Pre Op Dating

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Principles and Practice of Sex Therapy, Third Edition. The study even says your conclusion, that pre and post transition rates were the same, is not true. It is not a survey result, and attempts not contemporaneously reported to a doctor are not included. The AMA and APA disagree with your conclusion.

That is not the same as a pre-op TS who is living in poverty or who is in bad health. She died on 20 January 2014.

Pre Op Dating

There is a popular myth going around that attempts to quote from this 2003 Swedish study: People using this study do so selectively. Let me explain the statistical manipulation going on with gender surgery detractors and the myth they try to construct. First they note that general population rates for suicidality are around 1. Then they note that suicidality rates for post-op transsexual people are about 4. What is that reality? It is that the pre-op suicidality rate for transsexuals is 41%!!! Pre-op rates of suicidality for transsexuals are 1000% higher than post-op rates. How do we know this? From the UCLA Williams Institute study. And the Swedish study actually supports gender surgery. This study found substantially higher rates of overall mortality, death from cardiovascular disease and suicide, suicide attempts, and psychiatric hospitalisations in sex-reassigned transsexual individuals compared to a healthy control population. This highlights that post surgical transsexuals are a risk group that need long-term psychiatric and somatic follow-up. Even though surgery and hormonal therapy alleviates gender dysphoria, it is apparently not sufficient to remedy the high rates of morbidity and mortality found among transsexual persons. Improved care for the transsexual group after the sex reassignment should therefore be considered. And, as the Swedish study concludes, what trans people need is more support, not because they are trans, but because too many people in society today are just ignorant assholes. I think what the Swedish study proves is that people need therapy and support after transition. The rate for suicide after transition is too high. Suicide is always horrible. We should look for more and better treatments, however. The Williams Institute is based on data about suicide attempts. The Swedish study was about the rate of actual suicide. We have no data on suicide attempts for Sweden. The most important lesson from the Williams Institute study is that the rate of suicide attempts is much too high among transgender and gender non-conforming adults. The National Transgender Discrimination Survey that collected the data with online surveys found that people who had transitioned had a higher rate of attempted suicide than people who had not. They had not asked when the attempt was, so it is unclear what this means. The Williams Institute study broke down the data further by who wanted physical transition and who did not. They found that: a people who wanted transition related health care had a higher rate of suicide attempts than people who did not. This makes sense; they probably have more or worse gender dysphoria. The last two are especially troubling. It is possible that the people who had gotten hormone treatments or counseling had worse gender dysphoria than the people who said they wanted treatments but had not yet gotten them. It might also be that there was an age difference. What we can be sure of is that far too many people attempt suicide and we need to do something about it! The AMA and APA disagree with your conclusion. Both the AMA and the APA recommend transition, HRT, and when required, GCS as appropriate therapies for gender dysphoria. You appear to be trying to suggest that these organizations made biased choices in defiance of total data. Even the Swedish study concludes that GCS is a beneficial therapy. How you can conclude otherwise is mind boggling. I think you have misunderstood my comment. I am not suggesting that people not transition. The Swedish study concluded that people who transition need more support afterwards because the suicide rate is still too high. They are not against transition. We should not deny that suicide after transition occurs and is a problem. I understand that people want to defend transition, but it should not be done by minimizing the suicides of people who have transitioned. The rest of my comment is related to the science about suicide and transition. The article suggests that suicide rates after transition are lower than before. We do not actually have data to support that claim. In addition, the study on attempted suicide rates does not support the idea that transition decreased attempted suicides. People who had had transition related health care had rates of attempted suicide as high as or higher than people who wanted to but had not. If you are not, conservatives will easily attack your argument. We need more studies to address the question of how physical transition affects rates of suicide and attempted suicide. At this point, the most important thing is that the rates of suicide and attempted suicide are much too high. The study even says your conclusion, that