Abstract

Introduction

Transgender populations have high rates of many mental health diagnoses, but often delay or avoid mental health care due to prior poor experiences or fear of discrimination. This indicates a need for supportive and effective transgender mental health care. We aim to identify the features of such care through a systemized narrative review of the literature.

Methods

Comprehensive searches of six databases were run using index terms and keywords. Searches were limited to English language studies published from 2000 to August 2019 and followed SANRA criteria. Identified records underwent title/abstract screen for relevance and then were assessed for inclusion using predetermined criteria. Included articles were tabulated and their results synthesized with attention to areas of thematic overlap.

Results

The search returned 1928 unique articles with 35 meeting inclusion criteria and a further one article identified on bibliography screen. Articles reported a range of experiences and preferences across mental health care settings, with common themes emerging. Several reported on retention in care, satisfaction with care, helpfulness of care, or change in symptom burden after receiving care.

Discussion

We discuss preliminary features of supportive transgender mental health care, recommendations for clinical practice, gaps in the literature, and areas for future research.

中文翻译：

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提供支持性的跨性别心理保健：对患者体验、偏好和结果的系统化叙述回顾

摘要

介绍

跨性别人群的许多心理健康诊断率很高，但由于先前的不良经历或害怕歧视，往往会延迟或避免心理健康护理。这表明需要支持性和有效的跨性别心理保健。我们的目标是通过对文献的系统化叙述回顾来确定这种护理的特征。

方法

使用索引词和关键字对六个数据库进行了全面搜索。搜索仅限于 2000 年至 2019 年 8 月发表并遵循 SANRA 标准的英语语言研究。已识别的记录经过标题/摘要筛选的相关性，然后使用预定标准评估是否包含。包含的文章被制成表格，并在关注主题重叠领域的情况下综合了它们的结果。

结果

搜索返回了 1928 篇独特的文章，其中 35 篇符合纳入标准，另外一篇在参考书目屏幕上确定。文章报道了精神卫生保健机构的一系列经验和偏好，并出现了共同的主题。一些人报告了接受护理后的护理保留、护理满意度、护理的帮助或症状负担的变化。

讨论

我们讨论了支持性跨性别心理保健的初步特征、临床实践建议、文献空白以及未来研究领域。