Baroness Nicholson on Regent Street flags

Were there 500, 500,000 or 5 million flags?

genderreport.ca/the-swedish-u-turn-on-gender-transitioning/

This might also be interesting.

The Swedish U-Turn on Gender Transitioning for Children

This is an article about the Swedish government addressing the rapid increase, as seen many other countries, and how the referrals plummeted after measures were brought in.

Again, always look back to the original source of any data.

Published April 22, 2021


Kasia Kozlowska, Georgia McClure et al


*Australian children and adolescents with gender dysphoria: Clinical presentations and challenges experienced by a multidisciplinary team and gender service^

journals.sagepub.com/doi/full/10.1177/26344041211010777


This discusses how confident treatment planning and even confident and accurate diagnosis is being impeded through interactions with social media, peers, lobby groups and other parties.

And the ramifications are that children and young people are not getting the high level of care they need.

And that is the grim reality.

Baker, K. E., et al, (2021) Hormone Therapy, Mental Health and Quality of Life Among Transgender People: A Systematic Review. Journal of the Endocrine Society.


academic.oup.com/jes/article/5/4/bvab011/6126016


This was interesting:


Quality of Life


Among adolescents, a mixed-gender prospective cohort (n = 50) showed no difference in QOL scores after a year of endocrine interventions, which included combinations of GnRH analogues and estrogen or testosterone formulations [30]. No study found that hormone therapy decreased QOL scores. We conclude that hormone therapy may improve QOL among transgender people. The strength of evidence for this conclusion is low due to concerns about bias in study designs, imprecision in measurement because of small sample sizes, and confounding by factors such as gender-affirming surgery status.


And this under Depression


Among adolescents, 2 mixed-gender prospective cohorts (n = 50 and n = 23, respectively) showed improvements in depression scores after 1 year of treatment with GnRH analogues and estrogen or testosterone formulations (both P < 0.001) [30, 38]. Another prospective study reported that BDI scores improved almost by half among adolescents (n = 41) after a mean of 1.88 years of treatment with GnRH analogues to delay puberty (P = 0.004) [34]. The overall improvement after several subsequent years of testosterone or estrogen therapy in this cohort (n = 32) was smaller, however, resulting in no significant change from baseline [35]. No study found that hormone therapy increased depression.


Anxiety


Among adolescents, 1 prospective study saw mean anxiety scores in a mixed-gender group (n = 23) improve from 33.0 ± 7.2 to 18.5 ± 8.4 after 1 year (P < 0.001) [38], but another reported no changes in anxiety after approximately 2 years of puberty delay treatment with GnRH analogues and 4 years of hormone therapy (n = 32) [35].


Suicide


The risk of bias for this study was serious due to the difficulty of identifying appropriate comparison groups and uncontrolled confounding by surgery status and socioeconomic variables such as unemployment. We cannot draw any conclusions on the basis of this single study about whether hormone therapy affects death by suicide among transgender people.

I am just going to post these links here again that I collected for another thread hearache was on. So they would have had the opportunity to read them then. I am posting this information for those reading along.

Along with the reminder that the Tavistock searched and reviewed all studies For the ‘Bell vs Tavistock’ case and could present nothing that convinced the judges. Nothing. Which is also why we have the Cass review now underway. And why activists are now trying to get that review of patient records disrupted….

anyway, there will be a couple of posts. And if the links are not working, please copy and paste.

Both the doctors in this article have confirmed independently that this is their view. For clarity both Dr Marci Bowers and Dr Erica Anderson are both transitioned males providing gender services.

bariweiss.substack.com/p/top-trans-doctors-blow-the-whistle

Top Trans Doctors Blow the Whistle on ‘Sloppy’ Care

In exclusive interviews, two prominent providers sound off on puberty blockers, 'affirmative' care, the inhibition of sexual pleasure, and the suppression of dissent in their field.

A Shier, 4 October 21


plus


France


The latest from National Academy of Medicine, France. They have issued a press release about treatment for gender disphoria in children and adolescents.

