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» Home » 2019 » September » 04 » “The edge of harm and help”: ethical considerations in the care of transgender youth with complex family situations

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“The edge of harm and help”: ethical considerations in the care of transgender youth with complex family situations

Abstract

Purpose

Health-care providers frequently face clinical ethical dilemmas when working with transgender youth who require hormone therapy but lack parental support for this intervention.

Methods

Through semi-structured interviews and grounded theory analysis, we explored ethical and clinical decision-making processes of health-care providers, as well as the health care experiences of trans youth with family discordance.

Results

We analyzed responses in relation to North American bioethics principles, best interests standard, and the harm principle, exploring issues of autonomy, evidence, and anti-trans bias.

Conclusions

We propose an ethically acceptable clinical approach termed parallel process hormone therapy initiation to address the needs of transgender youth with complex family situations.

Clark B.A., Virani A., Saewyc E.M. (2019) “The edge of harm and help”: ethical considerations in the care of transgender youth with complex family situations. Ethics & Behavior. doi: https://doi.org/10.1080/10508422.2019.1652097

SARAVYC is an international, multi-disciplinary, award-winning team that studies how resilience, stigma, discrimination, violence, and trauma affect young people’s health.
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