{"id":"https://openalex.org/W2733405656","doi":"https://doi.org/10.9740/mhc.2017.07.172","title":"Psychiatric admission in adolescent transgender patients: A case series","display_name":"Psychiatric admission in adolescent transgender patients: A case series","publication_year":2017,"publication_date":"2017-07-01","ids":{"openalex":"https://openalex.org/W2733405656","doi":"https://doi.org/10.9740/mhc.2017.07.172","mag":"2733405656","pmid":"https://pubmed.ncbi.nlm.nih.gov/29955519","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6007526"},"language":"en","primary_location":{"id":"doi:10.9740/mhc.2017.07.172","doi":"https://doi.org/10.9740/mhc.2017.07.172","is_oa":true,"landing_page_url":"https://doi.org/10.9740/mhc.2017.07.172","pdf_url":null,"source":{"id":"https://openalex.org/S4210208161","display_name":"Mental Health Clinician","issn_l":"2168-9709","issn":["2168-9709"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20","russia-white-list-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Mental Health Clinician","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.9740/mhc.2017.07.172","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5085689490","display_name":"Jennifer N. Alastanos","orcid":"https://orcid.org/0000-0003-3578-8427","observed_orcids":["https://orcid.org/0000-0003-3578-8427"]},"institutions":[{"id":"https://openalex.org/I184840846","display_name":"Virginia Commonwealth University","ror":"https://ror.org/02nkdxk79","country_code":"US","type":"education","lineage":["https://openalex.org/I184840846"]},{"id":"https://openalex.org/I2799915690","display_name":"Morton Plant North Bay Hospital","ror":"https://ror.org/05r3pfn29","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799915690","https://openalex.org/I4210104814"]},{"id":"https://openalex.org/I4210104814","display_name":"BayCare Health System","ror":"https://ror.org/01fqg5k81","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210104814"]},{"id":"https://openalex.org/I72019824","display_name":"Virginia Commonwealth University Medical Center","ror":"https://ror.org/057xmsr27","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I72019824"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jennifer N. Alastanos","raw_affiliation_strings":["(Corresponding author) Clinical Pharmacist \u2013 Psychiatry, Morton Plant North Bay Hospital, BayCare Health System, New Port Richey, Florida, jennifer.alastanos@baycare.org. Previously: Virginia Commonwealth University Health System, Richmond, Virginia","Virginia Commonwealth University Health System, Richmond, Virginia;"],"raw_orcid":"https://orcid.org/0000-0003-3578-8427","affiliations":[{"raw_affiliation_string":"(Corresponding author) Clinical Pharmacist \u2013 Psychiatry, Morton Plant North Bay Hospital, BayCare Health System, New Port Richey, Florida, jennifer.alastanos@baycare.org. Previously: Virginia Commonwealth University Health System, Richmond, Virginia","institution_ids":["https://openalex.org/I184840846","https://openalex.org/I2799915690","https://openalex.org/I4210104814"]},{"raw_affiliation_string":"Virginia Commonwealth University Health System, Richmond, Virginia;","institution_ids":["https://openalex.org/I184840846","https://openalex.org/I72019824"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110860358","display_name":"Sandra Mullen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I184840846","display_name":"Virginia Commonwealth University","ror":"https://ror.org/02nkdxk79","country_code":"US","type":"education","lineage":["https://openalex.org/I184840846"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sandra Mullen","raw_affiliation_strings":["Clinical Pharmacist \u2013 Psychiatry and Clinical Assistant Professor \u2013 Pharmacy and Psychiatry, Virginia Commonwealth University Health System, Virginia Treatment Center for Children, Richmond, Virginia"],"raw_orcid":"https://orcid.org/0000-0002-2658-2905","affiliations":[{"raw_affiliation_string":"Clinical Pharmacist \u2013 Psychiatry and Clinical Assistant Professor \u2013 Pharmacy and Psychiatry, Virginia Commonwealth University Health System, Virginia Treatment Center for