Summary

This study surveyed 78 American young adults, mostly born female, who had identified as trans, often taking medical steps, and later stopped. They reported high rates of mental health diagnoses, many from before they first identified as trans. Most said they had first mistaken mental health problems or trauma for gender distress. Their reasons for detransitioning were mostly internal, such as their own changing thinking, rather than pressure from family or discrimination. Most reported much less gender distress and self-harm, and feeling much better about life, after detransitioning. The authors conclude that for some people, detransition is both possible and helpful. But these were volunteers looking back once on their own experience. The study describes this group well, but cannot show how common detransition is, or that detransitioning caused the improvements.

Key findings

• 78人のうち71人（91%）は女性として生まれました。平均して17歳で初めてトランスと自認し、約5年間そうしていました。
• 大半（83%）が社会的トランジションのステップを、68%が医学的ステップを踏んでいました。内訳は、ホルモンのみ40%、ホルモンと手術23%、手術のみ5%でした。
• 振り返ると、今日の診断基準を満たす子ども時代の性別への苦痛を覚えていたのは17%未満でしたが、53%は「急速発症性性別違和」（10代で突然現れる性別への苦痛）が自分に当てはまると感じていました。
• メンタルヘルスの問題は多く、79%がこれまでに自傷をしたことがあり、トランスと自認する前が71%、自認していた間が64%、その後が23%でした。
• 最初にトランスと自認した理由として最も多かったのは、メンタルヘルスの問題やトラウマへの反応を性別への苦痛と取り違えたことでした。やめた理由は、外部からの圧力より内面的なものであることが多くありました。
• 異性ホルモンを受けた人のうち、66.7%はリスクについて適切に説明されなかったと感じており、他の選択肢について説明されたと答えたのは1人だけでした。
• 全参加者のうち、トランジションを担当した医師にデトランジションしたことを伝えたのは27.1%だけでした。
• 著者らは、この研究ではデトランジションがどのくらい一般的か、何がそれを予測するのかは示せないと認めています。

Abstract

Persons who have renounced a prior transgender identification, often after some degree of social and medical transition, are increasingly visible. We recruited 78 US individuals ages 18-33 years who previously identified as transgender and had stopped identifying as transgender at least six months prior. On average, participants first identified as transgender at 17.1 years of age and had done so for 5.4 years at the time of their participation. Most (83%) participants had taken several steps toward social transition and 68% had taken at least one medical step. By retrospective reports, fewer than 17% of participants met DSM-5 diagnostic criteria for Gender Dysphoria in Childhood. In contrast, 53% of participants believed that "rapid-onset gender dysphoria" applied to them. Participants reported a high rate of psychiatric diagnoses, with many of these prior to trans-identification. Most participants (N = 71, 91%) were natal females. Females (43%) were more likely than males (0%) to be exclusively homosexual. Participants reported that their psychological health had improved dramatically since detransi- tion/desistance, with marked decreases in self-harm and gender dysphoria and marked increases in flourishing. The most common reason given for initial trans-identification was confusing mental health issues or reactions to trauma for gender dysphoria. Reasons for detransition were more likely to reflect internal changes (e.g., the participants' own thought processes) than external pressures (e.g., pressure from family). Results suggest that, for some transgender individuals, detransition is both possible and beneficial.

Conclusion

We surveyed a sample of young adults who previously identified as transgender but had detransitioned or desisted. Most participants were born female. Mental health issues, including prior diagnoses and a history of self-harm, were especially common. A history of gender dysphoria during childhood was reported by a nontrivial minority of participants. A slight majority believed their histories were consistent with rapid-onset gender dysphoria. Factors most associated with detransition were internal factors, reflecting psychological change, rather than external factors, such as family or social pressure. Detransitioned participants reported that they had become much less gender dysphoric, and much happier, than they were during their period of trans-identification.