TheProgressivePatriot
Gold Member
Mental health and Suicide? What is not being address is the underlying cause of poor mental health outcomes. The degree of bigotry, riddicule and marginalization might provide a clueAgreed, except that it is clearly the case here.
Be specific. What level of gender affirming medical care do they need at what age?
If a parent decides that the level of gender affirming medical care you recommend is not appropriate for their child, does the government have a role in intervening?
I think you have a point about that. Being judgmental and hateful toward a person who questions their sexuality, or gender, or some combination is not helpful to them, not at all. I can't imagine an articulable moral system or standard by which we should ridicule people who have gender dysphoria. They have a mental disorder, and deserve our support and yes - thoughts and prayers.
What they do not need if for agendized health care professionals to encourage them to make their mental disorder the central fact of their lives, instead of offering therapy for them to become happier and better adjusted.
What is needed is referral to counselors and psychologists who are not caught up in the trans agenda and who will not automatically feed them into the sex reassignment industry, without trying to help them accept their bodies as they are.
Ironic that trans activists demand that we accept them as they are, when their whole movement is based on them not accepting themselves as the are.
As for sex reassignment as a way to prevent suicides, and improve other mental health outcomes, the data says that does not work:
Results
The overall mortality for sex-reassigned persons was higher during follow-up (aHR 2.8; 95% CI 1.8–4.3) than for controls of the same birth sex, particularly death from suicide (aHR 19.1; 95% CI 5.8–62.9). Sex-reassigned persons also had an increased risk for suicide attempts (aHR 4.9; 95% CI 2.9–8.5) and psychiatric inpatient care (aHR 2.8; 95% CI 2.0–3.9). Comparisons with controls matched on reassigned sex yielded similar results. Female-to-males, but not male-to-females, had a higher risk for criminal convictions than their respective birth sex controls.
Conclusions
Persons with transsexualism, after sex reassignment, have considerably higher risks for mortality, suicidal behaviour, and psychiatric morbidity than the general population. Our findings suggest that sex reassignment, although alleviating gender dysphoria, may not suffice as treatment for transsexualism, and should inspire improved psychiatric and somatic care after sex reassignment for this patient group.
Long-Term Follow-Up of Transsexual Persons Undergoing Sex Reassignment Surgery: Cohort Study in Sweden
The treatment for transsexualism is sex reassignment, including hormonal treatment and surgery aimed at making the person's body as congruent with the opposite sex as possible. There is a dearth of long term, follow-up studies after sex reassignment.To ...www.ncbi.nlm.nih.gov
Results
Out of 5107 trans women (median age at first visit 28 years, median follow‐up time 10 years) and 3156 trans men (median age at first visit 20 years, median follow‐up time 5 years), 41 trans women and 8 trans men died by suicide. In trans women, suicide deaths decreased over time, while it did not change in trans men. Of all suicide deaths, 14 people were no longer in treatment, 35 were in treatment in the previous two years. The mean number of suicides in the years 2013–2017 was higher in the trans population compared with the Dutch population.
Conclusions
We observed no increase in suicide death risk over time and even a decrease in suicide death risk in trans women. However, the suicide risk in transgender people is higher than in the general population and seems to occur during every stage of transitioning. It is important to have specific attention for suicide risk in the counseling of this population and in providing suicide prevention programs.
Trends in suicide death risk in transgender people: results from the Amsterdam Cohort of Gender Dysphoria study (1972–2017)
This study explored the overall suicide death rate, the incidence over time, and the stage in transition where suicide deaths were observed in transgender people.A chart study, including all 8263 referrals to our clinic since 1972. Information on death ...
A study was once published in the American Journal of Psychiatry which appeared to support the idea of mental health benefits associated with transgender surgery. Unfortunately, those findings were in error and were corrected by the same publication:
In October 2019, the American Journal of Psychiatry (AJP) published a study from the Karolinska Institute in Sweden, and the Yale School of Public Health which reported that “gender-affirming" surgeries for gender dysphoric patients are associated with improved mental health outcomes (1). Looking at mental health utilization in the year 2015, a retrospective analysis showed that the more time passed since surgery, the fewer mental services were utilized by patients, with an average 8% reduction in mental health utilization for each year following surgery. From this, the study concluded that surgery has a beneficial effect on mental health, and that benefits continue to accrue over time. However, following a reanalysis of the data, this conclusion has now been officially corrected to indicate that there is “no advantage of surgery.”
. . .
Vigorous Debate Leads to Correction of Key Finding
After the study was published, many researchers and scientists (including some SEGM advisors) alerted the AJP to multiple serious methodological problems that challenged the study’s conclusion. In response, the AJP editor requested an independent statistical review of the data, which led to a reanalysis of the data and an official correction (2,3). When gender dysphoric patients who received surgeries were compared to those who did not have surgeries, there was no statistically significant difference in their mental health utilization (Figure 1).
Nine months after the study’s original publication, the AJP stated, “the results [of the reanalysis] demonstrated no advantage of surgery in relation to subsequent mood or anxiety disorder-related health care visits or prescriptions or hospitalizations following suicide attempts” (2).
Correction of a Key Study: No Evidence of “Gender-Affirming” Surgeries Improving Mental Health
In October 2019, the American Journal of Psychiatry (AJP) published a study from the Karolinska Institute in Sweden, and the Yale School of Public Health which reported that “gender-affirming" surgeries for gender dysphoric patients are associated with improved mental health outcomes (1)...segm.org