Children, Richmond, Virginia","institution_ids":["https://openalex.org/I184840846"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5085689490"],"corresponding_institution_ids":["https://openalex.org/I184840846","https://openalex.org/I2799915690","https://openalex.org/I4210104814","https://openalex.org/I72019824"],"apc_list":{"value":250,"currency":"USD","value_usd":250},"apc_paid":{"value":250,"currency":"USD","value_usd":250},"fwci":1.0384,"has_fulltext":false,"cited_by_count":11,"citation_normalized_percentile":{"value":0.79988947,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"7","issue":"4","first_page":"172","last_page":"175"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10182","display_name":"Child and Adolescent Psychosocial and Emotional Development","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11906","display_name":"Gender, Sexuality, and Education","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3318","display_name":"Gender Studies"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/transgender-youth","display_name":"transgender youth","score":0.8410000205039978},{"id":"https://openalex.org/keywords/gender-dysphoria","display_name":"gender dysphoria","score":0.972000002861023},{"id":"https://openalex.org/keywords/psychiatric-hospitalization","display_name":"psychiatric hospitalization","score":0.953000009059906},{"id":"https://openalex.org/keywords/suicidal-ideation","display_name":"suicidal ideation","score":0.9210000038146973},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.9139999747276306},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.9440000057220459},{"id":"https://openalex.org/keywords/gender-transition","display_name":"gender transition","score":0.734000027179718},{"id":"https://openalex.org/keywords/psychiatric-inpatient-care","display_name":"psychiatric inpatient care","score":0.5889999866485596}],"concepts":[{"id":"https://openalex.org/C2776641880","wikidata":"https://www.wikidata.org/wiki/Q944142","display_name":"Suicidal ideation","level":4,"score":0.7024270296096802},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.6993665099143982},{"id":"https://openalex.org/C2779671885","wikidata":"https://www.wikidata.org/wiki/Q189125","display_name":"Transgender","level":2,"score":0.6988168358802795},{"id":"https://openalex.org/C2777656388","wikidata":"https://www.wikidata.org/wiki/Q1049021","display_name":"Gender dysphoria","level":3,"score":0.6547216176986694},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5650840401649475},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.5592606663703918},{"id":"https://openalex.org/C2780421500","wikidata":"https://www.wikidata.org/wiki/Q290620","display_name":"Dysphoria","level":3,"score":0.5497428178787231},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5120819211006165},{"id":"https://openalex.org/C2780577388","wikidata":"https://www.wikidata.org/wiki/Q7256236","display_name":"Psychiatric history","level":3,"score":0.45012354850769043},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.4424908757209778},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4407353401184082},{"id":"https://openalex.org/C2781210005","wikidata":"https://www.wikidata.org/wiki/Q6738337","display_name":"Major depressive episode","level":3,"score":0.4140078127384186},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.37544772028923035},{"id":"https://openalex.org/C3017944768","wikidata":"https://www.wikidata.org/wiki/Q1450463","display_name":"Poison control","level":2,"score":0.32339200377464294},{"id":"https://openalex.org/C526869908","wikidata":"https://www.wikidata.org/wiki/Q3298118","display_name":"Suicide prevention","level":3,"score":0.26429200172424316},{"id":"https://openalex.org/C11171543","wikidata":"https://www.wikidata.org/wiki/Q41630","display_name":"Psychoanalysis","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.0},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.9740/mhc.2017.07.172","doi":"https://doi.org/10.9740/mhc.2017.07.172","is_oa":true,"landing_page_url":"https://doi.org/10.9740/mhc.2017.07.172","pdf_url":null,"source":{"id":"https://openalex.org/S4210208161","display_name":"Mental Health Clinician","issn_l":"2168-9709","issn":["2168-9709"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20","russia-white-list-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Mental