School refusal by patients with gender identity disorder

Seishi Terada, Yosuke Matsumoto, Toshiki Sato, Nobuyuki Okabe, Yuki Kishimoto, Yosuke Uchitomi

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)


Objective: The accumulating evidence suggests that school refusal behavior is associated with severe negative outcomes. However, previous research has not addressed school refusal by patients with gender identity disorder (GID). In this study, we tried to clarify the prevalence of school refusal among GID patients and the relationship of school refusal to demographic characteristics. Methods: A total of 579 consecutive Japanese GID patients at the outpatient GID Clinic of Okayama University Hospital between April 1997 and October 2005 were evaluated. Results: The prevalence of school refusal was 29.2% of the total sample. School refusal was more frequent among GID patients with divorced parents than those with intact families. Multiple logistic regression analysis showed that younger age at consultation and divorce of parents were significantly associated with school refusal among the male-to-female GID patients. Conclusion: The rate of school refusal among GID patients is high, and school refusal is closely related with a low level of education and current unemployment. We should pay more attention to GID patients of school age to prevent their school refusal, which results in low educational achievement.

Original languageEnglish
Pages (from-to)299-303
Number of pages5
JournalGeneral Hospital Psychiatry
Issue number3
Publication statusPublished - May 2012


  • Gender
  • Gender identity disorder
  • School refusal
  • Transsexualism

ASJC Scopus subject areas

  • Psychiatry and Mental health


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