The UK High Court rules that #PubertyBlockers for normally-timed puberty are experimental and that young gender-dysphoric people (under 16) are unlikely to be able to provide meaningful informed consent.
It is not yet known whether there is long-term psychological harm or benefit, whether suicide rates are increased, decreased or unchanged, and whether blockers contribute to longer-term persistence of gender dysphoria and adverse impacts on future morbidity and mortality. /2
Ethical practitioners must humbly recognize the significant uncertainties in the field of gender medicine. We hope that the Court's landmark judgement will mark the beginning of international commitment to generating quality evidence base for young people with #GenderDysphoria./3
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We've written a blog about an important study by @EsteemLabYale & @karolinskainst in the American Journal of Psychiatry. It made an unfounded claim that gender-affirming surgeries conveyed mental health benefits, which the journal later corrected. /1
@karolinska & @YaleSPH have revised their original announcements about the study, which now lead on the corrected finding: that transgender people have a high risk of mental health problems compared to the general population /2
However, the many news sources that reported the original study have not addressed this vital change, and their stories continue to misinform the general public. /3 @kashmiragander @Vishwadha @Reuters_Health
Gender dysphoria sufferers need sound evidence to guide life-changing decisions. So a study that "lends support to the decision to provide gender-affirming surgeries" could have big clinical implications. But now, a review of it has "demonstrated no advantage of surgery”.
The episode highlights the need for researchers in gender identity healthcare to adhere to rigorous scientific process. Studies seeking to do good may appeal to headline writers & grant-makers, but can mislead patients & clinicians, and ultimately put public trust at risk.
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The study by Bränström & Pachankis analysed population-level data & found that mental health needs fell after surgery. "No longer can we say that we lack high-quality evidence of the benefits of providing gender-affirming surgeries" said Pachankis.