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by anaisbetts 1079 days ago
For the record people that transition, AT ALL AGES, overwhelmingly stay that way and do not regret their decision.

* Here is the [*APA's policy statement*](http://www.apa.org/about/policy/transgender.aspx) on the necessity and efficacy of transition as the appropriate treatment for gender dysphoria. More from the APA [*here*](http://www.apa.org/pi/lgbt/programs/transgender/?tab=1)

* Here is an [*AMA resolution*](http://www.tgender.net/taw/ama_resolutions.pdf) on the efficacy and necessity of transition as appropriate treatment for gender dysphoria, and call for an end to insurance companies categorically excluding transition-related care from coverage

* A policy statement from the [*American College of Physicians*](http://annals.org/aim/article/2292051/lesbian-gay-bisexual-t...)

* [*Here*](https://assets2.hrc.org/files/documents/SupportingCaringforT...) are the American Academy of Pediatrics guidelines

* [*Here*](https://www.aafp.org/dam/AAFP/documents/events/alf_ncsc/Educ...) is a resolution from the American Academy of Family Physicians

* [*Here*](https://www.socialworkers.org/assets/secured/documents/da/da...) is one from the National Association of Social Workers

---- *Citations on the transition's dramatic reduction of suicide risk while improving mental health and quality of life, with trans people able to transition young and spared abuse and discrimination having mental health and suicide risk on par with the general public:*

* [*Bauer, et al., 2015*](http://bmcpublichealth.biomedcentral.com/articles/10.1186/s1...): Transition vastly reduces risks of suicide attempts, and the farther along in transition someone is the lower that risk gets

* [*Moody, et al., 2013*](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3722435/): The ability to transition, along with family and social acceptance, are the largest factors reducing suicide risk among trans people

* [*Young Adult Psychological Outcome After Puberty Suppression and Gender Reassignment*](http://pediatrics.aappublications.org/content/early/2014/09/...). A clinical protocol of a multidisciplinary team with mental health professionals, physicians, and surgeons, including puberty suppression, ... cross-sex hormones and gender reassignment surgery, provides trans youth the opportunity to develop into well-functioning young adults. All showed significant improvement in their psychological health, and they had notably lower rates of internalizing psychopathology than previously reported among trans children living as their natal sex. *Well-being was similar to or better than same-age young adults from the general population.*

* The only disorders more common among trans people are those associated with abuse and discrimination - mainly anxiety and depression. Early transition [*virtually eliminates these higher rates of depression and low self-worth*](http://www.jaacap.com/article/S0890-8567%2816%2931941-4/full...), and [*dramatically improves trans youth's mental health*](https://archive.thinkprogress.org/allowing-transgender-youth...). *Trans kids who socially transition early and not subjected to abuse are comparable to cisgender children in measures of mental health.*

* [*Dr. Ryan Gorton*](https://www.ncbi.nlm.nih.gov/pubmed/3219066): “In a cross-sectional study of 141 transgender patients, Kuiper and Cohen-Kittenis found that after medical intervention and treatments, suicide fell from 19% to 0% in transgender men and from 24% to 6% in transgender women”

* [*Murad, et al., 2010*](https://www.ncbi.nlm.nih.gov/pubmed/19473181): "Significant decrease in suicidality post-treatment. The average reduction was from 30 percent pretreatment to 8 percent post treatment.

* [*De Cuypere, et al., 2006*](http://www.sciencedirect.com/science/article/pii/S1158136006...): Rate of suicide attempts dropped from 29.3 percent to 5.1 percent after receiving medical treatment among Dutch patients treated from 1986-2001.

* [*UK study - McNeil, et al., 2012*](https://www.scottishtrans.org/wp-content/uploads/2013/03/tra...): "Suicidal ideation and actual attempts reduced after transition, with 63% thinking about or attempting suicide more before they transitioned and only 3% thinking about or attempting suicide more post-transition.

* [*Smith Y, 2005*](https://www.ncbi.nlm.nih.gov/pubmed/15842032): Participants improved on 13 out of 14 mental health measures after treatment

* [*Lawrence, 2003*](http://link.springer.com/article/10.1023/A:1024086814364): Surveyed post-op trans folk: "Participants reported overwhelmingly that they were happy with their SRS results and that SRS had greatly improved the quality of their lives

* [*Reduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study*](https://sci-hub.se/https://doi.org/10.1176/appi.ajp.2019.190...) - "*Conclusions:* "... the longitudinal association between gender-affirming surgery and reduced likelihood of mental health treatment lends support to the decision to provide gender-affirming surgeries to transgender individuals who seek them."

There are a [*lot*](http://www.ncbi.nlm.nih.gov/pubmed/24344788) of [*studies*](http://link.springer.com/article/10.1007%2Fs10508-009-9551-1) showing that [*transition*](https://mayoclinic.pure.elsevier.com/en/publications/hormona...) [*improves*](https://www.hindawi.com/journals/tswj/2014/960745/) [*mental health*](http://europepmc.org/abstract/med/25690443) and [*quality of life*](http://link.springer.com/article/10.1007/s10508-014-0453-5) while [*reducing dysphoria*](https://www.researchgate.net/publication/23553588_Long-term_...).

Not to mention [*this 2010 meta-analysis*](http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2265.2009....) of 28 different studies, which found that transition is extremely effective at reducing dysphoria and improving quality of life.

More stuff:

https://www.nbcnews.com/feature/nbc-out/media-s-detransition...

https://publications.aap.org/pediatrics/article/doi/10.1542/...

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099405/

https://www.jsm.jsexmed.org/article/S1743-6095(18)30057-2/fu...

https://transequality.org/sites/default/files/docs/usts/USTS...

https://www.researchgate.net/publication/262734734_An_Analys...

https://epath.eu/wp-content/uploads/2019/04/Boof-of-abstract...

https://psychiatry.org/news-room/news-releases/study-finds-l...

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8099405/

https://www.gendergp.com/exploring-detransition-with-dr-jack...

https://journals.sagepub.com/doi/full/10.1177/00380261209346...

https://www.cambridge.org/core/journals/psychological-medici...

https://adc.bmj.com/content/107/11/1018

https://doi.org/10.1210/clinem/dgac251

https://www.jsm.jsexmed.org/article/S1743-6095(18)30057-2/fu...

2 comments

I'd strongly recommend anyone interested in this topic to find sources outside of the US. The foundation of these studies are largely dubious, consistent with the kind of replication crisis you see in the medical field. Throw activism into the mix and these sources are now biased towards certain outcomes.

For those who lean left, I strongly recommend reading up on Hannah Barnes' book, "Time to Think". The UK and the EU have deemed "gender-affirming care" experimental with US holding out. This should definitely give some pause.

> EU have deemed "gender-affirming care" experimental

This is a lie that Gender Critical people keep repeating, it is simply untrue. The EU continues to treat transgender children according to the same scientifically studied standards of care that they have in the past

For those reading, comments are an unreliable proxy for politicised topics such as this. As such, if you want to be certain about what your beliefs are (as opposed to blindly inheriting the opinions held by your bubble), always go to the original sources.

For those who wish to validate the claims of my original comment and that of the person replying me, you can check out sources outside of the US, especially Sweden and the UK (i.e. The Cass Report, Hannah Barnes of the BBC), and comments by progenitors of Evidence-Based Medicine (EBM).

A good place to start is an investigative feature published in the British Medical Journal (BMJ): https://www.bmj.com/content/380/bmj.p382

There is research being promoted by the other side of the debate too... Unfortunately, once a scientific issue becomes politicised, it’s hard to know who can be trusted.