Gransnet forums

Health

Transgender people who start hormones as teenagers rather than adults 'have better mental health’

(493 Posts)
GagaJo Wed 12-Jan-22 19:49:33

Transgender people who start their hormones as teenagers have “far better” mental health than if they wait until adulthood, new research says.

Experts have found that transgender people who begin hormone treatment in adolescence had fewer suicidal thoughts, were less likely to experience major mental health disorders and had fewer problems with substance abuse than those who started hormones later in life.

The study, which was led by the Stanford University School of Medicine, gathered data from the largest-ever survey of US transgender adults where 27,715 people responded in 2015.

Researchers found that, as well as fewer mental health concerns when taking the drugs as teenagers, those who took the drugs at any age had better mental health than those who wanted them but had never received them.

Of the people surveyed, 21,598 reported they had received the hormones they wanted. Of these people, 119 began hormones at age 14 or 15; 362 at age 16 and 17 and 12,157 following their 18th birthday.

Some 8,860 people surveyed said they wanted but never received hormone therapy and acted as the control group for the study.

Odds of severe psychological distress were reduced by 222 per cent, 153 per cent and 81 per cent for those who began hormones in early adolescence, late adolescence and adulthood, respectively.

Odds of feeling suicidal in the previous year were 135 per cent lower in those who began hormones in early adolescence, 62 per cent lower in those who began in late adolescence and 21 per cent lower in those who began as adults, compared with the control group.

Dr Jack Turban, lead author on the study and expert in paediatric and adolescent psychiatry at Stanford Medicine, said: “This study is particularly relevant now because many state legislatures are introducing bills that would outlaw this kind of care for transgender youth.

“We are adding to the evidence base that shows why gender-affirming care is beneficial from a mental health perspective.”

In the UK, hormone drugs can only be given to people from the age of 16 who have been on puberty blockers for at least 12 months.

Last September, the UK Court of Appeal overturned a judgment that children under the age of 16 considering gender reassignment were unlikely to be mature enough to give informed consent to be prescribed puberty-blocking drugs.

www.independent.co.uk/life-style/health-and-families/transgender-hormones-teenager-mental-health-b1991724.html

Doodledog Thu 13-Jan-22 23:19:32

Have you read it?

VioletSky Thu 13-Jan-22 23:15:47

As I said, the important part is the findings which have been widely reported and I have managed to show evidence that some concerns (which I am putting in bold to highlight that I am not doubting them) are addressed within it.

The study was an extraordinarily wide and varied one and really very enlightening

Doodledog Thu 13-Jan-22 23:14:15

Oh, who on this thread has read the study? Apologies if I have missed it, but I don't remember seeing anyone saying that they have done so. It will definitely be behind a paywall, but if someone is a student or member of staff of a university whose library has the relevant licence would be able to read it, if they have time and inclination.

Doodledog Thu 13-Jan-22 23:11:46

In any case, a link to the full study is most unlikely to be read by many people on here. We have too much to do, I'd imagine. Not having done so, but commenting on what was said in the OP is no 'not reading studies or research' - it is not necessarily reading that research paper.

The comments on this thread have not needed access to the study - they have all been directed at what was quoted, and the follow-up posts about suicide and the spurious figures about the number of transpeople who take, or consider taking their own lives. There was more than enough to take issue with there.

VioletSky Thu 13-Jan-22 23:10:40

Well, either we trust it or we don't I suppose as the full study is behind a pay wall currently.

As I said though some of the things people were saying should be included in the study, have been confirmed as in there by those who have read the full study and reported on it

Doodledog Thu 13-Jan-22 23:07:11

Sorry no, that is a bibliographic link, not the full study.

VioletSky Thu 13-Jan-22 23:02:08

That's my mistake, I haven't git the hang of saving links and now I have many of them

Hopefully this is it

pubmed.ncbi.nlm.nih.gov/34272170/

VioletSky Thu 13-Jan-22 22:56:42

I only say it because some of the things that were mentioned as missing from the research aren't actually missing if you read it

Doodledog Thu 13-Jan-22 22:47:51

VioletSky

It's interesting that people who argue do vehemently don't look at studies or research themselves

Are you serious? Some of us actually do research grin

We are asked to believe stats that have been picked from a range of possibilities on Google, and if we don't like them to find our own. 'Studies or research' doesn't work like that.

