Benjamin Ryan Profile picture
Jun 27 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-…
Image
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-…
Image
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-…
Image
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-…
Image
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-…
Image
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.
Image
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-…
Image
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…
Image
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-…

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Benjamin Ryan

Benjamin Ryan Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @benryanwriter

Jun 28
NEWS: Alabama Attorney General submits motion for summary judgment in District Court case over ban on pediatric gender-transition treatment.
The document offers a scathing @WPATH's credibility, based on subpoenaed documents, dismissing it as an "activist interest group." 🧵Image
This summarizes the Alabama Attorney General's assessment of @WPATH, based on a trove of subpoenaed internal communications that have been unsealed this week, plus more yet to be unsealed: "In short, neither the Court nor Alabama need treat WPATH as anything other than the activist interest group it has shown itself to be. The Constitution allows States to reject WPATH’s model of “care” and protect vulnerable minors from life-altering transitioning “treatments.” The Court should grant Defendants summary judgment."Image
The AL AG's motion for summary judgment borrows liberally from the UK Cass Review to portray the scientific literature on gender-transition treatment as weak and unreliable. It also relies on the words of @WPATH's president, Dr. Marci Bowers: "Asked whether 'reasonable people could conclude that there is not enough evidence to support the safety or clinical effectiveness of puberty blockers,' Bowers replied: 'There’s not enough high level evidence. Yes, you can – you can – you can say that.'”Image
Read 26 tweets
Jun 27
Dr. Amy Tishelman, a Boston College psychologist, reached out to me to say that what James Cantor wrote about her in his report on internal WPATH communications is incorrect. Her statement is in the screenshot below.

She stated: "Item 140 in the Cantor report, claiming that I was discussing minimum ages for surgery at a WPATH meeting is false. I had nothing to do with writing any chapter in WPATH related to medical or surgical intervention of any kind and never referred to that in my talk, which was about guidelines for prepubescent children and the SOC8. At the time this story first came out I was horrified, and WPATH released a statement characterizing this out of context information as 'Dangerous Misinformation.' Please see the attachment below for a copy of the WPATH statement about this."Image
Here is the document to which Dr. Tishelman referred: Image
Here is the video in question from which James Cantor quoted Amy Tishelman. She says that she is being misrepresented. It is possible the video is missing a part in which she clarifies her statement, but I am not sure.
Read 5 tweets
Jun 25
🚨BREAKING: Unsealed documents in suit over Alabama pediatric gender-transition treatment ban reveal inner workings of @WPATH
One exhibit is an export report by Canadian sex researcher @JamesCantorPhD, who has served as a paid expert testifying in favor of state bans.
See: 🧵Image
Cantor provided redacted internal @WPATH communications that portray the trans medical-activist group as bending the science to suit the narrative when drafting the Standards of Care 8 (SoC8), and in particular to aid in lawsuits and battles against unwanted state legislation.
"WPATH views evidence-based medicine as an obstacle to its policy goals, rather than as an important tool to beneficent health care for patients," @JamesCantorPhD writes.
WPATH members acknowledge that in developing the SoC8 guidelines for trans care:
▶️They didn't use the GRADE system to evaluate the quality of evidence.
▶️They are "painfully aware of the gaps in the literature."
▶️They acknowledge that the "policy changes" in Europe, Australia and New Zealand (restricting access to pediatric gender-transition treatment) pose a "threat to our assertion that the WPATH SOC are the Gold Standard used around the world."
▶️Chair of the SoC8 Steering Committee Dr. Eli Coleman sees as adversaries skeptical academics and scientists who pressure "health care to provide evidence-based care." This suggests, Cantor asserts, that Dr. Coleman sees evidence-based medicine itself as a threat, and thus does not see SoC-8 as evidence based.Image
Image
Image
Image
Read 23 tweets
Jun 19
I'm listening to Part II of Michael Hobbes 3-hour takedown of rapid onset gender dysphoria.

So far he and his @MaintenancePod cohost, @yrfatfriend, have heaped scorn on @LisaLittman1 for her 2018 ROGD paper, saying she based her survey on the thoughts of what they characterize as anti-trans parents found on a fringe anti-trans website. Then they have similar scorn for J. Michael Bailey, a professor at Northwestern (@profjmb). They call him a "disgraced" academic and laugh maniacally at a passage from his 2003 book, The Man Who Would Be Queen, and have many chortles and giggles over the so-called "f--ksaw" incident.

