Topic 15 Links

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15) “TRANSITION YOUR CHILD WITHOUT QUESTION OR THEY WILL KILL THEMSELVES”; A COMMON MANTRA; SUICIDE STATS REVIEWED

Puberty Blockers and Suicidality in Adolescents Suffering from Gender Dysphoria

Puberty blockers do not alleviate negative thoughts in children with gender dysphoria, finds study

Factors associated with suicide attempts among Australian transgender adults (note abstract doesn’t match conclusions, they make claims barriers to care are causal they don’t substantiate, and don’t consider there are differing conclusions due to differences in categories of identities- interpretation of info very biased)

Ten years of experience in counseling gender diverse youth in Flanders, Belgium. A clinical overview (of 177 participants, 5 (2.8%) adolescents committed suicide who had gander clinic access)

Mortality trends over five decades in adult transgender people receiving hormone treatment: a report from the Amsterdam cohort of gender dysphoria

Life satisfaction and mental health among transgender students in Norway

Factors associated with suicide attempts among Australian transgender adults

Suicidal as Normal - A Lesbian, Gay, and Bisexual Youth Script?

Estrogen is associated with greater suicidality among transgender males, and puberty suppression is not associated with better mental health outcomes for either sex

Suicide Attempts Among a Cohort of Transgender and Gender Diverse People

Differences in All-Cause Mortality Among Transgender and Non-Transgender People Enrolled in Private Insurance

Mental Healthcare Utilization of Transgender Youth Before and After Affirming Treatment

Analysis of Mortality Among Transgender and Gender Diverse Adults in England

Assessment of Quality of Life of Transgender and Gender-Diverse Children and Adolescents in Melbourne, Australia, 2017-2020

Suicide-Related Outcomes Following Gender-Affirming Treatment: A Review

Short-Term Effects of Gender-Affirming Hormone Therapy on Dysphoria and Quality of Life in Transgender Individuals: A Prospective Controlled Study (abstract sounds happier than actual data)

Effectiveness of Psychotherapy on Suicidal Risk: A Systematic Review of Observational Studies

Transgender Identity and Suicide Attempts and Mortality in Denmark

Transgender identity is associated with severe suicidal ideation among Finnish adolescents

This Could Mean Death for My Child”: Parent Perspectives On Laws Banning Gender-Affirming Care for Transgender Adolescents (affirmation culture is pro-suicide narrative promotion)

National Estimates of Gender-Affirming Surgery in the US

A systematic review on gender dysphoria in adolescents and young adults: focus on suicidal and self-harming ideation and behaviours

Systematic Review of Interventions to Reduce Suicide Risk in Transgender and Gender Diverse Youth

Association of Pubertal Blockade at Tanner 2/3 With Psychosocial Benefits in Transgender and Gender Diverse Youth at Hormone Readiness Assessment (not high quality study design and while MH measures were better, suicide ideation wasn’t)

Rates of Psychiatric Emergencies Before and After Gender Affirming Surgery (note suicide risk twice as high post vaginoplasty)

Title: Risk of suicide attempt with gender diversity and neurodiversity

All-cause and suicide mortalities among adolescents and young adults who contacted specialised gender identity services in Finland in 1996–2019: a register study (one of the better studies- doesn’t show transition reduces suicide risk in youth)
Youth Gender-Transition Treatment Not Tied to Lower Suicide Deaths in Finland

Mental health outcomes and suicidality in hospitalized transgender adolescents: A propensity score-matched Cross-sectional analysis of the National inpatient sample 2016-2018

Examining gender-specific mental health risks after gender-affirming surgery: a national database study

Risk of Suicide and Self-Harm Following Gender-Affirmation Surgery (it’s high but there is no control group making the study not strong)

Risk Factors for Non-Suicidal Self-Injury Among Trans Youth

Paediatric gender medicine: Longitudinal studies have not consistently shown improvement in depression or suicidality

Emotional dysregulation and eating symptoms in gender dysphoria and eating disorders: the mediating role of body uneasiness

Gender-affirming care bans disrupt mental health of trans youth and their caregivers (professionals are very invested in promoting immediate transition or suicide risk that likely makes things worse)

Grieving mother claims LA County school pushed transgender treatments on her teenage daughter who ultimately committed suicide: 'Why did they play with her life?'

State-level anti-transgender laws increase past-year suicide attempts among transgender and non-binary young people in the USA (strong conclusions for a low quality online survey study)

Examining gender-specific mental health risks after gender-affirming surgery: a national database study

Mental Disorders and Suicidality in Transgender and Gender-Diverse People (researchers have trouble not attributing everything to “minority stress”)

Disparities in School Connectedness, Unstable Housing, Experiences of Violence, Mental Health, and Suicidal Thoughts and Behaviors Among Transgender and Cisgender High School Students — Youth Risk Behavior Survey, United States, 2023 (3% of high school kids identify as trans in this study)

Gender-Affirming Hormone Therapy Improves Levels of Depression in Transgender Individuals Within the First Year of Treatment (went from nearly worse to normal, not huge change)

Population-adjusted numbers, demographics and mental health among children and adolescents referred to the Norwegian National Center for Gender Incongruence over two decades

The evolution of pediatric transgender healthcare in Flanders: Trends in referrals, intakes and gender-affirming interventions over the last 15 years (high suicide rate in females)

Mortality among sexual and gender minority populations: A systematic review

Examining gender-specific mental health risks after gender-affirming surgery: a national database study (this is not a good study as the control group isn’t rigorous, correlation does not = causation, but it does show very high rates of MH problems among those who have received surgeries, and higher for than those who haven’t)
-https://x.com/benryanwriter/status/1898254914532315543

Ten years of experience in counseling gender diverse youth in Flanders, Belgium. A clinical overview
-False promise

Interesting thread on suicide risk rate and teens

The Demography of Sweden's Transgender Population: A Research Note on Patterns, Changes, and Sociodemographics

Gender-Affirming Hormone Therapy and Depressive Symptoms Among Transgender Adults (improvements in MH are small- “At baseline, 84.5% of the patients were prescribed GAHT and 15.3% had moderate-to-severe depressive symptoms. Across follow-up, the proportion of patients with a GAHT prescription ranged from 92.3% to 94.2%, and moderate-to-severe depressive symptoms ranged from 11.5% to 14.6%.”)
-aspects of this study are suspicious- use of different follow up criteria and failure to gather other kinds of data (ex, anti depressant med. perscriptions) that would give a clearer picture of MH

Stratified analysis of health and gender-affirming care among Italian transgender and gender diverse adults

Interventions for Gender Dysphoria and Related Health Problems in Transgender and Gender-Expansive Youth: A Systematic Review of Benefits and Risks to Inform Practice, Policy, and Research