SEGM have translated it, but also linked up the original version.

segm.org/France-cautions-regarding-puberty-blockers-and-cross-sex-hormones-for-youth

__

plus

Australia & NZ Psychiatrists warning there is NOT enough evidence for Affirming only treatments or any treatment plan. And warn that medicalisation of children and teens be very careful and thoroughly explored considering the ‘paucity’ of evidence at this time.


www.ranzcp.org/news-policy/policy-and-advocacy/position-statements/gender-dysphoria

August 2021


plus

The interim Cass report from the UK


cass.independent-review.uk/wp-content/uploads/2022/03/The-Cass-Review-Interim-Report-Final-Bookmarked.pdf


plus this might interesting too


“ I think this is a bad idea in 99% of circumstances. Professionals who know what they’re doing should be involved; and by not including parents, it ultimately makes the situation worse for the kid (unless the parent is abusive- that’s the 1%). I’ve actually never seen this go well”


www.washingtonpost.com/outlook/2021/11/24/trans-kids-therapy-psychologist/


mobile.twitter.com/drlaurael/status/1462968319636480004


The Washington Post article points out that many clinicians are not following the WPATH guidelines of comprehensive assessment and rmental health support.


The standards of care recommend mental health support and comprehensive assessment for all dysphoric youth before starting medical interventions. The process, done conscientiously, can take a few months (when a young person’s gender has been persistent and there are no simultaneous mental health issues) or up to several years in complicated cases. But few are trained to do it properly, and some clinicians don’t even believe in it, contending without evidence that treating dysphoria medically will resolve other mental health issues. Providers and their behavior haven’t been closely studied, but we find evidence every single day, from our peers across the country and concerned parents who reach out, that the field has moved from a more nuanced, individualized and developmentally appropriate assessment process to one where every problem looks like a medical one that can be solved quickly with medication or, ultimately, surgery. As a result, we may be harming some of the young people we strive to support — people who may not be prepared for the gender transitions they are being rushed into.

Ok so the working that leaps out is ‘The study drew on a non-random sample’ which even the abstract says ‘is not demographically representative.

Plus ‘The purpose of this paper is to present findings from the Trans Mental Health Study’, so not a neutral fact finding study.

as I’ve said - find a survey that says X and you will find 1 (or more) that says Y. When I studied psychology I loved reviewing surveys. They aren’t often unbiased.

You ask for a British study, here is one:

"The study revealed high rates of suicidal ideation (84 per cent lifetime prevalence) and attempted suicide (48 per cent lifetime prevalence) within this sample. A supportive environment for social transition and timely access to gender reassignment, for those who required it, emerged as key protective factors. Subsequently, gender dysphoria, confusion/denial about gender, fears around transitioning, gender reassignment treatment delays and refusals, and social stigma increased suicide risk within this sample."

Suicide risk in the UK trans population and the role of gender transition in decreasing suicidal ideation and suicide attempt.
psycnet.apa.org/record/2014-49363-001

This is why trans healthcare is so important and why I will always support them having prompt access to it.

"Gender-affirming surgeries are associated with numerous positive health benefits, including lower rates of psychological distress and suicidal ideation, as well as lower rates of smoking, according to new research led by Harvard T.H. Chan School of Public Health."

www.hsph.harvard.edu/news/hsph-in-the-news/mental-health-benefits-associated-with-gender-affirming-surgery/

This is a study from Harvard University - are you seriously suggesting that you know more about this subject than Harvard?

Personally, I think it is positive if we can reduce the rate of depression and suicide among young transgender people.

Personally, I think it is very significant to show robust longitudinal studies showing health outcomes over much longer than 12 months.

That you feel it is a ‘positive’ to use data collected, not by clinicians, but voluntary surveys over a 12 month period and feel this is good enough is just another post of yours showing your lack of care for young people and your lack of understanding about the issues faced by the females in that cohort that now make up the majority.

I, personally, want any hormonal treatments for this cohort to be based on far more robust data.

