Benjamin Ryan Profile picture
Jun 27, 2024 20 tweets 9 min read Read on X
Claim of Suicide Surge in Youths on U.K. Wait List for Gender Care Undermined by ‘Cass Review’
🧵: I report for The @NewYorkSun: The report on pediatric gender care also undermines suggestions by @GoodLawProject's @JolyonMaugham that after the Tavistock v Bell decision in Dec. 2021, the UK GIDS pediatric gender clinic all but eliminated gender-transition treatment referrals in 2021 and that this drove a wave of suicides on the waiting list.Image
The @GoodLawProject said there was a “huge increase” in suicide deaths in those on the waiting list for the UK's pediatric gender clinic, GIDS. @JolyonMaugham said the clinic’s harsh restrictions, starting in 2021, on treatment access drove the surge.
However, the Cass Review, the recent landmark British report on the care of minors who are distressed about their gender, calls into question the specifics of @JolyonMaugham's claims, as does documentation posted on social media by him. nysun.com/article/claim-…
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The @GoodLawProject's @JolyonMaugham claimed, based on whistleblower reports and associated documents, that there was one suicide death among a GIDS patient on the waiting list from 2014 to 2020 and 16 deaths in such patients from 2021 to 2023. nysun.com/article/claim-…
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The @GoodLawProject/@JolyonMaugham attributed the 16 suicides to GIDS having “immediately pulled down the shutters” on kids' access to gender-transition treatment following the Bell v Tavistock judgment, which he said caused the waiting list to balloon.
But Cass suggests that at least some of the 16 suicides were in youths who were either non-wait-list GIDS patients or had already turned 18 and aged out. The review's data also counters the suggestion that GIDS all but shut down access to puberty blockers starting in 2021. Image
“Making assumptions about what has caused any suicide and talking about that assumption in public is known to be dangerous,” said Dr. Anna Hutchinson, a GIDS staffer whistleblower, referring to research indicating suicide can be socially contagious.
nysun.com/article/claim-…
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On X, @JolyonMaugham attributed GIDS's new screening policies, adopted in 2021, solely to the Bell v Tavistock ruling. He did not mention that the new system, which added an extra screening layer, was also driven by the Care Quality Commission's scathing report on GIDS. Image
The pace of endocrinology referrals from GIDS definitely slowed after the Bell judgment, they did not all but grind to a halt as @JolyonMaugham suggested, per data reported in the Cass Review. nysun.com/article/claim-…
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The wording of a statement in the Cass Review suggests that @JolyonMaugham of @GoodLawProject was incorrect when he claimed that all 16 apparent recent suicides were minors on the GIDS waiting list. nysun.com/article/claim-…
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Screenshots from Tavistock board meetings that @JolyonMaugham posted on X also contradict or otherwise do not support his claim that all 16 apparent recent suicides were in minors on the GIDS waiting list.
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A former GIDS whistleblower said: “In clinical work, unless you have full records and follow-up data," noting that GIDS kept very little data, “then to pluck any kind of meaning from clinical incidents, accidents or suicide statistics is of little or no clinical relevance.” Image
To date, only one study has directly assessed the association between gender-transition treatment and suicide death among young people. The study, which examined comprehensive national health records in Finland, found no such association. nypost.com/2024/02/24/opi…
Systematic literature reviews conducted for Cass's found no conclusive mental health benefits tied to puberty blockers and some moderate-quality evidence suggesting mental health improvements when minors are put on cross-sex hormones for gender distress. nysun.com/article/claim-…
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A 2022 paper by Oxford sociologist Michael Biggs found that @JolyonMaugham of @GoodLawProject was incorrect when he claimed there was only one suicide of a minor on the GIDS waiting list from 2014 to 2020. link.springer.com/article/10.100…
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Trans activist and Harvard Law School clinical instructor Alejandra Caraballo @Esqueer has made a "spreadsheet tracking the suicide deaths of trans youth in the UK." It's unclear what overlap this has with what @JolyonMaugham reported, but 5 out of 9 of the deaths were in adults. Image
I asked Oxford sociologist Michael Biggs about Alejandra Caraballo's list of trans youth suicides in the UK and he said the following:
@Esqueer_ Image
Claim of Suicide Surge in Youths on U.K. Wait List for Gender Care Undermined by ‘Cass Review’
nysun.com/article/claim-…
For @ErinInTheMorn's blog, @MiraLazine credulously reported @JolyonMaugham's claims about recent suicides at GIDS without doing reporting on the details, including the various ways that the Cass Review undermines the specifics of Maugham's claims. erininthemorning.com/p/trans-youth-…

