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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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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