Then they turn their attention to England's GIDS clinic and say that the Bell v Tavistock case is one of many coming from what they call the anti-trans movement that inadvertently proves ROGD doesn't exist and how kids are never given puberty blockers and cross-sex hormones after only cursory assessment. They describe how slowly Keira Bell's treatment path unfolded.

Then they say that puberty blockers are only restricted for trans kids and not for cis kids and that this is straight-up discrimination. Hobbes is adamant that blockers are indeed just a pause and that they don't cause lasting effects.

See the 🧵for some fact checks.Image
British neuropsychologist Sallie Baxendale's recent review paper found that the neuropsychiatric impacts of puberty blockers when used to treat gender dysphoria remain largely unknown. There is a change they may lower IQ. Much more research is needed. pubmed.ncbi.nlm.nih.gov/38334046/
There is a big difference between using puberty blockers to delay precocious puberty to its optimal start point to delaying puberty past its optimal start point for gender dysphoria, note.
Read 18 tweets
Jun 19
I listened to part 1 of Michael Hobbes' very long take-down of rapid-onset gender dysphoria in @MaintenancePod.
Here's his thesis: A mass conspiracy and moral panic has emerged from the lamentations of moms on a single anti-trans, fringe website with the goal of convincing the public that social contagion is causing a large number of kids to become trans when they're not and then go and get on blockers and hormones after only a cursory evaluation.

In on this baseless conspiracy borne out of hysterical, anti-trans moms, Hobbes asserts, are journalists such as @JesseSingal and @kittypurrzog and the publications they wrote for, @TheAtlantic and @TheStranger.

Hobbes is adamant throughout the episode that social transition cannot cause someone to become or otherwise identify as transgender. He is adamant that no child ever accesses puberty blockers and/or hormones after a swift and shallow assessment period. (Reuters reported that a handful of clinics will provide gender-transition treatment to minors after the first visit if there are no red flags, note.) And he insists that the true problem is that parents don't have faith in their children's perceptions of their own gender identity, just as parents once doubted their kids could be gay and assumed homosexuality was the result of pernicious social influences.

Hobbes and his cohost, @yrfatfriend, have copious derision and scorn for the parents they quote who express concern that, the parents say, their kids suddenly identify as trans after never displaying any gender incongruent traits and after multiple people in their friend group do so. They do not believe these parents when they say they are not opposed to transgender people and insist they are actually anti-trans bigots.

Hobbes also insists that other forms of social contagion reported in medical literature do not occur. He dismisses studies that indicate that mental health problems transmit through populations and that gun violence is socially contagious. (He does not mention suicide, which is widely known to be highly socially contagious.)

He and his cohost spent much of the more than 90-minute episode laughing derisively as the points of view of those who believe that rapid onset gender dysphoria might occur or do occur. @RottenInDenmarkImage
In sharp contrast to the certainty of Michael Hobbes that social influences cannot contribute to a person identifying as transgender, Britain's Cass Review states: "There is broad agreement that gender incongruence is a result of a complex interplay between biological, psychological and social factors. This ‘biopsychosocial’ model for causation is thought to account for many aspects of human expression and experience including intelligence, athletic ability, life expectancy, depression and heart disease."Image
The centerpiece of Hobbes' takedown is Lisa Littman's highly controversial 2018 paper on rapid-onset gender dysphoria, which remains a contested theoretical psychological and social phenomenon. psycnet.apa.org/record/2018-41…
Read 11 tweets
Jun 18
A new @RealChrisRufo piece on the same hospital about which @EithanHaim leaked info:
The Murky Business of Transgender Medicine
Did Texas Children’s Hospital commit fraud to pay for child sex-change procedures?
"According to a new whistleblower, doctors at Texas Children’s Hospital were willing to falsify medical records and break the law to keep practicing 'gender-affirming care.' Caught in the wave of ideological fervor, two of the hospital’s prominent physicians, Richard Ogden Roberts and David Paul, cut corners and, according to the whistleblower, committed Medicaid fraud to secure funds for the hospital’s child sex-change program."Image
Texas Children's Hospital nurse Vanessa Sivadge told @RealChrisRufo that the FBI told her that she was a "person of interest" in their case against what became an indictment against @EithanHaim. Image
Read 5 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(