Table 4.

Frequency of Recommendations in Transgender and Gender Expansive Youth Only

Citation	Recommendation
	Provide psychoeducation	Provide space for caregivers' process	Family acceptance protective factor	Use multiple intervention modalities flexibly	Facilitate access to advocacy	Connect with community	Center intersectional approach
Green et al.56	—	—	—	—	—	—	—
Higham57	—	—	—	—	—	—	—
Newman58	—	—	—	—	—	—	—
Wrate and Gulens59	—	✓	—	✓	—	✓	—
Bradley and Zucker60	—	✓	—	—	—	—	—
Sugar61	—	—	—	✓	—	—	—
1. Saeger62	✓	—	—	✓	✓	—	—
2. Behan64	✓	✓	—	—	✓	✓	—
3. Butler65	✓	✓	—	—	✓	✓	✓
4. Lev66	✓	—	✓	—	✓	—	✓
5. Parker et al.67	—	—	—	✓	—	—	✓
6. Malpas43	✓	✓	✓	✓	✓	✓	✓
7. Bernal and Coolhart68	✓	—	✓	—	—	✓	✓
8. Coolhart et al.69	—	—	✓	✓	—	✓	—
9. Harvey and Stone Fish70	—	✓	✓	—	✓	—	✓
10. Giammattei71	✓	✓	✓	✓	—	✓	—
11. Wahlig72	✓	✓	✓	✓	✓	✓	✓
12. Whyatt-Sames74	✓	✓	✓	✓	✓	✓	—
13. Coolhart and Shipman75	✓	✓	✓	✓	✓	✓	✓
14. Ehrensaft et al.42	✓	✓	✓	✓	—	✓	—
15. Bull and D'Arrigo-Patrick76	✓	✓	—	✓	✓	✓	✓
16. Coolhart et al.77	✓	✓	✓	—	✓	✓	—
17. Abreu et al.78	✓	✓	✓	—	—	—	—
18. Ashley79	✓	✓	✓	—	—	—	✓
19. Edwards et al.80	✓	✓	✓	✓	✓	✓	✓
20. Hidalgo and Chen82	✓	✓	✓	✓	✓	✓	—
21. Golden and Oransky83	✓	✓	✓	✓	✓	✓	✓
22. Miller and Davidson86	—	✓	—	✓	—	—	✓
23. Okrey-Anderson and McGuire89	✓	✓	✓	—	✓	—	✓
24. Oransky et al.90	✓	✓	✓	✓	✓	✓	✓
25. Reilly et al.92	✓	✓	✓	—	✓	—	—
26. Wren93	✓	✓	—	✓	✓	—	✓
Total of 26	22	21	19	16	18	16	16