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了解事实 · 自杀神话

自杀事实

以自杀相威胁,是倡导活动的医生、政客和医疗团体多年来用来换取对儿童变性之支持的首要手段。

甚至有人告诉父母,他们可以有“一个死去的女儿,或一个活着的儿子”。这是胁迫性操纵,也是一个卑劣的谎言。

事实已经摆明。自杀既遂所幸罕见,而且儿科医学变性并未被证明能够防止自杀。

这些研究

读这张图,而不是一堵链接组成的墙。针对青少年的研究不是针对成年人的研究。一项关于自杀未遂的调查并不是对自杀死亡的计数。

HHS 表 4.1:被转介到儿科“性别医学”诊所的青少年的自杀死亡率,以及估计的每 1,000 患者年比率。
表 4.1,HHS Treatment for Pediatric Gender Dysphoria (2025)。 HHS 报告(PDF)→

News — Supreme Court exchange

ACLU Attorney Confesses: Transgender-Suicide Claim is a Myth (City Journal)

In U.S. v. Skrmetti oral argument (Dec 4, 2024), ACLU attorney Chase Strangio told Justice Alito there is no evidence in the studies that gender-affirming treatment reduces completed suicide, and that completed suicide is “thankfully and admittedly” rare — while distinguishing that from “suicidality.”

City Journal →

来自 Biggs (2022)、Van Cauwenberg (2021)、Ruuska (2024)、Do No Harm、Cass、HHS 和 Dhejne 2011 的与自杀相关的发现

研究

Biggs (2022) — Suicide by Clinic-Referred Transgender Adolescents in the United Kingdom. Arch Sex Behav.

Tavistock GIDS referrals, 2010–2020.

发现

Among ~15,032 youth referred to Tavistock GIDS (2010–2020), 4 suicides — completed suicide rare in absolute terms (HHS Table 4.1: 0.03%, 0.13 per 1K patient-years).

研究

Van Cauwenberg et al. (2021) — Ten years of experience in counseling gender diverse youth in Flanders, Belgium

Belgian pediatric gender clinic cohort.

发现

Belgian pediatric gender clinic cohort; 5 suicides among referred youths (HHS Table 4.1: 3.38%, 11.26 per 1K patient-years); HHS notes all suicides among patients taking cross-sex hormones.

研究

Finland — Ruuska et al. (2024)

Youth and young adults under 23 referred to Finnish gender services, 1996–2019: 2,083 people vs 16,643 matched controls.

发现

Suicide deaths were uncommon (0.3% vs 0.1% in matched peers) and, once specialist psychiatric treatment was accounted for, not statistically different; medical gender reassignment was not shown to change suicide risk.

研究

Do No Harm — Greene & Kingsbury (17 September 2026)

New — 17 September 2026

CDC teen suicide rates after state bans on puberty blockers, opposite-sex hormones, and surgeries for minors. Jay Greene, Ph.D. and Ian Kingsbury, Ph.D. for Do No Harm. Three models: difference-in-differences, Callaway–Sant’Anna DiD, and a national time-series.

发现

Do No Harm analyzed CDC teen suicide rates after state bans on puberty blockers, opposite-sex hormones, and surgeries for minors. Across three models (difference-in-differences, Callaway–Sant’Anna DiD, and a national time-series), there was no statistically significant increase in teen suicide rates. The claim that these bans cause a spike in teen suicides is not supported by the data.

研究

Cass Review (2024)

Independent review of NHS gender identity services for children and young people, underpinned by University of York systematic reviews.

发现

The evidence does not support the claim that hormone treatment reduces the elevated risk of death by suicide in this population.

研究

HHS evidence review (November 2025)

U.S. Department of Health and Human Services review of treatment for pediatric gender dysphoria. The suicide points on this chart are from that review.

发现

There is no evidence that pediatric medical transition reduces suicide deaths, which remain very low; completed suicide among adolescents with gender dysphoria is rare, and suicidality tracks with other mental-health conditions rather than with gender dysphoria alone.

研究

Dhejne et al. (2011) — Long-Term Follow-Up of Transsexual Persons Undergoing Sex Reassignment Surgery: Cohort Study in Sweden. PLOS ONE.

Adults. All 324 people in Sweden who had sex-reassignment surgery, 1973–2003, compared with matched population controls.

发现

After sex reassignment / surgical transition, suicide deaths were about 19.1 times higher than among matched peers (adjusted hazard ratio 19.1). Transition did not bring suicide mortality in line with the general population — the elevated suicide risk remained after transition.

旧的 GIDS“Evidence base”网页已经消失,因此它不是此处的来源。英国的官方随访是 2024 年关于 Tavistock / GIDS 自杀情况的 Appleby 报告:数据并不支持在青春期阻滞剂受到限制之后出现大幅上升。 Appleby 2024 — Tavistock / GIDS suicides (GOV.UK) →

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