Just last week, a new large-scale study was published about what happens to the mental health of adolescents who get transgender treatments. It was published in the journal Acta Paediatrica. The data comes from gender identity clinics in Finland. I waited a few days to see what the response from critics would be and it’s been surprisingly muted. I always blog about studies that will help me to debate these issues, and I think this is a good one.
So, I looked at the Results section of the Abstract, and it says this:
Gender-referred adolescents showed significantly higher psychiatric morbidity than controls both before (45.7% vs. 15.0%) and ≥ 2 years after referral (61.7% vs. 14.6%). Those referred after 2010 had greater psychiatric needs than earlier cohorts, both before (47.9% vs. 15.3%) and ≥ 2 years after (61.3% vs. 14.2%) referral. Among adolescents who underwent medical gender reassignment, psychiatric morbidity increased markedly during follow-up—rising from 9.8% to 60.7% in feminising gender reassignment and from 21.6% to 54.5% in masculinising gender reassignment. After adjusting for prior psychiatric treatment, all gender-referred adolescents had similarly elevated risks of psychiatric morbidity, with hazard ratios approximately three times higher than female controls and five times higher than male controls.
I say large-scale, because the study compared 1) 2,083 people who were referred to gender identity clinics in Finland before age 23 to 2) a control group of several similar people in the general population. And this was over a long period of time – 1996 to 2019. I think the abstract explains the findings pretty well. People who got referred to gender identity clinics for treatment had MUCH higher mental health problems than the general population.
I asked a nice lady on Twitter who works for SEGM (the Society for Evidenced Based Gender Medicine) for a good write-up on this study, and she pointed me to a Substack article by Benjamin Ryan, who specializes in this area. He had some interesting context about the study.
He writes:
The Finnish study’s four coauthors have published some of the strongest scholarship challenging the assertion that providing them to adolescents improves their mental health and is life-saving. All of these Finnish investigators were also coauthors of a paper published in 2024 that found that there was no independent, statistically significant association between taking cross-sex hormones and the rate of suicide deaths among youths attending gender clinics.
The 2024 article that he’s talking about was in a different medical journal, BMJ Health. One of the four authors was actually one of the pioneers of gender transitioning treatment. She was all for it, until she got far enough into it that she realized that it wasn’t working out as expected.
Sometimes, you do see studies where people report that they feel better about getting transgender treatment in the short term. But what really matters is the long term. And also, it is important to measure outcomes using objective measurements, rather than self-reported “satisfaction”. Objective markers are things like doing well in school or holding a steady job.
The Ryan article has a nice summary of what we’ve found so far in the research:
Systematic literature reviews—the gold standard of scientific evidence—have all found that the research backing the use of puberty blockers and cross-sex hormones to treat gender dysphoria in youths is weak and unreliable. It was due in part to Dr. Kaltiala’s influence that Finland conducted its own systematic literature review of pediatric gender medicine. Given the review’s findings, the nation has sharply restricted youths’ access to gender-transition interventions.
I’ve blogged before about several countries that are pulling back from transitioning children. But here in America, the left isn’t really driven by scientific studies. They are in some sort of mad rush to virtue signaling by celebrating actions that are not in the child’s best interest. They want to prove how moral they are by tolerating the maximum number of behaviors. But some behaviors are harmful and should not be tolerated.
And this was the interesting part:
The gender-dysphoric youths who did undergo gender-transition interventions arrived at the gender clinics with a much lower rate of previous use of specialist psychiatric care: 10 percent among natal males and 22 percent among natal females. But notably, two years or more after their first gender-clinic appointment, this group’s use of specialist psychiatric care shot up, to 61 percent among the natal males and 55 percent among the natal females.
So, if you go ahead with the transition treatments, it made your mental health worse than when you started.
I think this is a good study to keep around when you have to debate this issue. Please continue to debate this issue, because we want to save these children from doing anything that will cause them harm in the long term.