Psychological challenges of waiting to access gender services (v2.3)
Research type
Research Study
Full title
An exploration of the psychological challenges and impact of waiting to access Gender Dysphoria Clinics in the UK
IRAS ID
285742
Contact name
Beth Greenhill
Contact email
Sponsor organisation
University of Liverpool
Duration of Study in the UK
1 years, 1 months, 30 days
Research summary
Research Summary
What? Who? Where?
The current study will undertake 10 semi-structured interviews with transgender people (aged 17-26) who have been waiting at least 12 months to access a gender service. Participants will be recruited from two gender clinics across North England. Interviews will be conducted virtually due to COVID-19. Interview data analysis will be conducted via Interpretative Phenomenological Analysis.Summary of Results
Background Young transgender people report higher levels of mental health difficulties compared to the general population, which reportedly improves following gender-affirming care and transition. However, gender dysphoric people wait up to 5+ years in the UK to access gender-affirming treatment from referral.
Aims
To explore the psychological challenges and impact of waiting to access UK Gender Dysphoria Clinics (GDCs) for young trans people Method Ten semi-structured interviews were conducted with people waiting at least 12 months. Data were analysed through Interpretative phenomenological analysis.
Results
Nine themes represented the experiences, which were considered challenges or impact of waiting. Challenges included "Finally getting somewhere…not gotten anywhere”, “People are uneducated and they don’t understand”, Transphobia, Managing identities, Service challenges, Learning to cope. Impact of waiting included “(Gender) Dysphoria attacks”, Angry, anxious, suicidal thoughts, and Unintended benefits.
Conclusion
Waiting to access GDCs is a fragile and vulnerable time. For some, it forces self-acceptance. For most, the experiences of discrimination, stigma, transphobia and uncertainty appear to diminish the hope of waiting and mental health. It can be a difficult process learning to cope (e.g. trial and error, unsafe practices). Findings highlight the importance of reducing waiting times for GDCs, and offering psychosocial support during the wait.REC name
East of Scotland Research Ethics Service REC 1
REC reference
20/ES/0105
Date of REC Opinion
1 Dec 2020
REC opinion
Further Information Favourable Opinion