April 2018 Important extended La Scapigliata article,
"It is not “woman”, but “transgender”, that is a truly elusive term, and how this relates to the statistics of trans youth suicide"
(extract)
Evidence suggests that mental illness, and especially depression, anxiety, bipolar and dissociative disorder, is present in 70%] of individuals with gender dysphoria, either concurrently or at some time during their lifetime. Which brings me to another way by which suicidality in trans youth can be misinterpreted – by diagnosing them incorrectly.
In psychiatry, there exists a hierarchy of diagnoses.
IMG_1609 (see screenshot)
I’d also like to mention psychiatric symptom of ambivalence, which is particularly distressing when it involves one’s own body, sex, gender or sexuality. This ambivalence is not just wondering whether one might be attracted to the opposite sex as the normal stage in sexual development. This is ambivalence that arises from disordered thinking which characterises severe mental illness.
That a lot of mental illnesses tend to develop in youth, and are often accompanied by suicidal ideation and even attempts, illustrates the pitfall with trying to attribute suicidality to “being trans”. Mental illness doesn’t “co-occur” with transgenderism, in fact, symptoms which, in isolation, might justify someone’s inclusion under transgender umbrella, in context of mental illness higher up in the hierarchy, are more likely just symptoms of that illness.
This is important because if the person with mental illness is misdiagnosed as “trans”, and instead of being given treatment for mental illness is fast-tracked down the path of gender transition, it can severely impact their life.
There is a great book written by Walter Heyer , who himself detransitioned (male-to-female-back to male), that talks about this issue, as well as this survey of female detransitioners.
I’ve looked after a few trans patients who were admitted to the psychiatric ward on 1:1 suicide watch, due to repeated and relentless suicide attempts following gender reassignment surgery. Most of them had history of suicidal ideation and suicide attempts. What stays with me after all these years is that they were some of the most distressed patients I have ever seen. Their distress wasn’t only in realising that gender reassignment didn’t cure their troubling feelings, but in the fact that they now had to live with their bodies being mutilated irreversibly. It goes without saying that severe psychological distress doesn’t lend itself to the kind of self-care most of these procedures require post-op, which can lead to increased complications which further impact on the patient’s life in an iatrogenic (doctor-caused) vicious cycle that could’ve been avoided
These patients, and many others who suffer worsening physical and metal health following gender transition, are currently swiped under the rug, silenced like gender-critical people, and institutions are obstructing research into phenomenon of detransition, under the same accusations of heresy against trans ideology." (continues)
lascapigliata8.wordpress.com/2018/04/10/it-is-not-woman-but-transgender-that-is-a-truly-elusive-term-and-how-this-relates-to-the-statistics-of-trans-youth-suicide/
About the author,
"Writer, doctor, feminist. Wearer of many hats."