title: [Emotional instability and suicidal behavior as a consequence of transsexualism].
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.
authors.affiliation: Bezirkskrankenhaus Günzburg, Klinik für Psychiatrie und Psychotherapie II der Universität Ulm, Ludwig-Heilmeyer-Strasse 2, 89312, Günzburg.
authors.forename: S
authors.initials: S
authors.lastname: Handel
authors.forename: M
authors.initials: M
authors.lastname: Jäger
mesh_terms: D000328:Adult; D000342:Affective Symptoms / Q000150:complications* / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D013406:Suicide, Attempted / Q000517:prevention & control* / Q000523:psychology*; D014189:Transsexualism / Q000150:complications* / Q000523:psychology*