Health Clinician","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:4970381","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6007526","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6007526","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6007526","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ment Health Clin","raw_type":"Text"},{"id":"pmid:29955519","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29955519","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The mental health clinician","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.9740/mhc.2017.07.172","doi":"https://doi.org/10.9740/mhc.2017.07.172","is_oa":true,"landing_page_url":"https://doi.org/10.9740/mhc.2017.07.172","pdf_url":null,"source":{"id":"https://openalex.org/S4210208161","display_name":"Mental Health Clinician","issn_l":"2168-9709","issn":["2168-9709"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","poland-20","russia-white-list-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Mental Health Clinician","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":11,"referenced_works":["https://openalex.org/W1545930268","https://openalex.org/W1970439170","https://openalex.org/W2014556376","https://openalex.org/W2016563769","https://openalex.org/W2042939093","https://openalex.org/W2148911925","https://openalex.org/W2154354745","https://openalex.org/W2159036166","https://openalex.org/W2298549036","https://openalex.org/W2304729295","https://openalex.org/W4247665917"],"related_works":["https://openalex.org/W2906818884","https://openalex.org/W3014418523","https://openalex.org/W4392507551","https://openalex.org/W3093629096","https://openalex.org/W3207804952","https://openalex.org/W3194415267","https://openalex.org/W4414410474","https://openalex.org/W3175184213","https://openalex.org/W4303940669","https://openalex.org/W4401114802"],"abstract_inverted_index":{"Gender":[0,31],"dysphoria":[1,32,53],"is":[2,33,54,70],"defined":[3],"as":[4,150,173],"a":[5,55,165],"marked":[6],"incongruence":[7],"between":[8],"one's":[9],"natal":[10],"gender":[11,13,52,197,219],"and":[12,61,67,78,127,154,186,201],"identity":[14],"that":[15],"causes":[16],"significant":[17],"distress.":[18],"It":[19],"may":[20],"be":[21],"present":[22,41],"in":[23,42,65,80,215,221],"children":[24,66],"but":[25],"often":[26],"fades":[27],"prior":[28],"to":[29,36,45,59,104,110,135,152,159,196,208],"puberty.":[30],"more":[34],"likely":[35],"persist":[37],"into":[38],"adulthood":[39],"when":[40],"adolescents.":[43,68,82],"Due":[44,103],"the":[46,105,122,146,174,189],"common":[47,205],"occurrence":[48],"of":[49,107,113,130,145,167,188,211,218],"psychiatric":[50,63,76,91,111,209],"comorbidities,":[51],"contributing":[56],"factor":[57,176],"leading":[58,207],"outpatient":[60],"inpatient":[62,137],"care":[64],"There":[69],"currently":[71],"limited":[72],"available":[73],"literature":[74,108],"on":[75,183,193],"hospitalization":[77,210],"management":[79,112],"transgender":[81,94,114,132,213],"A":[83],"PubMed":[84],"search":[85],"revealed":[86],"no":[87],"case":[88,118,142,223],"reports":[89],"regarding":[90],"admission":[92],"for":[93],"adolescents":[95,133],"with":[96,170],"comorbid":[97],"anxiety,":[98],"depression,":[99,200],"or":[100],"suicidal":[101,171,202],"ideation.":[102],"lack":[106],"related":[109,195],"adolescent":[115,212],"patients,":[116],"this":[117,141,222],"series":[119],"briefly":[120],"describes":[121],"past":[123],"medical":[124],"history,":[125],"pharmacotherapy,":[126,185],"discharge":[128],"diagnoses":[129],"5":[131,147,190],"admitted":[134],"an":[136],"psychiatry":[138],"unit.":[139],"In":[140],"series,":[143],"4":[144],"patients":[148,163,180,191,214],"identified":[149],"female":[151],"male":[153],"ages":[155],"ranged":[156],"from":[157],"13":[158],"17":[160],"years.":[161],"All":[162,179],"had":[164],"history":[166],"depressive":[168],"symptoms":[169],"ideation":[172,203],"key":[175],"prompting":[177],"admission.":[178],"were":[181,192,204],"managed":[182],"psychotropic":[184],"3":[187],"pharmacotherapy":[194],"transition.":[198],"Anxiety,":[199],"comorbidities":[206],"various":[216],"stages":[217],"transitioning":[220],"series.":[224]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2017-07-14T00:00:00"}