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Analysis of institutional authors

Solerdelcoll MCorresponding AuthorHalperin IAuthorMora MAuthorCastelo-Branco C.Author

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September 23, 2022
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Hybrid Gold

High persistence in Spanish transgender minors: 18 years of experience of the Gender Identity Unit of Catalonia

Publicated to:Revista De Psiquiatria Y Salud Mental. 17 (1): 35-40 - 2024-03-01 17(1), DOI: 10.1016/j.rpsm.2022.02.001

Authors: De Castro, C; Solerdelcoll, M; Plana, MT; Gómez-Gil, E; Vidal, A; Halperin, I; Mora, M; Castelo-Branco, C; Ribera, L

Affiliations

Catalonia Gender Identity Unit, Hospital Clinic de Barcelona, Spain, Group of Endocrine Disorders, Department of Endocrinology and Nutrition, Institute of Digestive and Metabolic Diseases, University of Barcelona, Hospital Clinic de Barcelona, Barcelona, - Author
Clinical Institute of Gynecology, Obstetrics and Neonatology, Hospital Clinic de Barcelona, Faculty of Medicine, University of Barcelona, Barcelona, Spain - Author
Ctr Invest Biomed Red Salud Mental CIBERSAM, Barcelona, Spain - Author
Department of Child and Adolescent Psychiatry and Psychology, Institute of Neuroscience, University of Barcelona, Hospital Clinic de Barcelona, Barcelona, Spain - Author
Department of Child and Adolescent Psychiatry and Psychology, Institute of Neuroscience, University of Barcelona, Hospital Clinic de Barcelona, Barcelona, Spain, Catalonia Gender Identity Unit, Hospital Clinic de Barcelona, Spain - Author
Department of Child and Adolescent Psychiatry and Psychology, Institute of Neuroscience, University of Barcelona, Hospital Clinic de Barcelona, Barcelona, Spain, Catalonia Gender Identity Unit, Hospital Clinic de Barcelona, Spain, Institut d'Investigacion - Author
Department of Child and Adolescent Psychiatry and Psychology, Sant Joan de Déu Barcelona Children's Hospital, Barcelona, Esplugues de Llobregat, Spain - Author
Hosp Clin Barcelona, Catalonia Gender Ident Unit, Barcelona, Spain - Author
Inst Invest Biomed Agusti Pi I Sunyer IDIBAPS, Barcelona, Spain - Author
Institut d'Investigacions Biomèdiques Agustí Pi i Sunyer (IDIBAPS), Barcelona, Spain, Clinical Institute of Gynecology, Obstetrics and Neonatology, Hospital Clinic de Barcelona, Faculty of Medicine, University of Barcelona, Barcelona, Spain - Author
Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Child & Adolescent Psychiat, London, England - Author
St Joan Deu Barcelona Childrens Hosp, Dept Child & Adolescent Psychiat & Psychol, Barcelona, Spain - Author
Univ Barcelona, Dept Med, Barcelona, Spain - Author
Univ Barcelona, Hosp Clin Barcelona, Clin Inst Gynecol Obstet & Neonatol, Fac Med, Barcelona, Spain - Author
Univ Barcelona, Hosp Clin Barcelona, Inst Digest & Metab Dis, Dept Endocrinol & Nutr,Grp Endocrine Disorders, Barcelona, Spain - Author
Univ Barcelona, Hosp Clin Barcelona, Inst Neurosci, Dept Child & Adolescent Psychiat & Psychol, Barcelona, Spain - Author
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Abstract

Introduction: An increasing number of transgender minors are seeking help during the development of their gender identity and transitioning. Understanding their characteristics and the impact of transitioning on their mental health would be of help in the development of protocols to offer a better assistance to this population. The aim of this study was to examine the socio-demographic characteristics and clinical data related to gender identity, transitioning and persistence of transgender minors who were seen at the Gender Identity Unit (GID) of Catalonia, Spain. Material and methods: All underage applicants who requested clinical assistance at the specialized GID from 1999 until 2016 were retrospectively evaluated using the minors’ medical records. Results: 124 out of 140 minors were confirmed as being transgender, 83.1% of them were adolescents. The assigned male/female ratio was 1:1.2. 97.6% persisted in their transgender identity after a median follow-up time of 2.6 years. Prior to the first meeting, 48.5% were living in their affirmed role and, by the end of the study, this percentage rose to 87.1%. Yearly, the number of referrals exponentially grew whereas the age at referral decreased (rs = ?0.2689, p = 0.0013). Child consultations rose to a significant percentage (23.5%) over the last 6 years. Conclusions: Over the 18-year period, the number of referrals increased considerably, more assigned natal female minors and children were seen, and more minors made the decision to go through social transition at a younger age. In contrast with other epidemiological studies conducted in this field, a consistently high rate of persistence was observed. © 2022 SEP y SEPB

Keywords

Gender identityPersistenceReferralsSocial transitionTransgender minors

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Revista De Psiquiatria Y Salud Mental due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2024 there are still no calculated indicators, but in 2023, it was in position 39/288, thus managing to position itself as a Q1 (Primer Cuartil), in the category Psychiatry.

This publication has been distinguished as a “Highly Cited Paper” by the agencies WoS (ESI, Clarivate) and ESI (Clarivate), meaning that it ranks within the top 1% of the most cited articles in its thematic field during the year of its publication. In terms of the observed impact of the contribution, this work is considered one of the most influential worldwide, as it is recognized as highly cited. (source consulted: ESI Nov 14, 2024)

And this is evidenced by the extremely high normalized impacts through some of the main indicators of this type, which, although dynamic over time and dependent on the set of average global citations at the time of calculation, already indicate that they are well above the average in different agencies:

  • Field Citation Ratio (FCR) from Dimensions: 8.92 (source consulted: Dimensions Aug 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-08-04, the following number of citations:

  • WoS: 11
  • Scopus: 16
  • Google Scholar: 17

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-04:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 29.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 32 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 294.8.
  • The number of mentions on the social network X (formerly Twitter): 322 (Altmetric).
  • The number of mentions in news outlets: 4 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: United Kingdom.

the author responsible for correspondence tasks has been Solerdelcoll Arimany, Mireia.