Quite. One of the things that frustrates me most about the incessant bandying about of suicide/self-harm 'stats' is the refusal to accept that many of those involved have long-standing, complex mental health issues which put the young person at risk even without the gender issues.
Analogy:
Chris is diagnosed with Type 1 diabetes while still a young child. NHS staff work hard with Chris's family and with Chris to explain the condition, the importance of checking blood sugar levels regularly, taking insulin, diet, inter-relationship with other health issues, risks of diabetes itself etc etc. Chris hates it. Chris hates being different from everyone else and having other kids comment. Chris is a difficult patient from the start.
By adolescence Chris should be taking over responsibility for managing the condition but instead is increasingly ignoring it - head in the sand, 'if I don't test myself it will all go away'. Various health problems start to build up but Chris still refuses to accept any of it is because of the diabetes. Chris moves out of the family home and has less and less contact with family because it's so irritating to have them talk about diabetes all the time.
Chris goes online, 'meets' some ardent advocates of complementary medicine and becomes convinced that a minor skin rash is a sign of having chronic Lyme disease, which would also explain why Chris is feeling tired and ill all the time. The online friends are sure this is right and suggest long-term antibiotics. Chris's doctor tries without success to explain that Chronic Lyme Disease doesn't exist and long-term antibiotic therapy is not appropriate, but Chris knows better - doctors are all in the conspiracy to prevent sufferers getting the acknowledgement and treatment they need.
Shortly after this, Chris collapses, goes into a coma and dies. The cause of death established by the autopsy is untreated diabetes. However, Chris's online friends know better and mention Chris's case at every opportunity to bolster their case that Chronic Lyme Disease exists and is a serious condition.
Sound familiar at all?
I'm struck by these paragraphs in the Wikipedia article I linked to above:
A number of alternative health products are promoted for "chronic Lyme disease",[4] of which possibly the most controversial and harmful is long-term antibiotic therapy, particularly intravenous antibiotics.[5] Recognised authorities advise against long-term antibiotic treatment for Lyme disease, even where some symptoms persist post-treatment.[6][7][8] Following disciplinary proceedings by State medical licensing boards in the United States, a subculture of "Lyme literate" physicians has successfully lobbied for specific legal protections, exempting them from the standard of care and Infectious Diseases Society of America treatment guidelines. This "troubling" political interference in medical care[9][10] has been criticised as an example of "legislative alchemy", the process whereby pseudomedicine is legislated into practice.[11]
In 2001, The New York Times Magazine reported that Allen Steere, chief of immunology and rheumatology at Tufts Medical Center and a co-discoverer and leading expert on Lyme disease, had been harassed, stalked, and threatened by patients and patient advocacy groups angry at his refusal to substantiate their diagnoses of "chronic" Lyme disease and endorse long-term antibiotic therapy.[43] Because this intimidation included death threats, Steere was assigned security guards.[44]
We've seen similar over here in relation to ME/CFS researchers.