Gender affirming surgeries treated as "non essential"; as hospitals prepare for COVID

I looked at about 10 of the studies before giving up. I couldn't get access to some of them, but most were either ambiguous or had no comment in regards to the suicide rate post-surgery. I appreciate that you're citing, but can you cite a specific study that at least shows a decrease in the suicidal rate post-surgery?

And sure. First off, the June 2016 “Proposed Decision Memo for Gender Dysphoria and Gender Reassignment Surgery” concluded that,

"Based on a thorough review of the clinical evidence available at this time, there is not enough evidence to determine whether gender reassignment surgery improves health outcomes for Medicare beneficiaries with gender dysphoria. There were conflicting (inconsistent) study results – of the best designed studies, some reported benefits while others reported harms.".

But the actual study I'm referring to is the most largest and popular study that was conducted in Sweden regarding the after-effects of sexual reassignement surgery. In fact, it's pretty depressing. Most sex reassignment studies wrap up after a few months/years, but this one showed that results didn't become apparent until after 10 years. The results were,

"The overall mortality for sex-reassigned persons was higher during follow-up (aHR 2.8; 95% CI 1.8–4.3) than for controls of the same birth sex, particularly death from suicide (aHR 19.1; 95% CI 5.8–62.9). Sex-reassigned persons also had an increased risk for suicide attempts (aHR 4.9; 95% CI 2.9–8.5) and psychiatric inpatient care (aHR 2.8; 95% CI 2.0–3.9). Comparisons with controls matched on reassigned sex yielded similar results. Female-to-males, but not male-to-females, had a higher risk for criminal convictions than their respective birth sex controls."

Concluding that,

"Persons with transsexualism, after sex reassignment, have considerably higher risks for mortality, suicidal behaviour, and psychiatric morbidity than the general population. Our findings suggest that sex reassignment, although alleviating gender dysphoria, may not suffice as treatment for transsexualism, and should inspire improved psychiatric and somatic care after sex reassignment for this patient group."

Of course you're citing Dhejne. I'd recommend looking at what the lead author has to say on these interpretations of their study: https://www.reddit.com/r/science/comments/6q3e8v/science_ama_series_im_cecilia_dhejne_a_fellow_of/?utm_medium=android_app&utm_source=share

She's quite clear that the study was never intended to determine the efficacy of transition as a treatment and that any attempts to view it through that lens is a distortion of the data. As for suicidality in general, it's not just about surgery, it's about acceptance, and those that have a supportive environment reduce all types of harm (as the series of reviews I linked also show)

And it also says that it decrease rate of suicide, surely that paints a positive view of gender reaffirming surgery?

Where?

In the main body you quoted

Can you quote?

Probably but I'm not going to.

Probably but I'm not going to.

Can we move on now please?

I mean, that's no-ones actual argument though? "Character X is Y" is a common thing amongst any group that are terminally underrepresented in media and generally only represented as a joke

look at every 90s and 2000s sitcom, they always had an episode with a trans character and those characters were invariably played as jokes where their transness was the beginning and end of their characterisation.

Given that dearth of representation I can hardly blame, for instance, trans guys projecting onto Spiderman.

As for remarks like "cis people are scum", while they don't exactly help win people over to supporting trans rights, I think you've got to look where the power is in that dynamic and whether "cis people are scum" holds any power or does any harm to cis people, and it's not on the same level as similar remarks directed at trans people instead

In summary, other psychiatric care should be offered post surgery as well. And it also says that it decrease rate of suicide, surely that paints a positive view of gender reaffirming surgery?

both social epidemiological, psychological, and socioecological models to understand the influence of stigma and discrimination on physical and mental health disparities based on sexual orientation.