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June 1, 2026Acta Paediatrica0 citations

Response to the Critique by Edmiston et al., Banos et al. and Sandri et al. of Ruuska et al.

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SRSami-Matti RuuskaKTKatinka TuiskuTHTimo Holttinen

Key Points

  • This study examines the long-term psychiatric treatment contact for gender reassignment groups compared to controls.
  • Utilized data from Findata under specific licensing conditions.
  • Analyzed hazard ratios (HR) of psychiatric treatment contact ≥ 5 years after the index date.
  • Compared female controls and GD subjects with male controls as the reference group.
  • Significant HRs reported for psychiatric treatment contact among different gender reassignment groups versus controls.
  • Findings indicate variability in treatment needs post-gender reassignment as compared to female controls.

Abstract

The data that support the findings of this study are available from Findata. Restrictions apply to the availability of these data, which were used under license for this study. Data are available from https://findata.fi with the permission of Findata. Table S1: Hazard Ratios (HR) (95% CI) for specialist-level psychiatric treatment contact ≥ 5 years after the index date among female controls and the different gender/gender reassignment (GR) groups among the GD subjects, with control males as the reference group. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.

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Cite This Study

Ruuska et al. (2026) studied this question.

synapsesocial.com/papers/6a1d234302fbce9130638ef9https://doi.org/10.1111/apa.70618
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Significantly higher suicide mortality (p=.05) without gender reassignment should not be dismissed. A commentary on Ruuska et al. “All- cause and suicide mortalities among adolescents and young adults who contacted specialised gender identity services in Finland in 1996–2019: a register study” BMJ Ment Health 2024;27:1–6.2024
  2. 2Psychiatric Morbidity Among Adolescents and Young Adults Who Contacted Specialised Gender Identity Services in Finland in 1996–2019: A Register Study2026 · 13 citations
  3. 3D150. Gender Affirming Surgery and Reduced Rates of Psychiatric Co-morbidities in Patients with Gender Dysphoria2024
  4. 4Interpreting Psychiatric Needs After Gender Reassignment: Methodological Considerations From a Nationwide Register Study2026 · 1 citations
  5. 5Gender as risk factor for 30 days post-discharge hospital utilisation: a secondary data analysis2012 · 37 citations