity using a sample of individuals with transsexualism which comprised 98% (n = 104) of all individuals in Denmark. Aims: (1) To investigate psychiatric morbidity before and after sex reassignment surgery (SRS) among Danish individuals who underwent SRS during the period of 1978–2010. (2) To investigate mortality among Danish individuals who underwent SRS during the period of 1978–2010. Method: Psychiatric morbidity and mortality were identified by data from the Danish Psychiatric Central Research Register and the Cause of Death Register through a retrospective register study of 104 sex-reassigned individuals. Results: Overall, 27.9% of the sample were registered with psychiatric morbidity before SRS and 22.1% after SRS (p = not significant). A total of 6.7% of the sample were registered with psychiatric morbidity both before and after SRS. Significantly more psychiatric diagnoses were found before SRS for those assigned as female at birth. Ten individuals were registered as deceased post-SRS with an average age of death of 53.5 years. Conclusions: No significant difference in psychiatric morbidity or mortality was found between male to female and female to male (FtM) save for the total number of psychiatric diagnoses where FtM held a significantly higher number of psychiatric diagnoses overall. Despite the over-representation of psychiatric diagnoses both pre- and post-SRS the study found that only a relatively limited number of individuals had received diagnoses both prior to and after SRS. This suggests that generally SRS may reduce psychological morbidity for some individuals while increasing it for others.

AB - Background: There is a lack of long-term register-based follow-up studies of sex-reassigned individuals concerning mortality and psychiatric morbidity. Accordingly, the present study investigated both mortality and psychiatric morbidity using a sample of individuals with transsexualism which comprised 98% (n = 104) of all individuals in Denmark. Aims: (1) To investigate psychiatric morbidity before and after sex reassignment surgery (SRS) among Danish individuals who underwent SRS during the period of 1978–2010. (2) To investigate mortality among Danish individuals who underwent SRS during the period of 1978–2010. Method: Psychiatric morbidity and mortality were identified by data from the Danish Psychiatric Central Research Register and the Cause of Death Register through a retrospective register study of 104 sex-reassigned individuals. Results: Overall, 27.9% of the sample were registered with psychiatric morbidity before SRS and 22.1% after SRS (p = not significant). A total of 6.7% of the sample were registered with psychiatric morbidity both before and after SRS. Significantly more psychiatric diagnoses were found before SRS for those assigned as female at birth. Ten individuals were registered as deceased post-SRS with an average age of death of 53.5 years. Conclusions: No significant difference in psychiatric morbidity or mortality was found between male to female and female to male (FtM) save for the total number of psychiatric diagnoses where FtM held a significantly higher number of psychiatric diagnoses overall. Despite the over-representation of psychiatric diagnoses both pre- and post-SRS the study found that only a relatively limited number of individuals had received diagnoses both prior to and after SRS. This suggests that generally SRS may reduce psychological morbidity for some individuals while increasing it for others.

KW - sex reassignment surgery (SRS)

KW - transsexualism

KW - Follow-up

KW - gender identity disorder

KW - psychiatric morbidity

KW - mortality

U2 - 10.3109/08039488.2015.1081405

DO - 10.3109/08039488.2015.1081405

M3 - Journal article

VL - 70

SP - 241

EP - 247

JO - Nordic Journal of Psychiatry

JF - Nordic Journal of Psychiatry

SN - 0803-9488

IS - 4

ER -

ID: 160973093