First biennial conference of the TRANSGENDER HEALTH CARE IN EUROPE BOOK OF ABSTRACTS MARCH 12-14, 2015 GHENT, BELGIUM EPATH Biennial Conference “Transgender Health Care in Europe” March 12 – 14, 2015, Ghent, Belgium OVERVIEW ORAL PRESENTATIONS .................................................................................................... 8 KEYNOTE LECTURES ............................................................................................................ 8 Plenary Session I: Henriette Delemarre Memorial Lecture (March 12th, 2015, 13:45 – 14:30) .......... 8 1. Youth with gender incongruence: culture and future ............................................................ 8 Public Plenary Session: Human Rights and Health Care for Trans People in Europe (March 12th, 2015, doors open at 18:00) ................................................................................................................ 8 1. Caring for transgender adolescents: future perspectives ........................................................ 8 2. Fertility options for trans people............................................................................................... 9 3. Human rights for trans people: taking stock of where we are in Europe ............................. 9 STREAM SESSIONS I (T HURSDAY MARCH 12, 2015, 14:00 – 15:30) ......................................... 10 STREAM MENTAL HEALTH ...................................................................................................................... 10 Session 1: Epidemiology, assessment and comorbidity ........................................................................ 10 1. Increase of referrals to gender identity clinics: a European trend? Characteristics and Hypotheses ................................................................................................................................ 10 2. Five year progress and outcome for all patients assessed at the Charing Cross Gender Identity Clinic, London, UK, 2009 ............................................................................. 10 3. Role and importance of mental health professionals in the assessment of gender dysphoric persons ...................................................................................................................... 11 4. Gender variance in adults with autism spectrum disorder .................................................... 11 5. Non-suicidal self-injury in trans people: associations with psychological symptoms, victimizations, interpersonal functioning and perceived social support ............................ 12 STREAM CHILDREN AND ADOLESCENTS ............................................................................................. 13 Session 1a: Specific issues in health care of children and adolescents with gender dysphoria ......... 13 1. Family therapy with Gender Identity Disorder adolescents. ................................................. 13 2. Family days: providing innovative psychosocial support to gender variant youth and their families in the UK ............................................................................................................. 13 3. Setting up a peer to peer, email based support system for trans youth: experience, challenges and possibilities ...................................................................................................... 14 4. Early pubertal timing is common among adolescent SR applicants .................................... 14 5. Early medical treatment of children with gender dysphoria: An empirical ethical study on the opinions of the treatment teams and gender dysphoric youth concerning early interventions ................................................................................................ 15 Session 1b: Research updates .................................................................................................................. 16 1. Sex-typical and sex-atypical white matter microstructure in gender dysphoric children and adolescents – a Diffusion Tensor Imaging study ............................................ 16 2. A parent-report gender identity questionnaire for children: preliminary analysis of the Italian version ..................................................................................................................... 17 3. Psychological support and puberty suppression improve global functioning in transsexual adolescents ............................................................................................................ 17 4. An investigation of body image satisfaction in young people: a comparison of persons with features of gender dysphoria and a non-clinical sample ............................... 18 5. Body experiences of gender variant adolescents .................................................................... 18 Book of Abstracts - 1 EPATH Biennial Conference “Transgender Health Care in Europe” March 12 – 14, 2015, Ghent, Belgium STREAM ENDOCRINOLOGY ..................................................................................................................... 19 Session 1a: Effects of hormonal treatment ............................................................................................. 19 1. Safety and efficacy of cyproterone acetate or GnRH analogs plus transdermal estradiol in transgender persons ............................................................................................. 19 2. Specific effects of different forms of cross-sex hormone therapy on body weight in transgender people ................................................................................................................... 20 3. Cross-sex hormone treatment (CHT) and cumulative incidence of Metabolic Syndrome in Spanish transsexual population: 5 years follow-up ........................................ 20 4. Increased ambulatory blood pressure in adolescents with gender dysphoria treated with gonadotropin-releasing hormone analogues ................................................................ 21 5. Self-medication in trans people is not associated with deterioration in cardiovascular risk factors but is associated with reduced vitamin D levels and antidepressant use .................................................................................................................... 22 Session 1b: European views on hormonal therapy ................................................................................ 22 1. Prevalence of transsexualism in the province of Santa Cruz de Tenerife ............................ 22 2. A twenty year follow up study of transsexualism in Serbia ................................................... 23 3. Primary care monitoring for patients on hormones in Northern Ireland ........................... 23 4. Oestrogen implant as an alternative form of hormone replacement therapy in trans women; testosterone implant in trans men: efficacy and safety .......................................... 24 STREAM SOCIAL SCIENCES ..................................................................................................................... 24 Session 1: Ethical aspects in social trans research ................................................................................. 24 1. Patients, research objects or co-researchers? Research ethics in trans* studies ................. 24 2. Epidemiologic considerations on transsexualism .................................................................. 25 3. Trans* / sexualities: a controversial issue ............................................................................... 26 4. Representing transsexuality and transsexual people: The public debate on an innovative law for legal gender recognition ........................................................................... 26 STREAM LAW .............................................................................................................................................. 27 Session 1: Legal aspects of transgender health care .............................................................................. 27 1. Unlawful pathology: judicial limits on the medicalization of transgender identities in Europe .................................................................................................................................... 27 2. Trans children’s right to recognition and self-determination .............................................. 27 3. Legal, policy and human rights implications of ICD changes on trans health care ........... 28 4. “Thanks for helping my patient!” An example of successful collaboration between activists, health and legal professionals.................................................................................. 28 STREAM SESSIONS II (F RIDAY MARCH 12, 2015, 13:30 – 15:30) ............................................. 29 STREAM MENTAL HEALTH ..................................................................................................................... 29 Session 2a: Quality of life, discrimination and abuse ...........................................................................29 1. Predictors of Psychological Wellbeing ....................................................................................29 2. Being transsexual in Croatia .....................................................................................................29 3. Transphobia and homophobia levels in general population, health care providers and in gender dysphoria individuals ......................................................................................