Transgender suicide
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Transgender Identity and Suicide Attempts and Mortality in Denmark
Question Do transgender individuals have higher rates of suicide attempt and mortality than nontransgender individuals?
Findings In this nationwide cohort study of 6 657 456 Danish-born individuals, transgender individuals identified through hospital and administrative registers had significantly higher rates of suicide attempt (adjusted incidence rate ratio [aIRR], 7.7), suicide mortality (aIRR, 3.5), suicide-unrelated mortality (aIRR, 1.9), and all-cause mortality (aIRR, 2.0) compared with nontransgender individuals.
Meaning This Danish population-based cohort study spanning more than 4 decades found that transgender individuals had higher rates of suicide attempt and mortality compared with nontransgender individuals.
Abstract
Importance Prior studies have suggested that transgender individuals may be a high-risk group with respect to suicide attempt and mortality, but large-scale, population-based investigations are lacking.Objective To examine in a national setting whether transgender individuals have higher rates of suicide attempt and mortality than nontransgender individuals.
Design, Setting, and Participants Nationwide, register-based, retrospective cohort study on all 6 657 456 Danish-born individuals aged 15 years or older who lived in Denmark between January 1, 1980, and December 31, 2021.
Exposure Transgender identity was determined through national hospital records and administrative records of legal change of gender.
Main Outcomes and Measures Suicide attempts, suicide deaths, nonsuicidal deaths, and deaths by any cause during 1980 through 2021 were identified in national hospitalization and causes of death registers. Adjusted incidence rate ratios (aIRRs) with 95% CIs controlling for calendar period, sex assigned at birth, and age were calculated.
Results The 6 657 456 study participants (50.0% assigned male sex at birth) were followed up during 171 023 873 person-years. Overall, 3759 individuals (0.06%; 52.5% assigned male sex at birth) were identified as transgender at a median age of 22 years (IQR, 18-31 years) and followed up during 21 404 person-years, during which 92 suicide attempts, 12 suicides, and 245 suicide-unrelated deaths occurred. Standardized suicide attempt rates per 100 000 person-years were 498 for transgender vs 71 for nontransgender individuals (aIRR, 7.7; 95% CI, 5.9-10.2). Standardized suicide mortality rates per 100 000 person-years were 75 for transgender vs 21 for nontransgender individuals (aIRR, 3.5; 95% CI, 2.0-6.3). Standardized suicide-unrelated mortality rates per 100 000 person-years were 2380 for transgender vs 1310 for nontransgender individuals (aIRR, 1.9; 95% CI, 1.6-2.2), and standardized all-cause mortality rates per 100 000 person-years were 2559 for transgender vs 1331 for nontransgender individuals (aIRR, 2.0; 95% CI, 1.7-2.4). Despite declining rates of suicide attempts and mortality during the 42 years covered, aIRRs remained significantly elevated in recent calendar periods up to and including 2021 for suicide attempts (aIRR, 6.6; 95% CI, 4.5-9.5), suicide mortality (aIRR, 2.8; 95% CI, 1.3-5.9), suicide-unrelated mortality (aIRR, 1.7; 95% CI, 1.5-2.1), and all-cause mortality (aIRR, 1.7; 95% CI, 1.4-2.1).
Conclusions and Relevance In this Danish population-based, retrospective cohort study, results suggest that transgender individuals had significantly higher rates of suicide attempt, suicide mortality, suicide-unrelated mortality, and all-cause mortality compared with the nontransgender population.
In the discussion:
The observed excess of suicidal behavior and mortality might, at least in part, constitute ramifications of minority stress. Transgender individuals may be exposed to systemic negativity regarding their trans identity in the form of bullying, discrimination, exclusion, and prejudice, which in turn may result in alienation and internalized stigma, mental health problems, and, ultimately, suicidal behavior.4,8,29-31 For instance, findings from the Project SEXUS study in Denmark revealed that 60% of transgender individuals had experienced abuse in the form of bullying or harassment, whereas 30% reported episodes of physical violence.4 In the 2015 US Transgender Survey, 46% of transgender individuals reported having been verbally harassed and 13% reported having been physically attacked within the past year.32 Moreover, transgender individuals have reported experiences of discrimination from health professionals
Also interesting - "All-cause mortality" higher.
