Erin Reed Profile picture
Jun 13 16 tweets 4 min read
This is literally the worst social science research study I've ever seen.

It wouldn't get a passing grade in a social science research methods class.

A thread 🧵
Lets first start with the "study design," which destroys the study's claims at the outset:

IT DOESN'T LOOK AT GENDER AFFIRMING CARE AT ALL!

Instead, it looks at states that let youth to visit doctors without parental consent... and somehow leaps to "GAC causes suicide" Image
They didn't even review it enough to check the labels on their charts. Their chart groups states into buckets of "has a minor access provision" and "does not have a provision" (again, for ALL care, not GAC)

But they laughably mislabeled the columns. Image
This confused me for a little while when I tried to research these states. Eventually I went to their source's website, and yeah. The states on the right DO have a minor access provision (to GENERAL healthcare).

This leads to an even more laughable claim... Image
Lets look at those states again. Remember, they are claiming that these having higher suicide rates means that GAC causes youth suicide...

Florida, Texas, Utah, Wyoming, Alabama, Arizona, North Dakota, Idaho, Indiana are all part of that bucket.

Notoriously BAD states for GAC.
Let's not even get into the fact that they failed significance on one model, so they kept adding variables and smoothing until they got significance. Image
Y'all this is so bad.

To even give this "research" the respect of saying "this would never pass peer review" is too much.

This wouldn't get a passing grade in a research methods class.

That right wingers are sharing it like it's some big groundbreaking study is hilarious.
Honestly I'm wondering why they bothered to waste this dude's time putting all this energy into a shit study.

Like they would have been better off just scribbling "Gender affirming care for youth bad and causes suicide" on a piece of paper in crayon and publishing that.
Oh my god one of their “researchers” is trying to actually defend their study. This is embarrassing.
I wonder how much this dude got paid to produce such bad research...
One of the researchers jumped in and tried to claim that they cover this by using search terms for puberty blockers as an indicator of youth trans GAC availability.

Never mind that those search terms have shot up in anti-trans states that restrict care. See Texas:

It's so bad. Image
In their study, this Texas datapoint would be used in SUPPORT of their claim that "gender affirming care leads to suicides."
Wait a second...

I think his google trend data is national rather than state based too....

They're basically using national search results that are time correlated to somehow claim that state level suicide rates are driven by GAC.

This is so bad. The p-hacking is obvious.
Lets pretend I was a reviewer for this "paper" (that would never even get past a review screening):

My first question would be... "why did you look at state general access provisions rather than specific accessibility of gender affirming care in each state?"
The answer is obvious:

Suicide rates at the state level are not correlated with the availability of gender affirming care in those states.

So you have to run multi-state regression model with p-hacked interaction variables that don't even align to get your finding.
They're pissed that I blocked the author.

If you can get passed peer review or if you seem reachable and are just making ill-informed conclusions, I'll engage.

If you know how to run a model like this and still put out misinfo, you're not worth my time.

That's my policy.

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More from @ErinInTheMorn

Jun 6
When they say kids will stop being trans with no affirmation, I get so upset.

I was one of those kids.

It was impossible to be affirmed in 1999 rural Louisiana.

I got to 18 with no hope left and decided transition was a fantasy. I suffered.

Thank god I finally did it at 30.
“Desistance” doesn’t mean you convinced someone to not be trans.

It means you made the atmosphere hostile to the core of their being and they will carry that trauma with them for life.
Desistance to me meant 12 years of horrifying anxiety and panic attacks

It meant substance abuse and self hate.

It meant not being able to see myself in the mirror. Ever.

It meant a life of living according to scripts that I didn’t even believe but felt I had no choice.
Read 6 tweets
Jun 5
A Utah Rep sent a letter to all Utah schools on official letterhead stating that schools should follow a "school resource guide" drawing on anti-trans sites like "transgender trend."

It tells teachers to "use biological pronouns" and "never affirm trans students genders."
This document tells school counselors to avoid affirmign trans students, an action that specifically goes against medical guidance - affirmation and acceptance of a trans student's gender in and of itself lowers suicide risk.
The guidance tells teachers that "students should not be told that they can behave in a way at school that deceives their parents" with respect to their gender identity.

It also says that teachers need to out students to their parents.
Read 6 tweets
Jun 2
Florida just announced that it is ending medicaid coverage for transgender ADULTS for their gender affirming care.

As expected, the attacks on trans kids have progressed to attacks on medically necessary care for trans adults.

The end goal is forced detransition or harm.
Full press release here:

ahca.myflorida.com/Executive/Comm…
Although this particular release does not ban gender affirming care for trans adults outright, it lays out the justification to make the rule to do so, which it states it will proceed to do.

It's not a big step to move from this to private insurance.
Read 11 tweets
Jun 2
Ohio is, out of nowhere, trying to amend an anti trans sports ban onto another piece of legislation to pass it. They'll stop at nothing and use all the tricks in the book to push their bigotry.
They have gaveled back in:

ohiochannel.org/live/ohio-hous…
Here we go, they are at 10:38 at night voting on whether or not they will ban trans girls from girls sports.
Read 8 tweets
Jun 1
Big one today y'all! This is an OPPOSITION hearing to HB454, which means we FINALLY get to hear witnesses speak against this damaging bill that would detransition all trans teens in Ohio.
My favorite background person is there again wearing her Protect Trans Kids shirt <3
If any of you want to watch, you can watch here:

ohiohouse.gov/live/ohio-hous…
Read 19 tweets
May 30
The American Medical Association just released a study showing that trans youth that start puberty blockers or hormone therapy will have a 73% lower chance of suicide.

I go over the basics on my TikTok and will link to the study here.
Many others have shown 40-80% drops in suicidality for trans teens on gender affirming care. I’ll link them here:
Read 4 tweets

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