#desistance

https://journals.lww.com/prsgo/fulltext/2021/11000/letter_to_the_editor__regret_after.29.aspx

https://academic.oup.com/jcem/article-abstract/107/9/e3937/6572526?login=false

https://www.sciencedirect.com/science/article/abs/pii/S1054139X22007194

https://www.mdpi.com/2227-9032/10/1/121

https://link.springer.com/article/10.1007/s10508-021-02163-w

https://www.bmj.com/content/380/bmj.p382

https://www.bmj.com/content/380/bmj.p382

https://www.reuters.com/investigates/special-report/usa-transyouth-outcomes/

https://link.springer.com/article/10.1007/s11930-023-00358-x

(2020) - Study of 139,829 students finds that in comparison to other students, transgender identity, especially non-binary identity, is associated more with perpetrating bullying than being bullied. Non-binary identity was most strongly associated with involvement in bullying, followed by [transgender] opposite sex identity and cisgender identity. 

(2023) 21 leading experts on pediatric gender medicine from 8 countries wrote a letter to Wall Street Journal expressing disagreement over how gender dysphoria in youth is treated, voicing concerns against things such as the affirmative model and research conducted outside of the US has found hormonal interventions for gender dysphoria to be without reliable evidence. Among these international experts is Dr. Rita Kaltiala, chief psychiatrist at Tampere university gender clinic and author of several peer-reviewed studies on trans medicine and Finland's top authority on pediatric gender care.

(2023) Landmark study from Denmark on 3,800 transgender patients pulled data from hospital records and applications from legal gender changes and discovered 43% of this group had a psychiatric illness compared with 7% of non-trans group, and despite "gender affirming care" and legal gender changes, still had 7.7 the rate of suicide attempts and 3.5 times the rate of suicide deaths. Researchers state this rate is likely even higher due to missing data.

(2016) Study finds association with increased risk of multiple sclerosis for trans women taking estrogen/reducing testosterone levels.

(2023) Metadata study shows, at best, no improvement for patients in gender-affirming care. "The conclusions of the systematic reviews of evidence for adolescents are consistent with long-term adult studies, which failed to show credible improvements in mental health and suggested a pattern of treatment-associated harms. Three recent papers examined the studies that underpin the practice of youth gender transition and found the research to be deeply flawed. Evidence does not support the notion that “affirmative care” of today’s adolescents is net beneficial."

(2011) Long term follow up of 324 transgender people having undergone sex reassignment surgery in Sweden, found that trans women retained male patterned incidents and rates of violence and had a greater significance and rate of rape and sexual violence than cisgender men. The study also found, "Persons with transsexualism, after sex reassignment, have considerably higher risks for mortality, suicidal behaviour, and psychiatric morbidity than the general population. Our findings suggest that sex reassignment, although alleviating gender dysphoria, may not suffice as treatment for transsexualism, and should inspire improved psychiatric and somatic care after sex reassignment for this patient group."

(2020) Largest study to date on 641,860 people finds association with autism and "gender diversity", "Gender-diverse people also report, on average, more traits associated with autism, such as sensory difficulties, pattern-recognition skills and lower rates of empathy — or accurately understanding and responding to another person’s emotional state".

(2022) US study examining 10 years of data on 952 people finds large percentages of young adults prescribed hormones for trans identity no longer getting the drugs 4 years later. Discontinuation rate for both sexes combined = 30%. Female discontinuation rate as high as 44%. The standard disinformation pushed is that only 1-2% of people who begin medical transition end up desisting. But these figures show that in this cohort of young adults, the overall rate of discontinuing hormone treatment ranged from a low of 10% to a high of 44% within a space of just 4 years.

Abruzzese et al. 2023 'The Myth of “Reliable Research” in Pediatric Gender Medicine: A critical evaluation of the Dutch Studies—and research that has followed'

I have always seen pride flags for Detrans people/Detransitioners but i never found/seen one for Desisters so i made one :p

I don't mind if u guys use without credit but if you know who the creator is (aka me) i'd appreciate being tagged :) (it's optional tho)

Also the meanings of the flag may change idk

"Desistance as a word has its origins in criminal research,28 and Zucker explains that he was the first person to use desistance in relation to the TGE pre-pubertal youth population in 2003 after seeing it being used for oppositional defiant disorder (ODD).29 In either case, desistance is considered a good outcome in criminal research and ODD. Acknowledging this history of the term is important as it reflects the pathologizing of gender identity (in relation to ODD) and the negative perspectives that have been associated with being TGE (in relation to crime).

"With the word desistance now introduced, the focus of the more recent literature in the late 2000s is interested in rates of desistance and determining childhood factors before puberty, which can be used to predict desistance after puberty commences,30–33 often seen as a way to help clinicians decide on whether GAC should be provided. From all of these collections of studies emerged the commonly used statistic stating that ∼80% of TGE youth will desist after puberty, a statistic that has been critiqued by other works based on poor methodologic quality, the evolving understanding of gender and probable misclassification of nonbinary individuals, and the practice of attempting to dissuade youth from identifying as transgender in some of these studies.4,16,34–36

"The assumption is that if GD is not present after the start of puberty, then it must also not be present during adulthood. The distinction between desistance occurring only around puberty and desistance that extends into adulthood is important. Confining desistance solely to gender identity around puberty allows for more gender identity options during adulthood. Steensma and Cohen-Kettenis discuss how some people who identified as TGE in childhood will identify as cisgender during adolescence and then as TGE during adulthood.63 While in this article, the idea was that the gender identity in adulthood was then permanent, allowing gender to be something that can change at any point in one's life will help validate those people who experience a dynamic form of gender.

"Second, some definitions of desistance focus on GD, while others focus on gender identity. An almost equal number of articles referred to desistance as the disappearance of GD as did articles that referred to desistance as the change of a transgender identity to a cisgender identity. Disappearance of GD and a change in gender identity are two concepts that, while occasionally connected, remain distinct. GD is associated with significant distress at the differences between gender and body, whereas a TGE gender identity does not require that distress. Therefore, a TGE child could still identify as TGE even if they do not experience GD. Despite having stated difference in these definitions, all the articles conflated these two ideas, implying that the disappearance of GD also meant that the TGE child identified as cisgender after puberty."

... but of course all people who go on hormones have the full and complete picture of what that will look like and have considered its potential effects fully and sat with the decision long enough to know best what they need to be happy. of course there isn't pressure from peers or society to start medical transition. of course if you detransition, you knew the risks and consequences and should have chosen better.