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Mental health care needs of transgender people living in Russia

Published online by Cambridge University Press:  01 September 2022

E. Chumakov*
Affiliation:
St.-Petersburg Psychiatric Hospital No 1 named after P.P. Kaschenko, Day Inpatient Department, St Petersburg, Russian Federation Saint-Petersburg University, Department Of Psychiatry And Addictions, Saint-Petersburg, Russian Federation
Y. Ashenbrenner
Affiliation:
St.-Petersburg Psychiatric Hospital No 1 named after P.P. Kaschenko, Day Inpatient Department, St Petersburg, Russian Federation
A. Gvozdetsky
Affiliation:
North-Western State Medical University named after I.I. Mechnikov, Department Of Psychiatry And Addictions, St. Petersburg, Russian Federation
N. Petrova
Affiliation:
Saint-Petersburg University, Department Of Psychiatry And Addictions, Saint-Petersburg, Russian Federation
L. Azarova
Affiliation:
St.-Petersburg Psychiatric Hospital No 1 named after P.P. Kaschenko, Day Inpatient Department, St Petersburg, Russian Federation
O. Limankin
Affiliation:
St.-Petersburg Psychiatric Hospital No 1 named after P.P. Kaschenko, Day Inpatient Department, St Petersburg, Russian Federation North-Western State Medical University named after I.I. Mechnikov, Department Of Psychotherapy, Medical Psychology And Sexology, St Petersburg, Russian Federation St-Petersburg Institute of Postgraduate Improvement of Physicians-experts of the Ministry of Labour and Social Protection, Department Of Social Psychiatry And Psychology, St Petersburg, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

The majority of researchers agree that transgender people have an increased burden of mental disorders compared to the general population. However, it is strongly suggested that transgender people still do not receive mental health care that they need.

Objectives

To assess the mental health care needs of transgender people living in Russia.

Methods

An anonymous online survey was conducted throughout November 2019. 588 transgender adults living in all Federal Districts of Russia (mean age 24.0±6.7) were included in the final analysis.

Results

It was found that 308 respondents (52.4%) had visited mental health professional prior to gender transition. 150 people (25.5%) reported to had been diagnosed with a mental disorder before gender transition, and a further 77 respondents (13.1%) indicated that they had been diagnosed with a mental disorder after transition began. 157 people (26.7%) received treatment from a mental health professional. 222 respondents (37.8%) had experience of taking medication off-prescription to improve mental wellbeing. 464 people (78.9%) reported being in need of psychological care. 289 people (49.1%) indicated that they were experiencing barriers in obtaining psychiatric (psychotherapeutic, psychological) care, which was associated with a perceived need for psychological support (OR=4.33 [95% CI: 2.49;7.80], p<0.001), being diagnosed with a mental disorder prior to gender transition (OR=2.19 [95% CI: 1.30;3.77], p=0.004), poorer housing conditions (OR=0.86 [95% CI: 0.79;0.93], p<0.001).

Conclusions

Our research shows that there is a high perceived need for qualified mental health care for transgender people in Russia.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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