Baseline psychosocial characteristics of children and adolescents with gender dysphoria referred to the Hamburg Gender Identity Service

Inga Becker

University Medical Center Hamburg-Eppendorf

Inga Becker is a psychologist and researcher at the University Medical Center Hamburg-Eppendorf (UKE), Germany. She is about to finish her PhD with a focus on gender dysphoria in youth. Inga Becker works within the two main research projects on gender identity/ gender incongruence in childhood/ adolescence and adulthood at the UKE, the Institute of Sex Research and Forensic Psychiatry and the Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics. 


Youth with gender dysphoria (GD) who apply for treatment often experience a marked increase in distress when entering puberty, often accompanied by internalizing mental health issues and poor peer relations. The... [ view full abstract ]


The aim of the present study was to describe the clinical presentation of the referred youth (e.g. gender identification, gender dysphoria diagnosis, psychosocial well-being and associated mental health problems), as well as... [ view full abstract ]


All 340 families who attended our service since 2013 were invited to conclude a set of self- and parent-report questionnaires comparable to established international research protocols. Complete youth self-, parent- and... [ view full abstract ]

Main Outcome Measures

Main descriptive measures included the following parameters: socio-demographic characteristics, gender identification, emotional and behavioral problems (YSR, CBCL), and diagnosis (according to DSM-5 criteria). [ view full abstract ]


The majority of the youth identified as transmale (female sex assigned at birth). Almost all of the adolescents reported a highly incongruent identification. Internalizing problems as well as self-harm and suicidality were... [ view full abstract ]


At the Hamburg department, gender dysphoric youth present quite a vulnerable group. Thus, providing appropriate treatment and counselling options in order to contribute to overall well-being in the long-term seems important.... [ view full abstract ]


  1. Inga Becker (University Medical Center Hamburg-Eppendorf)
  2. Saskia Fahrenkrug (University Medical Center Hamburg-Eppendorf)
  3. Julia Schweitzer (University Medical Center Hamburg-Eppendorf)
  4. Birgit Möller (University Medical Center Münster)
  5. Timo O. Nieder (University Medical Center Hamburg-Eppendorf)
  6. Wilhelm Preuss (University Medical Center Hamburg-Eppendorf)
  7. Peer Briken (University Medical Center Hamburg-Eppendorf)
  8. Hertha Richter-Appelt (University Medical Center Hamburg-Eppendorf)
  9. Michael Schulte-Markwort (University Medical Center Hamburg-Eppendorf)

Topic Area

Oral & Poster Topics: Children and adolescents


OS-1B » Children & Adolescents I: Caring for Transgender Youth in Various Countries (14:00 - Thursday, 6th April, Atlantic 2)

Presentation Files

The presenter has requested not to share their files.