In-patient care because of gender identity disorder (ICD-10 F64) as the main diagnosis

Journal: Die Psychiatrie - Grundlagen und Perspektiven
ISSN: 1614-4864

WPA XVII World Congress of Psychiatry

Issue: 2017 (Vol. 14): Issue 4 2017
Pages: 217-222

In-patient care because of gender identity disorder (ICD-10 F64) as the main diagnosis

Psychiatrische und psychotherapeutische Krankenhausaufenthalte aufgrund einer ICD-10 F64 „Störung der Geschlechtsidentität“ Hauptdiagnose zwischen 2000 und 2015

F. Brunner (1), G. M. Reed (2, 3), T. O. Nieder (1), P. Briken (1)

(1) Universitätsklinikum Hamburg-Eppendorf, Institut für Sexualforschung und Forensische Psychiatrie, Direktor: Prof. Dr. med. Peer Briken; (2) Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland; (3) Global Mental Health Program, Columbia University Medical Center, New York, NY, USA


hospital, patient care, mental health, Transgender


Objectives: The study examined (1) whether rate of treatment of inpatients with ICD-10 diagnoses of gender identity disorder (F64) has changed from 2000 to 2015 in German hospitals and (2) what percentage of treatment provided is attributable to mental health hospital departments. Methods: Data regarding hospital care published by the German Federal Statistical Office (Destatis) were analyzed. Results: The number of inpatients with F64 as a primary diagnosis has more than tripled from 2000 to 2015 in Germany. This increase has been primarily related to treatments provided in urology and gynecology departments or by surgeons. During the same period, mental health treatment due to F64 as a primary diagnosis has decreased. Conclusion: These data are not a reflection of the importance and contribution of mental health professionals to the care of transgender people, much of which is in any case likely to be on an outpatient basis. However, the findings indicate that intensive inpatient services provided by hospital mental health departments to transgender people are infrequent, while treatment provided by other hospital departments has expanded dramatically. This likely reflects changing social attitudes as well as greater integration of transgender health services.

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