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More from @benryanwriter

Apr 28
Taylor Lorenz publishes effective advertorial

In @TaylorLorenz’s new Substack, she used Panagram to detect how many top Substackers are using AI to produce their articles, in an apparent effort to criticize their ethics.

Panagram sponsored Lorenz’s Substack, revealing that it is effectively an advertorial. She doesn’t make a note of this sponsorship until the very end of her article.

This comes after Lorenz was widely criticized for posting a free ad for The Bark Phone, which is parental-control software for a children’s smartphone. In the ad, Lorenz touted smartphones as good for kids because they help kids express themselves.Image
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Should a tech journalist such as @TaylorLorenz weave sponsorship of tech products into her reporting thanks to receiving payments from tech companies? That’s what Lorenz did here with Panagram:
usermag.co/p/how-much-of-…
@TaylorLorenz When magazines run advertorials, they typically change the layout to make abundantly clear that this is sponsored content. The disclaimer about it being sponsored content is typically at the top of the text, not buried at the very end, as Lorenz has done.
Read 7 tweets
Apr 26
In Erin Reed’s chat group, people debate whether it would be better to attend this Sunday conference panel of four skeptics of pediatric gender medicine and ask pointed questions, boycott it, or disrupt it with boos. Frank Dowling, who refers to the group as “frauds”, was among the AMA members whose LGBTQ message board posts I quoted from in my reporting for @thefp about how members reacted to the organization coming out against youth gender surgeries: thefp.com/p/the-medical-…Image
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Psychiatrist Frank Dowling advocates disrupting Sunday’s conference panel from the pediatric gender medicine skeptics: Image
Read 6 tweets
Apr 24
Controversial Pediatric Gender Panel Draws Trans-Activist Push for Cancellation
benryan.substack.com/p/transgender-…
Trans-activist Substacker Erin Reed has prompted an uproar over a panel of skeptics of pediatric gender medicine slated for Sunday at the Pediatric Academic Societies meeting in Boston.

Transgender activists and their allies are in an uproar over an upcoming medical-conference panel concerning pediatric gender medicine that features skeptics of this field whom activists accuse of being anti-trans.

Since the prominent trans-activist Substacker Erin Reed published an article about the panel on Tuesday, conference organizers have apparently been inundated with tens of thousands of emails demanding it cancel the panel, in particular due to the panelists’ connections to a small nonprofit known as the Society for Evidence Based Gender Medicine, or @SEGM_EBM.

This burgeoning deplatforming campaign raises questions about the place that the free exercise of scientific ideas has within a medical field as peerlessly politicized as pediatric gender medicine. As transgender activists seek to shut down what they argue are toxic fringe positions akin to climate-change deniers, a relatively small but determined collection of scientific and medical experts have remained committed to publicly scrutinizing this field and defending themselves against what they say are baseless accusations that their perspectives are rooted in bigotry and animus.Image
Many of you will be surprised to learn that Erin Reed has a habit of publishing claims about her adversaries that are not firmly nestled in a bed of truth. open.substack.com/pub/benryan/p/…Image
Read 4 tweets
Apr 9
About Health Nerd's take-down of the Finnish study on mental health outcomes among youth attending gender clinics
🧵👇
The study isn't perfect by any means. There are fair reasons to criticize it. But Health Nerd's central thesis falls apart upon the simplest examination.

I find it very disappointing when people leverage their academic credentials to supposedly bust bad science or misinformation but only wind up spreading more misinformation in the process. Where are we these days if we can't trust people to use their credentials wisely and inspire trust in those with advanced degrees?

I've tried explaining to Health Nerd what he got wrong, to no avail. It was like arguing with a character in a Lewis Caroll poem.

