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

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


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.

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)


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


The authors have no financial conflicts of interest.


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