But hey… credit to you. You didn’t post a link to that research from the Trevor Project. I am tired of posting the same points ripping that data apart when posters try to say it is an excellent study and should be used for making laws and policy. (No, it wasn’t. It is useful in its magnitude to direct focus for further research but is also not very useful outside the USA)

So, yes. Personally I and many others posting here want the poor mental health of our young people addressed and improved.

Perhaps though you might like to post the UK suicide rates for trans people that has been analysed and verified for cause. Because, strangely GIDS has made a specific point that those suicide claims are not being seen in reality amongst their patients at all. And they made that claim in court.

So, please produce the UK evidence for that claim about suicide.

Otherwise, I think posters can safely say that is another emotional manipulation attempt by you.

This is another classic from you hearache.

Did you actually read what you posted here ?

Did you really read it?

jamanetwork.com/journals/jamanetworkopen/fullarticle/2789423

This is a study that tracks young people for a 12 month period only. There is no follow up after.

Were you able to track the number of participants who had therapy for their mental health in this study at all?

I could not see this but I am only on a small screen and it is difficult to analyse this in as much depth as I like too.

Because I did not read any adjustments made around that.

Now, I know hearache you have been told before about the specific increased health risks of puberty blockers and testosterone on the female body.
The life limiting, too often life shortening negative side effects that show up much later than 12 months down the treatment path.

Is there a reason you keep avoiding acknowledging this?
Because this will start affecting participant’s mental health in the longer term. Including the significant symptoms of menopause those females will experience.

Back to this study.

It is also concerning that 30% did not do the questionnaire and as the questionnaire was only administered voluntarily I consider the results to be discussion started only and not a robust study to use to inform guidance in any way.

If this was a study of clinician led mental health surveys with a review of notes, it may be much more useable than it is. As it is, this is just another biased piece of work that seems to ignore the personal accounts of clinicians, including the Tavistock.

By the way, remember there was also a study done by another Ivy League university that declared a similar outcome … only to have to retract its conclusions less than a year later after clinicians and other researchers pointed out the errors in it.
It showed no or too little overall improvement to warrant the conclusions drawn.

So this paragraph is also important.

it is important to note that we observed a transient and nonsignificant worsening in mental health outcomes in the first several months of care among all participants and that these outcomes subsequently returned to baseline by 12 months. This is consistent with findings from a 2020 study36 in an academic medical center in the northwestern US that observed no change in TNB adolescents’ GAD-7 or PHQ-9 scores from intake to first follow-up appointment, which occurred a mean of 4.7 months apart. Given that receipt of PBs or GAHs was associated with protection against depression and suicidality in our study, it could be that delays in receipt of medications is associated with initially exacerbated mental health symptoms that subsequently improve. It is also possible that mental health improvements associated with receiving these interventions may have a delayed onset, given the delay in physical changes after starting GAHs.

And this is important too.

This was a clinical sample of TNB youths, and there was likely selection bias toward youths with supportive caregivers who had resources to access a gender-affirming care clinic. Family support and access to care are associated with protection against poor mental health outcomes, and thus actual rates of depression, anxiety, and suicidality in nonclinical samples of TNB youths may differ.

I am sure others will be along to analyse the study. But it doesn’t seem to be very robust or useful to me.

Happy to see others who have gone through it show me why my concerns are not warranted though. I am only on a small screen as I said so I could be missing information.

And those kids being advised to say they are suicidal to get prescriptions (heard the recording of doctors and lobby groups recommending this?) how are they counted in these surveys?

for every study that says X there will be one that says Y.

We also did force our way into institutions where we were told we had no right to belong - the Armed Forces being just one. We were told we would be a threat to unit cohesion and risk upsetting military morale. We persisted and the ban was removed in Britain in 2000 and in the US in 2011.

So the Army is now another traditionally oppressed group which has fought for millenia to be allowed to exist equally in society and has established safe spaces to allow them access to a world dominated by an oppressor group.
Now if able bodied Gay people had demanded the right to use disabled facilities ,facilities designated for particular ethnic groups of which they were not a part or the right to have jobs, scholarships etc designated for females only, then that would be a fair comparison to males who identify as women demanding access to female only spaces, jobs etc. However, guess what , that's not what they did. They, like women have had to do, had to fight to get into places of power.

