Document ID: chunk:federal_register_of_legislation:F2021L01632:reg:6
Version: federal_register_of_legislation:F2021L01632
Segment Type: reg
Provision Reference: reg 6
Character Range: 1443–3818

6               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about gender dysphoria and death from gender dysphoria.
Meaning of gender dysphoria
(2)          For the purposes of this Statement of Principles, gender dysphoria:
(a)          means a disorder of mental health that meets the following criteria (derived from DSM-5):
(i)            a marked incongruence between one's experienced/expressed gender and assigned gender, of at least 6 months' duration, as manifested by at least two of the following:
           a marked incongruence between one's experienced/expressed gender and primary and/or secondary sex characteristics (or in young adolescents, the anticipated secondary sex characteristics);
           a strong desire to be rid of one's primary and/or secondary sex characteristics because of a marked incongruence with one's experienced/expressed gender (or in young adolescents, a desire to prevent the development of the anticipated secondary sex characteristics);
           a strong desire for the primary and/or secondary sex characteristics of the other gender;
           a strong desire to be of the other gender (or some alternative gender different from one's assigned gender);
           a strong desire to be treated as the other gender (or some alternative gender different from one's assigned gender); or
           a strong conviction that one has the typical feelings and reactions of the other gender (or some alternative gender different from one's assigned gender); and
(ii)         the condition is associated with clinically significant distress or impairment in social, occupational, or other important areas of functioning; and
(b)          excludes gender dysphoria associated with inherited or congenital disorders of sex development.
            Note 1: Examples of congenital disorders of sex development include congenital adrenal hyperplasia and androgen insensitivity syndrome.
Note 2: DSM-5 is defined in the Schedule 1 - Dictionary.
Death from gender dysphoria
(3)          For the purposes of this Statement of Principles, gender dysphoria, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's gender dysphoria.
Note: terminal event is defined in the Schedule 1 - Dictionary.