Yes. All possible interpretations are deeply sad, that is beyond doubt.
The gains I saw, @coldbrightmorning , were about making it to 21 and having forged an identity they could live with. Ethan is bright, articulate , well presented and was able to deliver that poem. That is impressive.
I believe they could have forged that identity as Emily. I don’t know whether Ethan believes that- perhaps, but perhaps not.
For absolute clarity, I don’t think anyone is truly trans. I think some people resolve some of their issues in transitioning. I don’t believe it’s the only way they could have done so. I recognise that for some people it feels that way.
There are parallels with suicide. We don’t believe suicide is a rational choice, we see it’s a response to an unbearable illness. I haven’t given a trigger warning, should I have? The whole thread is about self harm, imo.