Study done on gender reassignment problems

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

Patients who have undergone gender-affirming surgery are associated with a significantly elevated risk of suicide.

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jademonkey19 · 41-45, T

As an actual trans person who knows lots and lots and lots of actual trans people, regret rates are extraordinarily low.

Gender affirming surgery for trans kids is exceedingly uncommon.

Gender affirming care for kids consists of letting them use whatever name they want, dress in the way they want, and use preferred pronouns. Zero surgeries or medications.

Gender affirming care for early teens \ teens consists of puberty blockers to buy time to discuss hormone replacement therapy. Blockers are not used long term; they are used to prevent the onset of puberty.

Critically: puberty blockers are also prescribed to address all kinds of developmental disorders. Little known fact! They give some young women testosterone blockers and puberty blockers to keep them from being taller than average - and they've been doing that since the 70s!

Surgery for trans teens is VERY rare - plastic surgery for teens is more common. Mastectomies are the most common procedure, and are frequently given to non trans boys with gynocomastia (sp? - whatever - boys who grew breasts during puberty and are upset about it)

Hormone replacement therapy can start during teen years.

Suicidality being higher among trans people who have had surgeries is likely because the people who need the surgeries have more intense dysphoria to begin with. Coupled with how shitty some people are to trans folks, this shouldn't be a surprise.

Discussions around transition and medical care should not be the subject of public debate. It's a private matter for families and individuals to make decisions on with their doctors.