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Forensic Assessment of Transgender Persons.

Ariana Nesbit Huselid1, Juliette Dupré2, Noorin Damji2

  • 1Dr. Huselid is the Chief Medical Officer, Central Regional Hospital, Butner, NC. Dr. Huselid is the Medical Consulting Professor and Dr. Damji is a psychiatry resident, Duke University School of Medicine, Durham, NC. Dr. Dupré is a forensic psychiatrist, Centre for Addiction and Mental Health, Toronto, ON, Canada. Dr. Sorrentino is an assistant professor, Harvard Medical School, Boston, MA. ariana.huselid@dhhs.nc.gov.

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Forensic assessments for transgender individuals are complex due to legal and social factors. This review highlights challenges and recommends research for objective evaluations, considering unique vulnerabilities.

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Area of Science:

  • Forensic Psychiatry
  • Transgender Health
  • Legal Psychology

Background:

  • Forensic assessments of transgender individuals present unique challenges.
  • Evolving legal landscapes, sociopolitical tensions, and limited research create complexities.
  • Existing clinical literature and standardized assessments for this population are scarce.

Purpose of the Study:

  • To explore the complexities forensic psychiatrists face when evaluating transgender persons.
  • To emphasize key areas of assessment, including violence risk, discrimination, and disability.
  • To highlight the need for objectivity amidst limited population-specific research.

Main Methods:

  • Literature review and synthesis of existing research on forensic assessments in transgender individuals.
  • Exploration of challenges in assessing general and sexual violence risk.
  • Discussion of mitigating factors, sex discrimination, disability, emotional distress, and parenting.

Main Results:

  • Forensic evaluations require careful consideration of legal, social, and clinical factors.
  • Assessments must address violence risk, discrimination, disability, and emotional distress.
  • Objectivity is crucial, acknowledging both research gaps and population vulnerabilities.

Conclusions:

  • Forensic psychiatry must navigate complexities in evaluating transgender individuals.
  • Further research is essential to develop standardized, evidence-based assessment tools.
  • Recommendations focus on maintaining objectivity while recognizing the vulnerabilities of transgender persons.