https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11063965/
Introduction
With the growing acceptance of transgender individuals, the number of gender affirmation surgeries has increased. Transgender individuals face elevated depression rates, leading to an increase in suicide ideation and attempts. This study evaluates the risk of suicide or self-harm associated with gender affirmation procedures.
Methods
This retrospective study utilized de-identified patient data from the TriNetX (TriNetX, LLC, Cambridge, MA) database, involving 56 United States healthcare organizations and over 90 million patients. The study involved four cohorts: cohort A, adults aged 18-60 who had gender-affirming surgery and an emergency visit (N = 1,501); cohort B, control group of adults with emergency visits but no gender-affirming surgery (N = 15,608,363); and cohort C, control group of adults with emergency visits, tubal ligation or vasectomy, but no gender-affirming surgery (N = 142,093). Propensity matching was applied to cohorts A and C. Data from February 4, 2003, to February 4, 2023, were analyzed to examine suicide attempts, death, self-harm, and post-traumatic stress disorder (PTSD) within five years of the index event. A secondary analysis involving a control group with pharyngitis, referred to as cohort D, was conducted to validate the results from cohort C.
Results
Individuals who underwent gender-affirming surgery had a 12.12-fold higher suicide attempt risk than those who did not (3.47% vs. 0.29%, RR 95% CI 9.20-15.96, p < 0.0001). Compared to the tubal ligation/vasectomy controls, the risk was 5.03-fold higher before propensity matching and remained significant at 4.71-fold after matching (3.50% vs. 0.74%, RR 95% CI 2.46-9.024, p < 0.0001) for the gender affirmation patients with similar results with the pharyngitis controls.
Conclusion
Gender-affirming surgery is significantly associated with elevated suicide attempt risks, underlining the necessity for comprehensive post-procedure psychiatric support.
TRAs: "Follow the science!" 
Unbiased researchers: "The science says you'll be more suicidal if you cut your healthy body parts off and try to cosplay as the opposite s*x." 
TRAs: "Not that science! It isn't affirming me! TRANSPHOBES!!!!!" 
This is why you don't treat body dysmorphia with plastic surgery or anorexia with weight loss. You don't affirm delusions or provide addicts with drugs. First do no harm. 
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The study shows that adults aged 18-60 who've willingly undergone permanent sterilization by getting castrating "s*x reassignment surgery" have much higher rates of suicide attempts, suicide, self-harm, and PTSD in the five years following that surgery than other adults aged 18-60 who've wilingly given up their ability to have children (or more children) through other kinds of surgery.
Since "trans people" are such a diffuse lot nowadays, there's no objective way to distinguish "trans people" from the rest of the population, and TIPs commonly lie about intending to get genital surgery one day, I dunno how a study could be done comparing different groups of TIPs.
Also, it would be ridiculous to classify TIPs who haven't had surgery as "pre-surgery" because the majority of TIPs have no plans to get genital surgery ever - and that's true even of the ones who say they're definitely going to get so-called "bottom surgery".
The only way to get a sense of whether the loss of the ability to have biological children played a role in the despair of the patients who had undergone "s*x reassignment surgery" would be to make note of their individual age and reproductive history.
Traditionally, most AGP TIMs who've had their balls cut off and their peepeees flayed did so after fathering children. Quite a few homosexual TIMs fathered children before getting genital surgery in adulthood as well. So, it's probably no skin off their noses to lose the ability to sire more kids. However, in the current century, all of the teenage boys and young adults of both sexes who've had sterilizing medical interventions - including surgeries to "affirm" their opposite-s*x gender identities - have undergone these medical "treatments" before they've had children. In many cases, "early transitioners" have had these sterilizing medical interventions and surgeries before they've ever had s*x - indeed, before they've ever so much as held hands with a romantic partner or had their first kiss.
Presumably, losing the ability to have biological children before you ever had a chance to do so in the first place would have a much worse effect on someone's mental health than losing that ability after already becoming a parent or having the chance to.
It would be hard to nail down a control group and also “trans-identifying people who identify exclusively as the opposite s*x” and have a group of people who identify that way, but get absolutely no medical intervention. It would be so difficult to do a study like that because, according to TRAs, "gender is fluid uwu". So, of course that's the TRA talking point if and when people bring up studies like this.
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I accept your concession
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Is that comparable to all of the other misleading doublespeak
terms like "transition", "gender-affirming", "cis", and so forth?
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Dude you wrote 20 paragraphs just to avoid admitting your headline is not in the study, I'm not the one coping here
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Once again,
s have shit reading comprehension. What I wrote explains pretty clearly how the headline is as accurate as possible.
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It compared post-op suicide attempts with cis suicide attempts. You can do all the mental gymnastics you want but the study plainly says nothing about pre-op suicides
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And I pretty clearly explained why it would be extremely difficult to nail down a "pre-op
" study group and why this study is, nevertheless, as accurate as it possibly can be.
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You seem to completely misunderstand the point of the study. If
s still have an extremely elevated suicide rates post surgery in nearly every case then the primary argument of it being preventative is completely proven wrong. It doesn't matter if it's comparing to cis people, because the argument behind SRS is that it will return them to a state similar to cishood. Given that this study showcases SRS as ineffective in actually mentally stabilizing patients, it's ineffective.
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I hear what you're saying but you have to consider that suicidality is sky high in
s to begin with. Le 41% is a lifetime (including pre-transition) suicide attempt rate. We don't discount treatments just for not meeting a standard of 100% effectiveness.
That said if you decide to invert your peepee you'd be a fool or desperate to trust an american doctor, you gotta fly to asia for the good shit
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Unplug yourself, stupid bot. YWNBASylveon. You don't represent my feelings on this matter.
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It's circumstantial evidence that as strongly indicates your hypothesis of cause and effect as it does something you can't control for, like “
s that are willing to undergo GAS are fricked up lost causes with a stronger inclination to suicide attempts”, which would allow for the possibility of GAS to still be a net improvement on their odds.
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