Gender affirming surgeries treated as "non essential"; as hospitals prepare for COVIDWatch
This post legit reminds of this Italian guy that lied to the drs about not having coronavirus just so he could get his nose job done. He risked infecting the drs.
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."
"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/com...m_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)
Again, do you have a study that shows a drop in the suicide rate after sex reassignment surgery?
- Political Ambassador
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
Either way, the ”prejudice plus power” argument (which you seem to be using) is:
1) not accepted by the majority of people
2) means you admit that ”cis people are scum” is a prejudiced statement
3) only applicable to institutional discrimination (like the Jim Crow laws) as opposed to interpersonal discrimination (like ”No blacks, no Irish, no dogs” signs) and so cannot be used to justify or excuse cisphobia.
I am willing to admit that there is no such thing as institutional cisphobia, but interpersonal cisphobia is very much a thing as can be shown here.
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?
The study was done by Richard Branstrom. From the Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet in Sweden.
What interests me about the study are his 'Adjusted odds' and his rather spectacular CI. (That's Confidence Interval for those who aren't data people).
Is this reproduceable? Why does he funnel his results through (His words):
I will leave people to look at the study itself. I have questions, but admit to being a data guy rather than a clinical psychologist. If someone were to look at this, I would check out his methodology and questions.