Some good news

Ruling limiting under-16s puberty blockers overturned

Doctors can judge if under-16s can give informed consent to puberty blocker use, the Court of Appeal has ruled.

The appeal was brought by the Tavistock Trust, which runs the UK’s only youth gender identity clinic.

The decision reverses a 2020 ruling that under-16s lacked capacity to give informed consent to the treatment, which delays the onset of puberty.

The original case was brought by Keira Bell, who says the clinic should have challenged her more over transitioning.

She said she was disappointed by the decision, and will seek permission to appeal to the Supreme Court.

Court of Appeal judges said they recognized “the difficulties and complexities” of the issue, but that “it is for the clinicians to exercise their judgement knowing how important it is that consent is properly obtained according to the particular individual circumstances”.

Evaluation of Anxiety and Depression in a Community Sample of Transgender Youth

Evaluation of Anxiety and Depression in a Community Sample of Transgender Youth

Most studies have found that youth who do not conform to gender norms for their assigned sex have higher rates of depression and anxiety than their cisgender peers.1,2 However, more recent research featuring smaller cohorts (ie, ranging from 31 to 73 participants) of socially transitioned transgender youth—youth who identify and live as a gender different from their sex assignment at birth—show normative or only slightly elevated rates of depression and anxiety.3-5 We recruited a new, larger sample of socially transitioned transgender youth, their siblings, and age- and gender-matched control participants to test whether transgender youth experience significantly higher levels of anxiety and depression than their cisgender peers.

Transgender medicine – what care looks like, who seeks it out and what’s still unknown

Transgender medicine – what care looks like, who seeks it out and what’s still unknown

THE CONVERSATION — Transgender people continue to be the focus of political culture wars in the U.S. In the spring of 2021, lawmakers in many states sought to limit or ban transgender youth from accessing gender-affirming care. The laws proposed — and in some cases passed — were written to have a direct effect on transgender people’s ability to access physical and mental health care.

For many people, the medical options available to transgender people may seem foreign or new – unless you know someone who is transgender, you may not know about this type of care. So to better understand who is getting this care and the evidence that supports it, in recent months, The Conversation reached out to three experts who work with and study transgender youth medicine. Here is a roundup of what these experts had to say.

In other news: Water is wet

New Study Shows Discrimination, Stigma, and Family Pressure Drive “Detransition” Among Transgender People

A new study published in LGBT Health found that 13.1% of currently identified transgender people have detransitioned at some point in their lives, but that 82.5% of those who have detransitioned attribute their decision to at least one external factor such as pressure from family, non-affirming school environments, and increased vulnerability to violence, including sexual assault. The study was authored by researchers at The Fenway Institute and Massachusetts General Hospital (Harvard Medical School) and is believed to be the first rigorous study of the factors that drive transgender and gender diverse people to detransition.

Why anti-transgender bills are a dangerous intrusion on medicine

Why anti-transgender bills are a dangerous intrusion on medicine

The AMA is sending a strong message to America’s governors to stop interfering in the medical care of transgender minors.

Legislation pending in several states aims to prohibit medically necessary gender transition-related care for minor patients. AMA Executive Vice President and CEO James L. Madara, MD, wrote to Bill McBride, executive director of the National Governors Association warning that these measures would “insert the government into clinical decision-making and force physicians to disregard clinical guidelines.” Such legislation was enacted in Arkansas last month after legislators overrode a veto by Republican Gov. Asa Hutchinson.

“Decisions about medical care belong within the sanctity of the patient-physician relationship,” he added. “We believe it is inappropriate and harmful for any state to legislatively dictate that certain transition-related services are never appropriate and limit the range of options physicians and families may consider when making decisions for pediatric patients.”

‘It’s not safe’: Parents of transgender kids plan to flee their states as GOP bills loom

Texas mom Amber Briggle said moving would be hard for her family, but “my son always comes first.”

‘It’s not safe’: Parents of transgender kids plan to flee their states as GOP bills loom

George and Emily Spurrier are leaving their home of 16 years in central Arkansas due to a new law that will ban the health care that they say their 17-year-old transgender son needs.

Gov. Asa Hutchinson, a Republican, vetoed the measure earlier this month, calling it “a vast government overreach.” But the Arkansas General Assembly overrode the veto, and the bill will become law this summer.

Emily Spurrier said when her son heard the news, he sat in her car and cried for an hour.

Texas lawmakers proposed a bill to separate trans children from their families, labeling transgender care ‘child abuse’

Texas lawmakers proposed a bill to separate trans children from their families, labeling transgender care ‘child abuse’

SB1646 would prohibit parents from “administering or supplying, or consenting to or assisting in the administering or supplying of puberty suppression prescription drug or cross-sex hormone to a child, other than an intersex child, for the purpose of gender transitioning or gender reassignment.”

American Academy of Pediatrics Speaks Out Against Bills Harming Transgender Youth

American Academy of Pediatrics Speaks Out Against Bills Harming Transgender Youth

“With alarm and dismay, pediatricians have watched bills advance through state legislatures across the country with the sole purpose of threatening the health and well-being of transgender youth.

“The American Academy of Pediatrics has long been on the record in support of affirmative care for transgender children through our clinical policy. Today, we are going on the record to oppose public policies that would allow for the opposite.