Overall, 257 deaths from any cause were observed among transgender individuals (median age, 67 years; IQR, 56-80 years) vs 2 276 506 deaths (median age, 78 years; IQR, 68-85 years) among nontransgender individuals (Table 3). Standardized IRs for all-cause mortality per 100 000 person-years were 2559 among transgender individuals vs 1331 among nontransgender individuals, with a standardized IR difference of 1227 (95% CI, 1122-1333) deaths per 100 000 person-years and an aIRR of 2.0 (95% CI, 1.7-2.4). Elevated IRs for all-cause mortality were observed for transgender individuals in 1980-1989 (aIRR, 2.2; 95% CI, 1.3-3.7), 1990-1999 (aIRR, 2.4; 95% CI, 1.8-3.3), 2000-2009 (aIRR, 2.1; 95% CI, 1.6-2.8), and 2010-2021 (aIRR, 1.7; 95% CI, 1.4-2.1) when using nontransgender individuals in the same calendar periods as reference. Compared with nontransgender individuals assigned the same sex at birth, IRs for all-cause mortality were significantly increased for transgender individuals assigned male sex at birth (aIRR, 1.9; 95% CI, 1.6-2.3) and for those assigned female sex at birth (aIRR, 2.1; 95% CI, 1.7-2.6). When similarly aged nontransgender peers were used as reference, IRs for all-cause mortality were significantly higher for transgender individuals aged 15 to 39 years (aIRR, 2.2; 95% CI, 1.3-3.8), 40 to 59 years (aIRR, 2.6; 95% CI, 2.1-3.4), 60 to 79 years (aIRR, 1.7; 95% CI, 1.4-2.1), and 80 years or older (aIRR, 1.8; 95% CI, 1.4-2.3).
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Transgender individuals may be exposed to systemic negativity regarding their trans identity in the form of bullying, discrimination, exclusion, and prejudice, which in turn may result in alienation and internalized stigma, mental health problems, and, ultimately, suicidal behavior.4,8,29-31
Yes. Or, it may also be from myriad mental disorders that tend to afflict trans. Autism, Clinical Depression, ADHD, and Homosexuality ALSO have an elevated suicide risk. And considering that we are seeing an elevated level of suicide since gender affirmation has become the consensus treatment, and considering that we still see an extremely elevated level of suicide ideation AFTER transition, then maybe it could be related to other issues?
In the 2015 US Transgender Survey, 46% of transgender individuals reported having been verbally harassed and 13% reported having been physically attacked within the past year.32 Moreover, transgender individuals have reported experiences of discrimination from health professionals
We’re talking about a community that has embraced the idea that words are violence, and any dissent with their beliefs is considered a violent attack. They feel that wearing a sandwich board with the words “children can not consent to puberty blockers” as genocide. Excuse me if I don’t lend too much credence to their self-reported survey about discrimination.
Standardized IRs for all-cause mortality per 100 000 person-years were 2559 among transgender individuals vs 1331 among nontransgender individuals, with a standardized IR difference of 1227 (95% CI, 1122-1333) deaths per 100 000 person-years and an aIRR of 2.0 (95% CI, 1.7-2.4). Elevated IRs for all-cause mortality were observed for transgender individuals in 1980-1989 (aIRR, 2.2; 95% CI, 1.3-3.7), 1990-1999 (aIRR, 2.4; 95% CI, 1.8-3.3), 2000-2009 (aIRR, 2.1; 95% CI, 1.6-2.8), and 2010-2021 (aIRR, 1.7; 95% CI, 1.4-2.1) when using nontransgender individuals in the same calendar periods as reference.
Yeah, pumping your body full of hormones that it wasn’t designed for will have a helluva effect on your immune system.
Compared with nontransgender individuals assigned the same sex at birth,
This is not a scientific understanding of sex. Your sex isn’t assigned, it’s observed. Your sex is determined and formed well before birth. Our sonogram for Finley didn’t tell us that it was an androgynous child, ffs.
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The difficult question is this: for the population categorized as "transgendered" in the study, would their suicide rate has been higher or lower if they were denied recognition of their preferred gender to begin with? Or, for that matter, would their suicide rate has been higher or lower if they were denied transgender medical treatments (hormone prescriptions, transgender surgeries)?
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a destruction of one's biological sex, to be replaced with a grotesque imitation of a different one, is a destruction of one's self, which is tantamount to suicide. You don't get to the place of wanting to chop off your sex parts, unless you have huge levels of self-hatred, which is already suicidality. So, duh that they end up committing more actual suicide.