pre and post transition rates were the same, is not true. The study clearly states that we do not know so I agree more work needs done but that is a start. But for you to leap and claim they are the same is incorrect especially when the study specifically denies this. And did you even read the Swedish study? I refer specifically to Table 2. Suicide attempt rate is included as well. So the suicide attempt rate among post-op transsexuals, especially in the post-1989 group, is only double the national rate translation — about 3% versus the 41% rate established in multiple studies in multiple nations. So my article is most definitely relevant. NOTE: Actual numbers in the study are presented as adjusted hazard ratios. General population suicide attempt rate is 1. Since we know the suicide attempt rate in Sweden was 1. Still not perfect but far better than the general 41% rate. And that is the basis for the conclusion in the study that GCS helps gender dysphoria. The Swedish study did know and cited that fact. Also, those most likely to transition are those most severely suffering from GID, so it is not unreasonable to expect that the most severe sufferers might also have the highest psychological distress rates. As for more studies, they are being done. FtMs taking HRT have been shown to have lower levels of suicidality than pre-HRT FtMs. In response to your reply below — please re-read my comments. Your quote from the Williams Institute is exactly my point. It is also true that we do not have proof that treatment prevents suicide attempts. I did not realize that you were talking about the rate of suicide attempts in Sweden rather than the increased rate of suicide. This is about science and being careful to be accurate. In the long run, if you are not accurate, you will have problems when you are talking to people who oppose transition. Again, the American survey did not ask when people had attempted suicide. Therefore, you can not say that the rate of attempted suicide in America represents what happens without treatment. The study and the survey got their rates of suicide attempts in different ways. The Swedish data is based on reviewing national health care records, not talking to people directly. They might have missed some suicide attempts. The American survey asked people directly and could therefore include more suicide attempts. The Swedish study looked at everyone in their country who had legally transitioned during a certain time period. There was no possibility of selection bias. The American survey recruited people to respond to an online survey. That means there was a possibility of selection bias. It is possible that people who have worse problems are more likely to take the time to respond to a survey. This might also make the American survey include a higher rate of attempted suicide. Given the large difference in the rate of suicide attempts between the Swedish study and the American survey, I would be surprised if it was completely due to different ways of collecting the statistics. Again, I have never said that pre- and post- transition rates of attempted suicide are the same. I am saying that we do not have data comparing them. We do not know the answer. Claiming that we do is not good science. II must call you on your hogwash. That is why studies of this kind are presented as papers for peer review in Medical Journals such as The AMA and New England Journals of Medicine. It is simply your biased opinion with no peer review whatsoever that I can see. You are misreading and misunderstanding that blog entry. It was written in response to those who claim that suicides go up after SRS rather than down. Perhaps I should have been clearer, but that blog entry was written as a reply and then posted as a reply to others who were making those claims. The study I referenced was chosen because that was the same study that was being misquoted by the person to whom I replied. What it showed was that before SRS, suicide attempt rates were as high as 41%, and after SRS they were down around 4. And for people who transitioned and had SRS after 1993, the suicide attempt rate dropped to 2. And it is a myth because detractors try to use that myth and misquoted statistics to argue that medical coverage should be actively denied for SRS, even if you pay for it yourself. And the Swedish study was peer reviewed, and there are several dozen other studies I can cite as well that are also peer reviewed. But the post stands. And it is factually correct. Assholes like Walt Heyer are quacks, liars, and con men who try to play up post op regret to deny all trans women any access to SRS at all. We all have our share of them. They are what destroy us if we let them do it during a moment of our weakness. Maybe it is not scientific, that post-operative feeling of suicide is part of our cumulative rush releasing a multitude of emotions following the ultimate operation and not true suicidal ideation. That post-op suicidal thought was transitory — I chose to live and live I do. My post-op perspective was the reversal of my pre-transition mindset which had been filled with frustration, anger, fear, doubt, and thoughts of