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<p><i>Aims and methods</i>.&#xa0;Following the cancellation of the Pan-London Child and Adolescent Psychiatry (CAP) Trainees’ conference on gender dysphoria and supporting gender questioning children and young people (CYP), CAP trainees anecdotally reported a need for training and education on this burgeoning phenomenon. This research project sought to explore the experiences, views and understanding of CAP trainees when supporting gender dysphoric, transgender and gender questioning CYP. A cross-sectional survey was sent to all current CAP trainees attached to training schemes based in London. Focus groups were also carried out with London-based CAP trainees to gain a deeper understanding of their experiences and training needs.&#xa0;<i>Results</i>.&#xa0;CAP trainees frequently assessed and managed gender diverse CYP as part of their clinical workload. Subjective confidence working with gender diverse CYP was low, and few trainees had received specialist training or supervision, despite encountering a plethora of challenges. Furthermore, trainees often felt constrained by the socio-political climate surrounding the issue, leading to a fear of being labelled as transphobic, which led to self-censorship.&#xa0;<i>Clinical implications</i>.&#xa0;CAP trainees are not being afforded appropriate education or training in how to assess and manage gender diverse CYP, despite frequent clinical contact with this population. Without being armed with the appropriate skills, these trainee psychiatrists often lack confidence about working with gender diverse CYP and can experience fear due to the medical and socio-political debate surrounding the support and management of gender diverse CYP. Our research suggests that an urgent review of staff education and training needs surrounding transgender CYP mental health is required.</p>

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Assessing psychiatry trainees’ experiences, views and understanding of supporting gender questioning, gender dysphoric and transgender young people: a mixed methods study

  • 期刊论文

  • 发表日期：

    2025年12月3日

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  • Saam Idelji-Tehrani,
  • Juliet Singer,
  • Merve Cetinkaya,
  • Helen Killaspy

摘要

Aims and methods. Following the cancellation of the Pan-London Child and Adolescent Psychiatry (CAP) Trainees’ conference on gender dysphoria and supporting gender questioning children and young people (CYP), CAP trainees anecdotally reported a need for training and education on this burgeoning phenomenon. This research project sought to explore the experiences, views and understanding of CAP trainees when supporting gender dysphoric, transgender and gender questioning CYP. A cross-sectional survey was sent to all current CAP trainees attached to training schemes based in London. Focus groups were also carried out with London-based CAP trainees to gain a deeper understanding of their experiences and training needs. Results. CAP trainees frequently assessed and managed gender diverse CYP as part of their clinical workload. Subjective confidence working with gender diverse CYP was low, and few trainees had received specialist training or supervision, despite encountering a plethora of challenges. Furthermore, trainees often felt constrained by the socio-political climate surrounding the issue, leading to a fear of being labelled as transphobic, which led to self-censorship. Clinical implications. CAP trainees are not being afforded appropriate education or training in how to assess and manage gender diverse CYP, despite frequent clinical contact with this population. Without being armed with the appropriate skills, these trainee psychiatrists often lack confidence about working with gender diverse CYP and can experience fear due to the medical and socio-political debate surrounding the support and management of gender diverse CYP. Our research suggests that an urgent review of staff education and training needs surrounding transgender CYP mental health is required.