See the thread below.Image
Health Nerd's argument depends on redefining the study’s outcome variable as “how many times kids saw a psychiatrist for any problem.” No, that's not what the paper measures. It measures contacts with specialist-level psychiatric treatment. In Finland, that is referral-based care generally reserved for more serious mental illness. Milder mental health problems are handled in primary care. gidmk.substack.com/p/does-gender-…Image
That distinction between primary-care services and specialist psych care matters. It's the reason the authors use this variable in the first place. It's not a measure of casual or routine mental health visits.
Read 14 tweets
Apr 3
Queer editor James Ball declares Bluesky a “dying social network,” blaming aggressive censoriousness by Blueskyites of perceived ideological enemies:

“There's a large cadre that basically cheers on chasing off any lib/centrist/academic who's the punchbag of the day. There's a culture of saying ‘fuck off back to X, then.’ And the anti- bedtime leftists set too much of the culture.

“I don't know if it's fixable, especially as I think quite a lot of the people here don't *want* to fix it. But at the rate users are quitting they'll run out of targets soon enough, and the rest of us will lose what is – for a fair few of us I suspect – the last fun/useful social network. Sigh.”Image
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More from James about Bluesky’s demise: Image
The grim Bluesky stats. Turns out echo chambers are not big business. Image
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Read 8 tweets
Apr 1
HOW GENDER MEDICINE SET ITSELF UP FOR DISASTER

For @CompactMag, I report on what the 100s of WPATH conference videos I obtained tell us about this troubled field: compactmag.com/article/how-ge…

👉I 'll be publishing the conference videos on my Substack: benryan.substack.com/p/i-obtained-1…

As I write for Compact magazine:

This catalogue, which the World Professional Association for Transgender Health, or WPATH, fought to keep shielded, provides a rich account of how leading figures in pediatric gender medicine approached scientific research, drove the evolution of medical practices, and strategized politically during a critical turning point in this field’s brief and tortured history. The two years following Chase Strangio’s 2021 address were a period in which statehouse Republicans escalated their attacks on this field. The WPATH conference presenters largely responded to the political siege by doubling down. Rather than engage in soul searching over whether their methods in pediatrics were ethically sound and whether any criticisms had merit, they overwhelmingly stuck to their guns.

Presenters frequently downplayed fundamental hazards about irrevocably altering adolescents’ bodies. Meanwhile, a parade of systematic reviews—the gold standard of scientific evidence—was concluding that the evidencebacking pediatric gender medicine is weak and inconclusive. These findings have led health authorities in a number of European nations, concerned about risks such as infertility, to reverse course. They reclassified pediatric gender-transition interventions as experimental and sharply restricted minors’ access.

Not WPATH. The organization remained on an inexorable trajectory in the opposite direction, toward its eventual head-on collision with the second Trump administration.

For highlight clips, see the 🧵👇Image
Kellan Baker counseled against saying “gender-affirming care.” Messaging research indicated that when people hear it, he said, “they think ‘trans kids in the driver’s seat.’” But he said this was an accurate assessment. “I think we all support trans kids in the driver’s seat because it’s their bodies, it’s their lives,” he said.

“But when you think about folks who don’t know trans people, they are very scared by the idea that young people are making irreversible decisions and that no one else has any oversight over those decisions.”

To read my article in @CompactMag about the 100s of videos I obtained from the World Professional Association for Transgender Health (WPATH) and its US offshoot, USPATH: compactmag.com/article/how-ge…

I will be publishing the most notable conference videos on my Subsack: benryan.substack.com/p/i-obtained-1…
Johanna Olson-Kennedy: “I think that a lot of this conversation...gets talked about through a lens of ‘How can we make sure people are really trans,’ right? And ‘They’re not going to regret their decision later?’” But “that’s actually not the discussion that I’m interested in participating in," she said. "I’m interested in discussing and having a conversation about giving the very best possible care to trans young people—the care that they need and deserve.”

To read my article in @CompactMag about the 100s of videos I obtained from the World Professional Association for Transgender Health (WPATH) and its US offshoot, USPATH: compactmag.com/article/how-ge…

I will be publishing the most notable conference videos on my Subsack: benryan.substack.com/p/i-obtained-1…
Read 6 tweets

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