Re: Transgender individuals at greater risk of mental health problems

Conservative <[email protected]> wrote in
news:[email protected]: 

> Nic wrote
> 
>> Queers are all insane and belong locked away from all children.

Correction: The article “Reduction in Mental Health Treatment Utilization 
Among Transgender Individuals After Gender-Affirming Surgeries: A Total 
Population Study,” published in The American Journal of Psychiatry on Oct. 
4, 2019, has been corrected following a review of the study’s methodology 
and some of its conclusions. This news item has likewise been corrected to 
reflect that the authors’ original conclusion was too strong in suggesting 
that the study’s findings support providing gender-affirming surgeries to 
transgender individuals who seek them.

The original news item contained the heading “Mental Health Outcomes 
Improve for Transgender Individuals After Surgery, Study Finds.” In a 
letter published in the August 2020 issue of The American Journal of 
Psychiatry, the study authors write that, although this study fills 
important gaps in the research, “Our conclusion based on the findings at 
hand in the article, which used neither a prospective cohort design nor a 
randomized controlled trial design, was too strong.”

The study, which reviewed 10 years of medical data for the entire 
population of Sweden, is one of the only analyses of transgender 
individuals’ mental health treatment for depression, anxiety disorders, 
and suicide based on an entire country’s population.

In this study, the researchers analyzed medical outcomes between 2005 and 
2015 for 2,679 individuals in the Swedish population who had received a 
diagnosis of gender incongruence.

The study found that transgender individuals who had received a diagnosis 
of gender incongruence were:

six times more likely to have a mood or anxiety disorder than the general 
population.
three times as likely to be prescribed antidepressants and antianxiety 
medications.
more than six times as likely to attempt suicide resulting in 
hospitalization.
The study also found that transgender individuals who had undergone 
gender-affirming surgery were significantly less likely to seek mental 
health treatment for depression and anxiety disorders as a function of 
years since the procedure.

However, after reviewing several letters pointing out methodological 
limitations of their approach, the authors published a correction noting 
that this observational study cannot establish the consequences of gender-
affirming treatments on mental health. “Only future studies using even 
stronger methodologies can establish any causal impact of gender-affirming 
surgery on transgender people’s mental health,” says study co-author John 
Pachankis, Susan Dwight Bliss Associate Professor of Public Health at the 
Yale School of Public Health.

Richard Bränström, an associate professor at Karolinska Institutet in 
Sweden, joins Pachankis as the paper’s other co-author.

A correction, letters to the editor (see 35-41 in the references of the 
article, the response by the study authors and an editorial is available 
in the August 2020 issue of The American Journal of Psychiatry.

Publication
“Reduction in Mental Health Treatment Utilization Among Transgender 
Individuals After Gender-Affirming Surgeries: A Total Population Study,” R 
Bränström, J Pachankis, The American Journal of Psychiatry, Oct. 4, 2019, 
DOI: 10.1176/appi.ajp.2019.19010080

<https://ysph.yale.edu/news-article/transgender-individuals-at-greater-
risk-of-mental-health-problems/>