"The study found that transgender individuals who had received a diagnosis of gender incongruence were:

six times more likely to have a mood or anxiety disorder than the general population.

three times as likely to be prescribed antidepressants and antianxiety medications.

more than six times as likely to attempt suicide resulting in hospitalization.

The study also found that transgender individuals who had undergone gender-affirming surgery were significantly less likely to seek mental health treatment for depression and anxiety disorders as a function of years since the procedure."

ysph.yale.edu/news-article/transgender-individuals-at-greater-risk-of-mental-health-problems/

Again, if you're transgender, gender affirming healthcare usually has a very positive and meaningful impact on a person's health and self of sense.

"In this prospective cohort of 104 TNB youths aged 13 to 20 years, receipt of gender-affirming care, including puberty blockers and gender-affirming hormones, was associated with 60% lower odds of moderate or severe depression and 73% lower odds of suicidality over a 12-month follow-up."

jamanetwork.com/journals/jamanetworkopen/fullarticle/2789423

Personally, I think it is positive if we can reduce the rate of depression and suicide among young transgender people.

Your doubling down on ignoring the needs of this new current cohort is not doing any favours for your credibility.

No. Not sure how many more times we have to say it to you. Even the authors of the original Dutch Protocol have publicly stated that this cohort is different enough that their treatment protocol should not be used without more research. And that is what Dr Hilary Cass is doing now.

The cohorts are different. It is harmful to say they are just like the cohorts in the past.

And it is sexist discrimination as well to keep making that claim.

Force teaming with LGB was the goal. Anyone who observes the howls of outrage over non compliance like Get the L Out, sees that immediately.

Indeed. I know someone who was involved in the founding of the LGB Alliance and I warned him how nasty I felt it was going to get. He didn't quite get how much then, he understands now.

My work twitter is full of charity corporate comms teams posting their photos from Pride. I know most of them personally, the vast majority are straight & see this as on the same level of going round the party conferences but with more glitter & rainbows

YY.

This is obviously the difference between you and me. I think it's a positive thing that more people feel safe to come out, you clearly think it a problem

There seem to be many differences between you and me Earache, but that you see the many issues that are facing our daughters as a ‘positive’ thing is one of the most telling.

And it also shows just how lacking in information and real life experience you are.

Should I post the links I posted on one of the other threads about the issues with the treatment paths for young people at the moment. I guess you did not bother to read any of them. Even though they were original source studies and reports from current clinicians, I still doubt you would have read them. Far better to simply post that superiority you seem to like to claim, but never actually produce evidence to support.

Trans people have been "coming out" as trans as long as I've been aware of them - and no doubt centuries before that.

Indeed, coming out is one of the many things that all LGBT people have in common.

"Gay people did not demand another group give up their rights, change language, force their way into spaces and groups that were not for them."

This just shows that how little you know about LGBT history.

Gay, lesbians and bisexual people were accused of "redefining marriage" when we pushed for gay marriage. People said that two women or two men could simply not be married because the tradition was "Adam and Eve, not Adam and Steve". "It's biology, not bigotry" is another one I hear yelled at trans people that is very familiar to me.

We also did force our way into institutions where we were told we had no right to belong - the Armed Forces being just one. We were told we would be a threat to unit cohesion and risk upsetting military morale. We persisted and the ban was removed in Britain in 2000 and in the US in 2011.

Nice bit of goalpost moving there.

That was in response to you fondly imagining that no one knows any trans people. When almost every here parent will.

'Coming out' is another appropriation of the LGB. Please don't do it.

Children are diagnosed. It's not a sexual orientation.

There are very few and as Kathleen Stock has remarked most don't like Pride much anyway:

twitter.com/Docstockk/status/1531952997852487681

"Considering the huge increase in one particular demographic of trans people, that of children and young people. Particularly that of young females. ie. Our children."

This is obviously the difference between you and me. I think it's a positive thing that more people feel safe to come out, you clearly think it a problem.