Framework guidelines for the process of caring for the health of adolescent transgender (T) and non-binary (NB) people experiencing gender dysphoria — the position statement of the expert panel
This article presents framework guidelines for the care of adolescent transgender (T) and non-binary (NB) individuals experiencing gender dysphoria (GD) and/or gender incongruence (GI). Developed by a multidisciplinary expert panel, these guidelines aim to address the complex medical, psychological, and social needs of this diverse population. The document emphasises the importance of individualised, affirmative care that respects the autonomy, identity, and rights of adolescents. It outlines best practices for psychiatric, psychological, and sexological assessment; criteria and protocols for gender-affirming hormonal interventions (GAHI) and puberty suppression; and ethical considerations for medical decision-making. The guidelines advocate for comprehensive support systems, including family involvement and multidisciplinary team collaboration, while addressing co-occurring mental health conditions and neurodiversity. The article also highlights global perspectives on gender-affirming care, comparing practices and policies across countries to provide a contextualised approach that aligns with international standards while addressing local legal and healthcare frameworks. The proposed care model is designed to enhance the mental and physical well-being of adolescents, reduce stigma, and improve their overall quality of life. This work serves as a vital resource for healthcare professionals, policymakers, and advocates seeking to advance equitable, effective, and compassionate care for gender-diverse youths.
Authors
- Małgorzata Janas–Kozik (ORCID: https://orcid.org/0000-0003-3555-2019)
- Ewa Barg (ORCID: https://orcid.org/0000-0002-7069-5026)
- Lena Cichoń (ORCID: https://orcid.org/0000-0003-3501-5088)
- Maria Szarras‐Czapnik (ORCID: https://orcid.org/0000-0003-4928-9557)
- Anna Mazurczak (ORCID: https://orcid.org/0000-0003-0311-1884)
- Aleksandra Chodecka
- Agnieszka Barbara Drosdzol-Cop (ORCID: https://orcid.org/0000-0003-1249-5840)
- Maciej Pilecki (ORCID: https://orcid.org/0000-0001-8005-2182)
- Barbara Remberk (ORCID: https://orcid.org/0000-0001-7776-009X)
- Beata Wróbel (ORCID: https://orcid.org/0000-0003-0883-6999)
- Marta Dora (ORCID: https://orcid.org/0000-0002-7721-1549)
- Dorota Baran
- Milena Adamczewska-Stachura
- Grzegorz Iniewicz (ORCID: https://orcid.org/0000-0002-8920-5760)
- Izabela Fornalik
- Dominik Rachoń (ORCID: https://orcid.org/0000-0002-8300-7026)
- Grzegorz Kudela (ORCID: https://orcid.org/0000-0001-6743-9833)
- Katarzyna Bajszczak
- Łukasz Müldner-Nieckowski (ORCID: https://orcid.org/0000-0002-4754-9434)
- Mieczysław Walczak (ORCID: https://orcid.org/0000-0003-1664-8525)
- Tomasz Jakubowski (ORCID: https://orcid.org/0000-0002-1918-4028)
- Magdalena Nowacka (ORCID: https://orcid.org/0000-0001-5332-4074)
- Łukasz Szostkiewicz (ORCID: https://orcid.org/0000-0001-8704-2710)
- Julia Kata
- Justyna Holka-Pokorska (ORCID: https://orcid.org/0000-0002-3081-9725)
- Magdalena Mijas (ORCID: https://orcid.org/0000-0001-5471-3725)
- Joanna Ławicka
- Sylwia Stankiewicz
- Jagoda Sikora
- Ewa Dobiała (ORCID: https://orcid.org/0000-0003-1952-8756)
- Aneta Gawlik (ORCID: https://orcid.org/0000-0002-9309-4741)
- Karina Kapczuk (ORCID: https://orcid.org/0000-0003-0218-6841)
- Beata Pastwa‐Wojciechowska (ORCID: https://orcid.org/0000-0002-0561-6125)
- Krzysztof Maria Wilczyński (ORCID: https://orcid.org/0000-0002-8836-8568)
- Bartosz Grabski (ORCID: https://orcid.org/0000-0002-6268-2647)
- Tomasz Koszutski (ORCID: https://orcid.org/0000-0001-6110-6640)
- Aleksandra Antosz (ORCID: https://orcid.org/0000-0002-3918-8800)
- Agnieszka Bielska–Brodziak (ORCID: https://orcid.org/0000-0002-9926-6436)
- Marta Szymańska-Pytlińska
- Małgorzata Trofimiuk–Müldner (ORCID: https://orcid.org/0000-0001-5247-9760)
- Violetta Skrzypulec-Plinta
- Barbara Barteczka-Eckert
- Katarzyna Pilarczyk-Parchanowicz
- Paulina Pilch
Institutions
- Poznan University of Medical Sciences (PL)
- Jagiellonian University (PL)
- Synlab Czech (Czechia) (CZ)
- Medical University of Silesia (PL)
- Gdańsk University of Technology (PL)
- American Academy of Child and Adolescent Psychiatry (US)
- Uniwersytet SWPS (PL)
- Wroclaw Medical University (PL)
- University of Gdańsk (PL)
- Foundation University (PH)
- Center for Children (US)
- Hungarian University of Sports Science (HU)
- Children's Memorial Health Institute (PL)
- Synthos (Poland) (PL)
- Wyższa Szkoła Humanistyczna (PL)
- Akademia Pożarnicza (PL)
- WSB University (PL)
- Institute of Psychiatry and Neurology (PL)
- Star Center (US)
- Adam Mickiewicz University in Poznań (PL)
- Gdańsk Medical University (PL)
- Pomeranian Medical University (PL)
- University of Silesia in Katowice (PL)
- Hologic (Germany) (DE)
Publication Details
- Journal
- Endokrynologia Polska
- Published
- 2025-02-26
- DOI
- https://doi.org/10.5603/ep.104289
- Citations
- 4
- Primary Topic
- LGBTQ Health, Identity, and Policy
- Type
- article
- Field-Weighted Citation Impact
- 9.75