I know a handful of trans adults in their latter years, who were supported at an early age. They are still trans decades later, living their lives, growing old, surviving. One lady in her 70s came to speak to me after meeting our family, including our trans daughter 1/
She told us how happy she was to meet us, & that we were supportive & accepting of our child as trans. Then, fighting back tears, she said, do you know I'm trans too, & I was a trans child. She told us after transition she'd had to move away from home, & had never disclosed 2/
her trans history to anyone outside her immediate family. She said that colleagues she'd worked with for years, & her close friends had no knowledge she was transgender. 3/
Her parents had supported her during childhood but she was told or had learned to hide that aspect of herself. To access medical care she moved across the country. She said she had led a happy life, with a loving partner, and a rewarding career. 4/
She was so happy to see our child was happy, supported & loved, & she saw a future for trans children, where they did not have to hide. Where trans children are accepted & supported. 5/
The Gender Recognition Act 2004 provided a formal (though expensive, & pathologising) process for changing legal gender for trans adults. The Equality Act 2010, gave trans school children legal protections to protect them from discrimination & abuse. 6/
Trans children have always been there, its just that only recently have they had legal rights. They've only recently had formalised access to established international standards of health care, & only recently not been forced to undergo years of stigmatising psychotherapy 7/
The current government might be able to change the laws to remove protections, they might be able to remove supportive policies from schools which protect trans (& LGBT kids) from bullying but they can't mandate trans kids out of existence. 8/
This generation of trans kids will not go back into hiding. They will not suffer another Section 28 or be forced into silence & shame. They are here, they are thriving, they are living. They need all our support to be given a voice, to be heard, #SupportTransKids#TansKidsLiving
• • •
Missing some Tweet in this thread? You can try to
force a refresh
Since 2017, during a moral panic, too many UK Trans youth have died waiting for Gender Services or CAMHS. For many, state failures were a factor in their deaths. It is vital we learn from, & discuss their deaths responsibly. This thread is my attempt to do so CW: Death Suicide 1/
Before discussing individual cases it is important to know that there is rarely one cause for suicide. All deaths by suicide are avoidable & there is always help available if you need it.
Samaritans - 116 123
Papyrus - 0800 068 41 41 (Text 07786 209697) Childline - 0800 1111 2/
In writing this thread I have referred to Samaritans media guidelines on reporting suicide & for reporting Inquests, & to Papyrus guidelines for journalists. I encourage anyone discussing suicide to familiarise themselves with these valuable guides 3/papyrus-uk.org/guidelines-for…
Today the Government has published a "Review of suicides and gender dysphoria at the Tavistock and Portman NHS Foundation Trust: independent report" by @ProfLAppleby. It is published in the context of a public discussion on suicide in relation to access to puberty blockers. 1/
This review is based upon two data sources: 1) Tavistock and Portman NHS Foundation Trust audit. 2) National Child Mortality Database (NCMD). It would be helpful for these sources to be published alongside the report in order that it be "open to independent scrutiny" 2/
The stated aim of the review is to "examine evidence for a large rise in suicides claimed by campaigners", & 5 summary conclusions are given. [In Screenshot with AltText].
In broad summary I do not disagree with the main message of points 1. 2. 3. and 5. 3/
Some important questions from @CatSmithMP here to the Department of Health. I look forward to @wesstreeting's responses. On Q262 (comparative assessment against other European countries) I can imagine he will refer to the Cass/ York's Systematic Review. However... 1/
As demonstrated by Yale Law School "Evidence-Based Critique of “The Cass Review” this failed to adhere to key components of a SR - "standardized and rigorous process that assesses quality of the entire body of evidence". York's paper on Clincal Guidelines is particulalry poor 2/
Yale correctly points out many faults by York's review on Guidelines, including that of 23 documents for analysis "8 were not guidelines at all. These documents were position papers & affirmative statements that explicitly deferred to actual guidelines" 3/adc.bmj.com/content/early/…
1. Puberty blockers have been used in Trans health since the 1980s the same as for precocious puberty. There is 40+ years evidence that this treatment is effective. With no recorded instances of serious harm. 2. Cass Review did not compare use of blockers in PP and Trans health.
The Cass Review provides no strong evidence that puberty blockers impact phychological and brain development. This is hypothesis and conjecture from a cis-supremacist position. Being Trans is not a bad outcome.
The NHS did not take a decision to ban puberty blockers. They were instructed to do so by Hilary Cass, who was in turn ordered to write a report by a government intent on removing Trans adolescent healthcare. There is no clinical Trial now. Lack of Trans healthcare is unsafe now!
In 1981 Stephen, a 14 yr old Trans boy in Pittsburg found a psychiatrist who would listen & asked for a 'sex change'. The psychiatrist spent 5 months analysing Stephen, & decided rather than provide hormone treatment he would prescribe anti depressents.. CW next tweet suicide 1/
Therapy' & antidepressents made things worse. Stephen had a number of suicide attempts immediately before or during menstruation. The psych to his credit, realised his treatment wasn't working & contacted an endocrinologist with experience working with 'Transsexuals' 2/
The Paediatric Endocrinologist, Dr Peter A Lee, prescribed medroxyprogesterone acetate, as a puberty blocker (now not used as less effective than GNrH agonists with a lot of side effects). Stephen had another period & took an overdose of amphetemines requiring intensive care 3/
Trans people have been using hormones for healthcare for around 100 years. There is 100 years of experience of Trans people helping each other source medication & use it as safely as possible working with health providers where possible in a 'least harm' approach. 1/
Under the current UK Government & NHS there is no access to adolescent healthcare. I believe there is a moral duty to help Trans youth who are accessing medication to do so as easily & as safely as possible. To highlight & mitigate the risks, & provide trusted information 2/
Further,, to enable Trans adolescents who may want access to Trans healthcare, to do so in line with International best practice & long established harm reduction guidelines. I will work with anyone with these aims & can provide resources, knowledge, platform & networks 3/