It should have been obvious before they were posted that the figures of 1 in 4 and >80% are not based on research, for the reasons already mentioned. Anyone familiar with research would have seen that at first glance, and be aware that a study making unsubstantiated claims is highly likely to be flawed in other basic areas too.

Another thing that people usually check out before using studies to back up arguments is whether there is likely to be researcher bias. Who is running the study? Is anyone paying for it, and if so, do they have an axe to grind? That sort of thing.

What you posted is not a link to the actual study, VS. It is another report of its findings. It does, however, provide this interesting information:
Turban is the study’s lead author. The senior author is Alex Keuroghlian, MD, associate professor of psychiatry at Harvard Medical School and director of the National LGBTQIA+ Health Education Center at the Fenway Institute.

VioletSky Thu 13-Jan-22 22:16:44

Here is the link to the actual study

med.stanford.edu/news/all-news/2022/01/mental-health-hormone-treatment-transgender-people.html

Galaxy Thu 13-Jan-22 22:09:01

Well that's just not true.

VioletSky Thu 13-Jan-22 22:03:25

It's interesting that people who argue do vehemently don't look at studies or research themselves

Mollygo Thu 13-Jan-22 22:01:55

The strap line is what people are likely to remember. What that means is that the article needn’t be any more accurate than the statistics GJ suggested I Google. But that’s only to be expected.

VioletSky Thu 13-Jan-22 20:50:19

No worries smile

Peasblossom Thu 13-Jan-22 20:48:51

It’s a bee in my bonnet generally.

Just ignore me. I need to get a life??

VioletSky Thu 13-Jan-22 20:42:41

There are quotation marks in the title Peasblossom

Peasblossom Thu 13-Jan-22 20:27:43

Oh yes, I appreciate that. But not many people bother to click on links really.

And there’s quite a lot of threads that people don’t bother to open.

But a strap line that looks like fact will stick as fact for a lot of people.

VioletSky Thu 13-Jan-22 20:24:38

Peasblossom the link to the article is in the OP

Peasblossom Thu 13-Jan-22 20:22:26

Maybe quotation marks then to make it clear?

Sorry I’ve been waging a bit of a campaign against titles that look like a fact but are really a quote or an opinion.

I dislike that some won’t go into the thread but will have the strap line in their head.

Don’t take it personally. Actually this one passed me by till now.

I feel the same about the headlines in certain newspapers too?

GagaJo Thu 13-Jan-22 20:18:04

Mollygo

Peasblossom, it’s the posting of statements like the title of the OP as absolute truth that worry me. As you said, “it’s of benefit to all involved to question the effectiveness and safety of medication”. You make a good point about the fact that even those in favour have different opinions about when to start, dosage etc.
But being told by GJ that rather than her supplying the source of 1 in 4 and 80%,
I should google for myself to find statistics and that they will vary, questions the validity of the OP.

The title is the title of the article.

VioletSky Thu 13-Jan-22 20:12:51

GagaJo

The easy option is to stop posting to avoid the ire. But that is the cowards way out. Trans people don't have the choice to opt out, so why should their supporters?

Truth

Mollygo Thu 13-Jan-22 19:55:59

Peasblossom, it’s the posting of statements like the title of the OP as absolute truth that worry me. As you said, “it’s of benefit to all involved to question the effectiveness and safety of medication”. You make a good point about the fact that even those in favour have different opinions about when to start, dosage etc.
But being told by GJ that rather than her supplying the source of 1 in 4 and 80%,
I should google for myself to find statistics and that they will vary, questions the validity of the OP.

GagaJo Thu 13-Jan-22 19:35:51

PB, no of course not. But it does get very hostile in the trans threads and I'm not engaging if that happens.

That comment wasn't GN member specific Galaxy. In general.

Galaxy Thu 13-Jan-22 19:33:48

What ire? No ire in any of my posts.

Peasblossom Thu 13-Jan-22 19:31:00

But supportive shouldn’t mean unquestioning, should it?

It’s of benefit to all involved to question the effectiveness and safety of medication.

After all, it’s a relatively new treatment in its current form. Even those in favour have different opinions about when to start, dosage, etc.