{"id":21561,"date":"2025-03-12T09:30:00","date_gmt":"2025-03-12T13:30:00","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=news_release&#038;p=21561"},"modified":"2025-04-08T16:29:53","modified_gmt":"2025-04-08T20:29:53","slug":"transgender-and-gender-diverse-people-less-likely-to-receive-follow-up-after-a-mental-health-hospitalization","status":"publish","type":"news_release","link":"https:\/\/www.ices.on.ca\/fr\/news-releases\/transgender-and-gender-diverse-people-less-likely-to-receive-follow-up-after-a-mental-health-hospitalization\/","title":{"rendered":"Transgender and gender diverse people less likely to receive follow-up after a mental health hospitalization\u00a0"},"content":{"rendered":"<p><b><span data-contrast=\"none\">Toronto, ON, March 12, 2025<\/span><\/b><span data-contrast=\"none\">\u2014Transgender and gender diverse individuals who were hospitalized for psychiatric care were less likely to have a follow-up visit compared to the general population, suggesting they face transphobia in the hospital system.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">In a new study from <\/span><b><span data-contrast=\"none\">ICES<\/span><\/b><span data-contrast=\"none\"> and the <\/span><b><span data-contrast=\"none\">Centre for Addiction and Mental Health (CAMH), <\/span><\/b><span data-contrast=\"none\">findings demonstrate that transgender and gender diverse (TGD) people face an interesting paradox:\u00a0 they have lower access to appropriate mental health care and support following a psychiatric hospitalization, yet have better follow-up after an emergency department (ED) visit. According to <\/span><a href=\"https:\/\/www150.statcan.gc.ca\/n1\/daily-quotidien\/220427\/dq220427b-eng.htm\"><span data-contrast=\"none\">Statistics Canada<\/span><\/a><span data-contrast=\"none\">, TGD people account for 0.33% of the Canadian population, with many living in large urban centres.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">\u00ab\u00a0Follow-up after an emergency department visit or hospitalization for mental health concerns is vital for people\u2019s long-term well-being,\u201d says lead author Dr. June Lam, associate scientist at CAMH and ICES Fellow. \u201cIt\u2019s a risky time for folks, and we wanted to better understand if this population is being well supported after a mental health crisis.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The researchers analyzed health data at ICES for all adults discharged from the emergency department (ED) or hospital for psychiatric care between 2012 and 2018 in Ontario, Canada. The study included 728 TGD and over 581,708 individuals in the general population.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">TGD individuals were identified through electronic health records from four primary care and hospital-based clinics specialized in working with this population. The data were then linked (anonymously) to hospital-based databases.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Key Findings<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Compared to the general population, TGD individuals were <\/span><b><span data-contrast=\"none\">younger, and more likely to live in underserved urban areas and low-income neighbourhoods<\/span><\/b><span data-contrast=\"none\">. They also had much greater prior psychiatric care service use.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"none\">55%<\/span><\/b> <b><span data-contrast=\"none\">of TGD individuals<\/span><\/b><span data-contrast=\"none\"> had outpatient mental health-related physician follow-up in the 30 days after discharge from the ED, compared to <\/span><b><span data-contrast=\"none\">38% for the general population<\/span><\/b><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"none\">One-third of T<\/span><\/b><b><span data-contrast=\"auto\">GD individuals<\/span><\/b><span data-contrast=\"auto\"> had a follow-up with a psychiatrist within one month of an ED visit, about double the rate of the general population.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">In contrast, TGD people were <\/span><b><span data-contrast=\"auto\">less likely to receive follow-up after a hospitalization<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"auto\">Even after accounting for other factors, TGD individuals were still 21% more likely to have a follow-up after discharge from the ED than the general population, but they were 20% less likely to have follow-up after a hospitalization.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">\u201cLower follow-up after hospitalization is concerning because it suggests that there is something about the hospital experience that may be leading to avoidance of care after discharge,\u201d says Lam, who is also a psychiatrist in the CAMH Gender Identity Clinic. \u201cPatients may be experience misgendering and transphobia in the hospital setting, which could influence whether they\u2019ll seek follow-up care.