@article{ref1,
title="[Emotional instability and suicidal behavior as a consequence of transsexualism]",
journal="Nervenarzt",
year="2010",
author="Handel, S. and Jager, M.",
volume="81",
number="3",
pages="335-338",
abstract="This contribution describes a case that led to hospitalization in our psychiatric clinic due to emotional instability and suicidal behavior resulting from a gender identity disorder (female to male transsexualism). During inpatient treatment that lasted for almost 4 months, considerable improvement of the patient's emotional instability and suicidal behavior could be achieved. Treatment success was maintained up to follow-up (18 months after discharge). The syndrome-oriented pharmacotherapy with quetiapine and valproate which had been administered as off-label medication to stabilize the patient's mood could be considered the effective factor. A few months after release from inpatient care, cross-gender hormone therapy was initiated accompanied by outpatient psychotherapy.<p /><p>Language: de</p>",
language="de",
issn="0028-2804",
doi="10.1007/s00115-009-2915-x",
url="http://dx.doi.org/10.1007/s00115-009-2915-x"
}