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@segm_ebm

Jul 2

"For me it began with a graph. In 2017, I was shown a chart of children referred to GIDS..."

These are the opening lines of UK’s The Times Magazine Special Report, “What went wrong at the Tavistock clinic for trans teenagers?”available on our site. /1
segm.org/GIDS-puberty-b…

@TaviAndPort

While the graph uses data from GIDS, the world’s largest pediatric gender clinic, the trend is ubiquitous.

For those unfamiliar: GIDS is the NHS Gender Identity Development Service serving English patients <18. It's also called "the Tavistock" as it’s run by @TaviAndPort.
/2

The sharp rise in adolescents struggling with gender distress, and an overrepresentation of teen girls, are evident in the graph. What's not on display is the high rate of mental illness and autism-spectrum disorders that accompany the diagnosis of youth gender dysphoria. /3

Read 21 tweets

SEGM

@segm_ebm

May 11

Dr. Bradley, a child psychiatrist & founder of Canada's first youth gender clinic, has published a commentary raising grave concerns regarding the practice of "gender-affirmation" for young females with high functioning autism-spectrum disorders (ASD). /1
mdpi.com/2673-4184/2/1/7

In her commentary, Dr. Bradley talks about the rapid rise in ASD females presenting with recent-onset gender dysphoria, the social difficulties they face as a result of their ASD, and the frequent (mis)attribution of their distress to being "transgender." /2

Dr. Bradley notes the lack of a deterministic biological basis for gender identity. She points to prior research that most gender-dysphoric youth treated in developmentally-informed ways, rather than "affirmed" as transgender, resolve their distress. Many become gay adults./3

Read 4 tweets

SEGM

@segm_ebm

May 9

A new study published in Pediatrics found that 98% of children who undergo early social gender transition (SGT) continue to identify as transgender in early adolescence. Majority (60%) also initiate hormonal interventions within 5 years of SGT. /1 segm.org/early-social-g…

Several media outlets misunderstood the study as showing that few trans-identified kids change their minds. Rather, it showed that 𝙚𝙖𝙧𝙡𝙮 𝙨𝙤𝙘𝙞𝙖𝙡𝙡𝙮-𝙩𝙧𝙖𝙣𝙨𝙞𝙩𝙞𝙤𝙣𝙚𝙙 𝙘𝙝𝙞𝙡𝙙𝙧𝙚𝙣 rarely change their mind, at least into early teens./2
nytimes.com/2022/05/04/hea…

To properly interpret the study's findings, the source of the data must be considered. The data came from the TransYouth Project, which only enrolls socially-transitioned youth. Gender-variant youth who didn't undergo early social gender transition were not part of the study./3

Read 15 tweets

SEGM

@segm_ebm

Mar 23

Youth considering gender transition are denied true informed consent when they make decisions based on incomplete, inaccurate & biased information delivered in a cursory fashion, argues a key new publication on informed consent in gender medicine. /1
tandfonline.com/doi/full/10.10…

Busy physicians and concerned parents put faith in “gender specialists,” hoping for a thorough evaluation of gender dysphoria causes and tailored solutions to lower a young person's distress. Instead, they typically get a rubber-stamped recommendation to transition./2

The authors argue that the belief that transition is the best treatment for distressed & struggling gender-dysphoric youth must be separated from the reality: Every aspect of transition from diagnosis to post-transition outcomes is fraught with profound uncertainty and risk./3

Read 21 tweets

SEGM

@segm_ebm

Mar 10

The Cass Review, tasked with evaluating England's pediatric gender identity services, has issued its interim report. The Review expresses the concern that puberty blockers and hormones may not be the best approach for all desiring these interventions. /1 cass.independent-review.uk/publications/i…

The Cass Review defines the "affirmative model" as an American model of care. The Review notes that clinicians often "feel under pressure to adopt an unquestioning affirmative approach and that this is at odds with the standard process of clinical assessment and diagnosis..." /2

The Review calls out the rapidly changing demographics of gender-dysphoric youth, increasingly complex presentations including neurocognitive &mental health comorbidities, and a lack of clinical consensus that hormonal "gender-affirming" interventions are appropriate for most. /3

Read 10 tweets

SEGM

@segm_ebm

Mar 3

The National Academy of Health in France has just issued a press release regarding the care of gender-dysphoric youth. The Academy is advising psychological exploration, and cautions about the risks of pursuing hormones & surgery in youth /1.
segm.org/France-caution…

The statement notes that the rise in trans identity in youth may be in part due to excessive reliance on social media and "the questioning of an overly dichotomous view of gender identity by some young people." /2

The press release states,"great medical caution must be taken in children and adolescents, given the vulnerability, particularly psychological," and points to risks for bone health, sterility, emotional and intellectual consequences and, for females, menopause-like symptoms./3

Read 6 tweets

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