This study was conducted for 30 years - 1973-2003 and surprisingly shows the outright lies about transgender mutilation saving lives. It's exactly the opposite. And this study was conducted before social media made it fashionable and the attempted suicide rates skyrocketed.
The author’s explain there is a dearth of long term follow up and this remains the case, nearly 20 years later, measured against the end point of those surveyed. This despite sky rocketing numbers of children and young people, in particular, claiming a ”transgender” identity. In the UK there has been a 4000% + spike in females referred to the Tavistock Gender Identity Development Service (GIDS). Last time I looked the increase for males was 1152%. There are also rising rates of detransitioners. I cover this on my series on detransition.
This study sought to remedy the deficit in research by following up a cohort and evaluating patterns of morbidity, mortality and also criminality. Median length of follow up was 11 years. They looked at people who had undergone “sexual reassignment” from 1973 to 2003. The researchers also matched each group to compare outcomes measured against their biological sex and the sex the participants wished they were.
Abstract
The study looks at mortality and morbidity rates as well as patterns of criminality.

Results
As you can see mortality was higher, particularly due to suicide, psychiatric inpatient care remained higher for this demographic, females also had a higher propensity for criminality than the rest of their sex. (“Transsexual” males matched the pattern for their sex).

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