Cass Review does not guide care for trans young people
Moore, Julia K., Rayner, Cate, Skinner, S. Rachel, Wynne, Katie, Cavve, Blake S., Fraser, Brodie, Ganti, Uma, McAllister, Claire, Meyerowitz-Katz, Gideon, Nguyen, Tram, Ravine, Anja, Ross, Brian, Russell, Darren B., Saunders, Liz A., Siafarikas, Aris, and Pang, Ken C. (2025) Cass Review does not guide care for trans young people. Medical Journal of Australia, 223 (7). pp. 331-337.
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Abstract
[Extract] The Independent review of gender identity services for children and young people, or Cass Review1 (the Review), was commissioned by England's National Health Service (NHS) following increased referrals to the NHS Gender Identity Development Service (GIDS), criticisms of GIDS, and the Bell v Tavistock case involving one young person who regretted gender-affirming medical treatment (GAMT).2 The Review's April 2024 final report recommended that puberty suppression with gonadotrophin-releasing hormone analogues (GnRHa) should only be available to transgender (trans) adolescents in a clinical trial, which has not commenced. The United Kingdom Government subsequently prohibited the supply of GnRHa as GAMT for minors,3 making it unlawful for trans adolescents to commence GnRHa treatment. Other Review recommendations restrict the provision of oestrogen and testosterone for individuals over the age of 16 years, and conceptualise social affirmation of trans children as a potentially harmful intervention.
| Item ID: | 89208 |
|---|---|
| Item Type: | Article (Research - C1) |
| ISSN: | 1326-5377 |
| Keywords: | Clinical decision‐making, Endocrinology, pediatric, Ethics, Gender identity, Healthcare disparities, Human rights, Patient rights, Public policy |
| Copyright Information: | © 2025 The Author(s). Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
| Date Deposited: | 14 Jul 2026 07:10 |
| FoR Codes: | 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320221 Psychiatry (incl. psychotherapy) @ 100% |
| SEO Codes: | 20 HEALTH > 2001 Clinical health > 200104 Prevention of human diseases and conditions @ 100% |
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