The first-ever long-term study shows that gender-affirming surgery has immediate positive effects on transgender people’s mental health. The findings if integrated into public and healthcare policy could lower the suicide rate for millions of Americans by as much as 8% yearly.
In three years we could curtail trans suicides by as much as 25%. In six years we could cut trans suicides by one half.
Previously, similar studies of transgender healthcare were the summation of third-party reviews that contained many unknown or uncontrolled variables. Many of the studies didn’t have control groups, were from a variety of countries and time periods yielding mixed results or evidence to the contrary.
Suicide is decimating GNC adolescent populations and adults. Left unchecked it will result in hundreds more deaths yearly which are mainly unheralded due to familia censorship, law enforcement and media transphobia.
Of the 6,456 respondents to the 2011 National Center for Transgender Equality survey as analyzed by the Williams Institue:
- 50% of fully out trans people said that they have attempted suicide.
- Sixty percent (60%) of respondents whose doctor or healthcare provider refused to treat them, had attempted suicide.
According to the Yale School of Public Health study published on October 03, 2019 suicide and instances of self-harm as indicated by those seeking mental health care were reduced by 8% yearly when surgery became an option beforehand.
Published in the American Journal of Psychiatry, the study reviewed 10 years of medical data for the entire population of Sweden and is believed to be the first analysis of the long-term effect of hormone therapy and gender-affirming surgery on transgender individuals’ mental health based on a country’s population.
Researchers Richard Branstrom, Ph.D., and John E. Pachankis, Ph.D., with the Yale School of Public Health, New Haven, Connecticut, used the Swedish Total Population Register to identify more than 2.500 individuals who received a diagnosis of gender incongruence (i.e., transsexualism or gender identity disorder) between 2005 and 2015. Among individuals with gender incongruence, just more than 70% had received hormone treatment and nearly half (48%) had undergone gender-affirming surgical treatment during the 10-year follow-up period. Nearly all (97%) of those who had undergone surgery also received hormone treatment. Less than one-third had received neither treatment.
They analyzed mental health treatment in 2015 in relation to the length of time since gender-affirming hormone and surgical treatment, including distinguishing the potentially interrelated effects of the two treatments. The mental health measures included health care visits for mood and anxiety disorder, antidepressant and anti-anxiety prescriptions, and hospitalization after a suicide attempt.
Increased time since last gender-affirming surgery was associated with reduced likelihood of use of mental health treatment. The study found the odds of receiving mental health treatment were reduced by 8% for every year since receiving gender-affirming surgery over the 10-year follow-up period. They did not find the same association for hormone treatment.
The study also found that compared with the general population, transgender individuals with a gender incongruence were:
- about six times as likely to have had a mood or anxiety disorder health care visit;
- more than three times as likely to have received prescriptions for antidepressants and anti-anxiety medication; and
more than six times as likely to have been hospitalized after a suicide attempt.
The authors conclude that “In this first total population study of transgender individuals with a gender incongruence diagnosis, 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.”
American Psychiatric Association (APA) Reduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study
American Psychiatric Association (APA) Study Finds Long-Term Mental Health Benefits of Gender-Affirming Surgery for Transgender Individuals
Journal of American Academy of Pediatrics (AAP)