Electroconvulsive Therapy in a Case of Gender Dysphoria Patient with Severe Mood Dysregulation and Suicidal Ideation

Jae Hong Kim; Sang Hoon Kim; Sang Hag Park; IL Han Choo; Seung Gon Kim

doi:10.4306/jknpa.2014.53.1.54

Journal List > J Korean Neuropsychiatr Assoc > v.53(1) > 1017711

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Kim, Kim, Park, Choo, and Kim: Electroconvulsive Therapy in a Case of Gender Dysphoria Patient with Severe Mood Dysregulation and Suicidal Ideation

Case Report

Journal of Korean Neuropsychiatric Association 2014; 53(1): 54-57.

Published online: 31 January 2014

DOI: https://doi.org/10.4306/jknpa.2014.53.1.54

Electroconvulsive Therapy in a Case of Gender Dysphoria Patient with Severe Mood Dysregulation and Suicidal Ideation

Jae Hong Kim, MD¹, Sang Hoon Kim, MD, PhD², Sang Hag Park, MD, PhD², IL Han Choo, MD, PhD², Seung Gon Kim, MD, PhD²

¹Department of Psychiatry, Chosun University Hospital, Gwangju, Korea.

²Department of Psychiatry, School of Medicine, Chosun University, Gwangju, Korea.

Address for correspondence: Seung Gon Kim, MD, PhD. Department of Psychiatry, School of Medicine, Chosun University, 365 Pilmun-daero, Dong-gu, Gwangju 501-717, Korea. Tel: +82-62-220-3194, Fax: +82-62-225-3659, sgkim@chosun.ac.kr

Received 5 November 2013 Revised 9 December 2013 Accepted 17 December 2013

Abstract

Gender dysphoria is very rare, but has frequent psychiatric comorbidity. In addition, risk of suicide is higher in patients with gender dysphoria than for the general population. Treatment of gender dysphoria is not determined, and more aggressive treatment is required for patients with suicidal ideation. No case involving electroconvulsive therapy of a gender dysphoria patient has been reported in South Korea. We discuss a 24 year-old man given electroconvulsive therapy for gender dysphoria with severe mood dysregulation and suicidal ideation.

Keywords: Gender dysphoria, Suicide idea, Severe mood dysregulation, Electroconvulsive therapy

Figures and Tables

Table 1

Depression, suicide & gender dysphoria scale change

HAS : Hamilton Anxiety Scale, HAM-D : Hamilton Depression Rating Scale, BDI : Beck Depression Inventory, RSIQ : Reynolds Suicide Ideation Questionnaire, GIQ : Gender identity/gender dysphoria questionnaire for adolescents and adults

Table 2

Criteria of severe mood dysregulation*

^*: Adapted from Leibenluft et al. Am J Psychiatry 2003;160:430-437 with permission14)

Acknowledgments

This study was supported by research fund from Chosun University Hospital, 2012.

Notes

The authors have no financial conflicts of interest.

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