Emily's Cat
Rarely prone to hissy-fits
Thanks. The correlation clearly seems to be there, but is it "becoming transgender increases mortality risk" or "those who have a proclivity to become transgender already had a higher mortality risk"?
I wouldn't be that surprised if both effects are true, but the latter certainly seems to be. Obviously medical transition caries with it higher mortality risks (at the very least surgical transition does), which would fall under the first category, but for those who don't medically transition I would lean toward the explanation of a selection effect (those who become trans were from a higher risk population), in which case choosing to check the box doesn't change that fact.
I would say both.
There is a documented higher level of mental health issues among people who identify as transgender. Current trends are to blithely assume that the mental health issues are caused by being transgender, and not being accepted as such. But there's a fair amount of evidence that suggests the opposite is true - people with preexisting mental health issues are more likely to subsequently identify as transgender. In particular, the suicidality is present prior to identification as transgender, and it continues at roughly the same level post-transition in the majority of cases. There is a short-term alleviation of suicidality, but it comes back in the long term.
On the other hand, there are also health risks associated with cross-sex hormones, not to mention any surgeries. Pumping your body full of opposite-sex hormones that it did not evolve to accommodate has negative effects - whodathunkit?
