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 science says this in the same way it says that people with hip surgery are more likely to need a cane than the general population.
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Like you don't do this shit to yourself unless something is serious wrong
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Do you think The Self exists grue?
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I think that there is something we can betray. Beliefs and ideals and thoughts.
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When someone chooses to be trans are they becoming their true self or is it something different.
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I think that it's a convenient self. Which is as close to a true self as it gets, I think.
I see embracing transness primarily as an act of autonomy.
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