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I'm a simple person. I believe that transgenderism is basically a self-destructive personal choice, caused by mental disease of one kind or another. I do think we need to take a hard look at underlying causes. I do not think we need to accept these people as normal nor should we let them have an uncontested platform to spread their normalcy lies to gullible children.
I know that medical resources are limited and I wish not to waste resources on self-inflicted, created problems such as reassignment surgery.
That we are even having these debates are evidence of a world gone mad.
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If gender is a social construct, then there is no scientific and biological basis to transgenderism, only a social basis. Transgenderism, by its own reasoning, is a social construct.
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Do You Want a Dead Son or a Live Daughter?
You and your son are discussing treatment to change your son’s sex with the doctor. The doctor says a psychologist talked to your son and recommends starting him on hormone blockers as the next step. This would keep your son from developing as a man. The doctor says the hormone blocking treatment is reversible. (To the contrary, see my DMR op-ed Mar 19, ’23). You have your doubts, but the doctor says it is safe. What the doctor doesn’t tell you is that once your child is on the hormone track this treatment leads to sex change surgery in 85% of cases.
A year of two later, the doctor recommends sex change surgery for your son consisting of castration and the inability to father children. You are not sure about agreeing to such a permanent and radical change in your child. You ask why not wait until Johnny, now Joanna, is older and of legal age? The surgeon sadly shakes his or her head and says that studies show that if Joanna doesn’t have surgery she will be as much as 50% more likely to commit suicide.
Well, you love your child and know that he or she has been mentally troubled, and you don’t want her to kill herself. You especially don’t want to be responsible by refusing to go along. This is a frightening choice and meant to be, but what do you know! You are not a doctor. After all, the doctors are specialists, and you don’t have the medical knowledge to challenge this. Thus, Joanna has her testicles removed, probably also her penis, has breast implants, and continues taking feminizing hormones. She will live with this for the rest of her life.
What a choice! Either get your child castrated or they will kill themselves. But is it true?
"Now look here, you Baltic gas passer... " - Mik, 6/14/08
The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.
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Do You Want a Dead Son or a Live Daughter?
You and your son are discussing treatment to change your son’s sex with the doctor. The doctor says a psychologist talked to your son and recommends starting him on hormone blockers as the next step. This would keep your son from developing as a man. The doctor says the hormone blocking treatment is reversible. (To the contrary, see my DMR op-ed Mar 19, ’23). You have your doubts, but the doctor says it is safe. What the doctor doesn’t tell you is that once your child is on the hormone track this treatment leads to sex change surgery in 85% of cases.
A year of two later, the doctor recommends sex change surgery for your son consisting of castration and the inability to father children. You are not sure about agreeing to such a permanent and radical change in your child. You ask why not wait until Johnny, now Joanna, is older and of legal age? The surgeon sadly shakes his or her head and says that studies show that if Joanna doesn’t have surgery she will be as much as 50% more likely to commit suicide.
Well, you love your child and know that he or she has been mentally troubled, and you don’t want her to kill herself. You especially don’t want to be responsible by refusing to go along. This is a frightening choice and meant to be, but what do you know! You are not a doctor. After all, the doctors are specialists, and you don’t have the medical knowledge to challenge this. Thus, Joanna has her testicles removed, probably also her penis, has breast implants, and continues taking feminizing hormones. She will live with this for the rest of her life.
What a choice! Either get your child castrated or they will kill themselves. But is it true?
@George-K said in Transgender suicide:
What a choice! Either get your child castrated or they will kill themselves. But is it true?
IIRC, there's another study which suggests that transgender people after "transition" are just as likely or even more likely to commit suicide than transgender people who don't "transition".
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@George-K said in Transgender suicide:
What a choice! Either get your child castrated or they will kill themselves. But is it true?
IIRC, there's another study which suggests that transgender people after "transition" are just as likely or even more likely to commit suicide than transgender people who don't "transition".
@Klaus said in Transgender suicide:
IIRC, there's another study which suggests that transgender people after "transition" are just as likely or even more likely to commit suicide than transgender people who don't "transition".
Is that the Danish study at the top of this thread?
Yes, once again, pointing out the fact that, for many, this is a mental disorder, rather than a case of "mis-self-identification."
We don't treat anorexia nervosa with gastric bypass surgery (which is actually less invasive and sometimes more reversible than "gender-affirming" surgery). do we?
