SEGM was glad to have been interviewed by @TheEconomist for this vital article on the controversial issue of medical transition of young people suffering from #GenderDysphoria. The full article is reproduced, with permission, in the link below. /1 segm.org/Keira_Bell_rul…
The article highlights the poorly-understood rise in cases of gender dysphoria among adolescents (especially females), and asks if the Western world has gotten the balance wrong by prematurely intervening with medical procedures with irreversible life-long consequences./2
The ethical dilemma of how to best care for young dysphoric patients in the absence of evidence was highlighted by the UK High Court, which concluded that puberty blockers are experimental, and that patients <16 (and some as old as 17) are not able to give informed consent. /3
The issue of how to best care for gender dysphoric young people has been sadly politicized. SEGM welcomes @TheEconomist 's even-handed coverage of this issue and seconds the call for open debate and research, to help young patients and their families make informed decisions. /4
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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.