4 ms·

If the point of gender affirming care (GAC) is to improve the mental health outcomes of the one being cared for, then it is a colossal waste of time. Mental hea

by all2 4y ago

If the point of gender affirming care (GAC) is to improve the mental health outcomes of the one being cared for, then it is a colossal waste of time. Mental health outcomes do not demonstrably improve after a person is placed on HRT and had their genitalia suitably modified. In fact, their long term health outcomes decline significantly later in life [0]. The suicide rate of transgender individuals is about 40%. This does not take into account whether they received GAC or not [1]. Per [0], even GAC does not improve late life all cause morbidity. I oppose gender affirming care on the grounds that it does not effectively improve a person's life (which we can see over a 30 year period in [0]) and that it often requires damaging the delicate balance of the biological machine that is the human body. If that makes me "stupid", so be it. [0] https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0016885 https://journals.plos.org/plosone/article?id=10.1371/journal... [1] https://www.thetrevorproject.org/wp-content/uploads/2020/07/The-Trevor-Project-National-Survey-Results-2020.pdf https://www.thetrevorproject.org/wp-content/uploads/2020/07/... << Warning, PDF.

howinteresting 4y ago
Correct, that makes you stupid. Your premise is wrong (the correct endpoint is satisfaction and regret rates, since there are many confounding factors with something like mental health), your data doesn't show why you think it shows (the Sweden study was done in a time when the Swedish government mandated sterilization for trans people), and GAC changes the balance of the body much less than, say, lithium. Next question?
- all2 4y ago
  GAC, by definition, sterilizes the person. Both on the hormonal front and, if they have bottom surgery, physically as well. HRT vs lithium? Dunno, I'm not a doctor. I do know that exogenous hormones can cause a body to stop producing the hormone, even at sub-clinical levels. I also know that GAC surgeries cannot be undone. But you can stop taking lithium. And all of this in the face of 40+% suicide rate that isn't affected by GAC in the slightest. Who is the ideological one here?
  - howinteresting 4y ago
    The correct endpoint is satisfaction and regret rates. GAC has some of the highest satisfaction rates and lowest regret rates in all of medicine. edit: I'm going to say this very slowly: The Sweden study about suicide rates was done in a time when the Swedish government mandated sterilization for trans people. Does that help? edit 2: since it's still not clear: The Sweden study about suicide rates was done in a time when the Swedish government mandated sterilization for trans people.
    - all2 4y ago
      A 40% attempted suicide rate does not suggest "satisfaction" to me. It suggests mental illness.
      - ofcourseyoudo 4y ago
        "seriously considered" != "attempted" And the Trevor Project report shows a number of interventions that provide statistically significant reduction in suicidal ideation and attempts. I assume you support those interventions, since you seem extremely considered with the suicide rates of LGBTQ youth.
    - all2 4y ago
      The Sweden study is backed up by the Trevor Project (which I linked above somewhere) that shows as many as 80% of the transgender population have suicidal ideations and as many as 60% have attempted suicide. And this is from self-reporting. The stats aren't just from Sweden.
      - ofcourseyoudo 4y ago
        None of those stats are in the Trevor Project report. Cite the pages if you think they are, or surrender the argument. It does say: >Affirming gender identity among transgender and nonbinary youth is consistently associated with lower rates of suicide attempts. And the report actually says nothing about transition healthcare.

by all2 4y ago

howinteresting 4y ago

Correct, that makes you stupid. Your premise is wrong (the correct endpoint is satisfaction and regret rates, since there are many confounding factors with something like mental health), your data doesn't show why you think it shows (the Sweden study was done in a time when the Swedish government mandated sterilization for trans people), and GAC changes the balance of the body much less than, say, lithium. Next question?

all2 4y ago
GAC, by definition, sterilizes the person. Both on the hormonal front and, if they have bottom surgery, physically as well. HRT vs lithium? Dunno, I'm not a doctor. I do know that exogenous hormones can cause a body to stop producing the hormone, even at sub-clinical levels. I also know that GAC surgeries cannot be undone. But you can stop taking lithium. And all of this in the face of 40+% suicide rate that isn't affected by GAC in the slightest. Who is the ideological one here?
- howinteresting 4y ago
  The correct endpoint is satisfaction and regret rates. GAC has some of the highest satisfaction rates and lowest regret rates in all of medicine. edit: I'm going to say this very slowly: The Sweden study about suicide rates was done in a time when the Swedish government mandated sterilization for trans people. Does that help? edit 2: since it's still not clear: The Sweden study about suicide rates was done in a time when the Swedish government mandated sterilization for trans people.
  - all2 4y ago
    A 40% attempted suicide rate does not suggest "satisfaction" to me. It suggests mental illness.
    - ofcourseyoudo 4y ago
      "seriously considered" != "attempted" And the Trevor Project report shows a number of interventions that provide statistically significant reduction in suicidal ideation and attempts. I assume you support those interventions, since you seem extremely considered with the suicide rates of LGBTQ youth.
  - all2 4y ago
    The Sweden study is backed up by the Trevor Project (which I linked above somewhere) that shows as many as 80% of the transgender population have suicidal ideations and as many as 60% have attempted suicide. And this is from self-reporting. The stats aren't just from Sweden.
    - ofcourseyoudo 4y ago
      None of those stats are in the Trevor Project report. Cite the pages if you think they are, or surrender the argument. It does say: >Affirming gender identity among transgender and nonbinary youth is consistently associated with lower rates of suicide attempts. And the report actually says nothing about transition healthcare.