suicide. Certainly I do not diminish the reality of those who experience actual suicidal thoughts or attempts and need our help. The anti-SRS crowd argues that all post-ops are miserable and on the verge of suicide. To get that false statement, they twist data, studies, and even the words of the occasional person who does have regret to pain a completely different picture. The reason why post op rates are high is a. Discrimination is also high because of the above stresses and the use of the mental health label because if your a transsexual you are mentally ill That sort of mentality leads to suicide and early death. Loneliness is also a big contributor. Post op rates of suicidality are higher than the general population. But the famous and very large and very long Swedish study showed that I linked in the main post demonstrates that post-1992 suicidality was approximately the same as the general population. In 2015, it is a myth to say that post-op suicidality rates are exceedingly high. The available data do not support this conclusion. It appears to me that this blog post misreads the Swedish study in a number of ways. Read more carefully, the study does not support Ms. From table 2, the hazard ratio for suicides, not suicide attempts, for the entire 1973-2003 period of the study is not 2 but 19. No separate hazard ratio is given for later period due to sparsity of data. The rate of suicides not attempts is 2. The average person in the study was of age 35 on treatment, so they only live 57 percent of a life after treatment. This cuts the expected lifetime suicide rate to about 13 percent — roughly 10 times the average Swedish national suicide rate. Table 2 shows suicide attempts at a rate of about 3 times the rate of successful suicides 4 times if you include successful suicides as attempts. This means that lifetime post-treatment suicide attempt rates are about 37 percent, not 2 percent. So lifetime post-treatment combined rates of attempts and actual suicides is about 50 percent as measured over the combined 1973-2003 period. But the attempts reported in this study are those that are reported as health events to the national health system. It is not a survey result, and attempts not contemporaneously reported to a doctor are not included. Which is to say, these attempt numbers will be only a fraction of the numbers reported by survey. So I think your attempt to compare a Swedish reported reported attempts amount to a U. Of course, the survey-based estimate also excludes actual suicides. Dead men and women return no surveys. It does appear that suicide attempts in Sweden have fallen significantly since 1988. This is good news. But we have no idea how much pre-treatment suicide rates in Sweden have fallen over the same period. So we have no idea, at least from this study, whether the post-treatment rate of suicide attempts, as measured during the 1989-2003 period, is higher or lower than the pre-treatment suicide attempt rate for that period. You can not conclude that it is from the fact that it is lower than the total-lifetime estimated suicide attempt rate, measured a different way, from a different country. I believe this right should be recognized whether or not gender reassignment surgery or hormone treatments, etc. Look at column 1 in table 2. There were 10 suicides among sex reassigned persons out of a pool of 324 total and 5 suicides among 3240 controls. The study also completely fails to compare pre-operative transsexual suicide rates to post-operative. Your calculations do not remotely come close to the reality so I doubt they merit consideration. The hazard ratio is the ratio of transsexual suicide rates 3. Things might have been even worse without sex reassignment. Further, again in column 1, there were 29 suicide attempts. Please do not further waste my time with clearly bogus and easily refuted calculations intended to reinforce your personal biases. I will not accept them.

The Amsterdam Gender Dysphoria Clinic over four decades has treated roughly 95% of Prime transsexual clients, and it suggests 1997 a prevalence of 1:10,000 among assigned males and 1:30,000 among assigned females. Not all transsexual people undergo a physical transition. Others may find balance at a mid-point during the process, regardless of whether or not they are binary-identified. That means there was a file of selection bias. Now, instead, it is classified as a sexual health condition; this classification continues to enable healthcare systems to provide healthcare needs related to gender. Many assume the surgery to be medically unnecessary. Some may not identify strongly with another binary gender role. The whole print of the hormones is to help the masculinity and the male drive for sex to diminish. In's character meets up with his childhood male friend, who has transitioned to living as a woman. Before transsexual people were depicted in popular movies and television shows, pre op trans centaur transsexual whose between took place in 1962 : 3—was actively working as an actress : 141 and model : 200 in Hollywood and New York throughout the 1960s and '70s. Again, the American survey did not ask when people had attempted suicide.