\u201d<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">Improving the Hospital Experience\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">The authors suggest that one way to improve hospital care for TGD patients is to ask for their chosen name, gender identity and pronouns on the initial intake form, and make sure that all care providers are using the correct name and pronouns throughout the care experience.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Another approach is to tailor follow-up resources for TGD patients that address social determinants of health. Resources have been developed in the CAMH ED to provide TGD-specific crisis lines, housing resources, and community organizations.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">\u201cLack of social supports is often a perpetuating factor for mental health challenges for TGD people, so connecting them with community organizations that offer healthcare provider and peer connections is so crucial for TGD people&rsquo;s wellness and recovery long-term,\u201d says co-author Dr. Juveria Zaheer, a scientist with the Institute for Mental Health Policy Research and General Adult Psychiatry and Health Systems Division at CAMH.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">One limitation of the study is that it didn&rsquo;t capture nonphysician mental health care and there was no measure of need for follow-up. However, a higher rate of post-ED follow-up suggests that there is a greater need among TGD individuals, and standards of care recommend that follow-up should occur regardless.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">\u201cThese findings underscore the urgent need to improve hospital experiences and make sure that all patients feel safe and supported in seeking care. By addressing barriers such as a lack of social support, misgendering and transphobia in hospital settings, we can help close this gap and create a more equitable mental health system,\u201d says senior author Dr. Paul Kurdyak, a senior scientist with ICES and CAMH.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">ICES<\/span><\/b><span data-contrast=\"none\"> is an independent, not-for-profit research and analytics institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. ICES leads cutting-edge studies and analyses evaluating healthcare policy, delivery, and population outcomes. Our knowledge is highly regarded in Canada and abroad and is widely used by government, hospitals, planners, and practitioners to make decisions about healthcare delivery and to develop policy. For the latest ICES news, follow us on BlueSky and LinkedIn: @ICESOntario<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">The Centre for Addiction and Mental Health (CAMH)<\/span><\/b><span data-contrast=\"none\"> is Canada&rsquo;s largest mental health and addiction teaching hospital and a world leading research centre in this field. CAMH combines clinical care, research, education, policy development and health promotion to help transform the lives of people affected by mental illness and addiction. CAMH is fully affiliated with the University of Toronto and is a Pan American Health Organization\/World Health Organization Collaborating Centre. For more information, please visit camh.ca. or follow @CAMHnews on BlueSky and LinkedIn.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"none\">FOR FURTHER INFORMATION PLEASE CONTACT:<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Misty Pratt<\/span><br \/>\n<span data-contrast=\"none\">Senior Communications Associate, ICES<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><br \/>\n<\/span><a href=\"mailto:Media@ices.on.ca\"><span data-contrast=\"none\">Media@ices.on.ca<\/span><\/a><br \/>\n<span data-contrast=\"none\">343-961-6982<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Toronto, ON, March 12, 2025\u2014Transgender and gender diverse individuals who were hospitalized for psychiatric care were less likely to have a follow-up visit compared to the general population, suggesting they face transphobia in the hospital system.\u00a0\u00a0\u00a0 In a new study from ICES and the Centre for Addiction and Mental Health (CAMH), findings demonstrate that transgender [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[24,34,21],"class_list":["post-21561","news_release","type-news_release","status-publish","hentry","topic-acute-and-emergency-services","topic-mental-health-and-addictions","topic-women-or-gender-based-research"],"acf":{"infographic":[21588],"journal_article":"","research_report":"","atlas":"","research_program":[6744],"site":[6733],"ices_scientist":[1152],"announce_or_event":"","video":"","iitn_type":"Article","iitn_title":"","iitn_short_title":"","iitn_source_link_url":"","iitn_source_link_text":"","sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Transgender and gender diverse people less likely to receive follow-up after a mental health hospitalization\u00a0<\/title>\n<meta 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