Zitat von
Lina
[URL="https://segm.org/sites/default/files/Karolinska%20_Policy_Statement_English.pdf"]Policy Change Regarding Hormonal Treatment of Minors with Gender Dysphoria at Tema Barn - Astrid Lindgren Children’s Hospital.
Dokument schon wieder gehostet von transfeindlicher Seite. Nicht der Seite der Klinik.
Zitat von
Lina
Dokument-Link schon wieder gehostet von transfeindlicher Seite. Nicht der Seite der Klinik.
The Society for Evidence Based Gender Medicine (SEGM) are an anti-trans psychiatric and sociological think tank. Their members are frequently quoted in the British press without any indication that they are anything other than expert commentators. This has continued to be the case despite the fact that their participation in the field of transgender related medicine is so contentious that in early August they were denied a spot at the annual conference for the American Academy of Pediatrics. SEGM's public members include key figures in the Bell v Tavistock case, and outspoken critics of regulation against conversion therapy on trans people.
Although SEGM state their objectives on their website among other things as "evaluating current interventions for gender dysphoria, [and] providing balanced evidence summaries," when we look at their membership, their promotion of materials from and collaboration with anti-LGBT religious conservatives and their misrepresentation of the mainstream consensus on gender medicine and conversion therapy, this balance and evidence based focus evaporates.
In this article we raise a wide range of our concerns about this organisation, and for anyone relying on them as a source regarding unbiased, scientific medical advice.
https://transsafety.network/posts/segm-uncovered/
Meet The “Fringe Extremists” Pushing Flawed Science To Target Trans Kids
Every major US medical group supports gender-affirming care for transgender youth, but experts say a vocal minority of “fringe extremists” has found receptive ears in legislatures across the country. [...]
Newer groups are also playing a role, including the Society for Evidence-Based Gender Medicine. Last year, SEGM was cited in an Idaho bill barring trans people from changing the sex on their birth certificate. A federal court has since struck down the law. (In an email, a SEGM spokesperson said they never expressed support for the Idaho bill and that they “object to the politicization of healthcare.”) SEGM member William Malone told a Christian news site in 2019: "No child is born in the wrong body, but for a variety of reasons some children and adolescents become convinced that they were."
https://www.buzzfeednews.com/article...thcare-science
Zitat von
Lina
Da steht nix über das Thema, sondern dass der Kinder-Flügel in ein neues Gebäude umzieht...
Zitat von
Lina
Puberty blocker
Following the Bell v Tavistock decision by the High Court of Justice for England and Wales, in which the High Court ruled children under 16 were not competent to give informed consent to puberty blockers — overturned by the Court of Appeal in September 2021 — Sweden's Karolinska Institute, administrator of the second-largest hospital system in the country, announced in March 2021 that it would discontinue providing puberty blockers or cross-sex hormones to children under 16. Additionally, the Karolinska Institute changed its policy to cease providing puberty blockers or cross-sex hormones to teenagers 16–18, outside of approved clinical trials.
Und diese Entscheidung wurde dann doch wieder zurückgenommen, und in Einzelfällen wird Kindern doch die Hormonbehandlung (auch außerhalb von klinischen Studien) erlaubt.
Stellt sich eh die Frage, warum sich eine schwedische Klinik aufgrund eines britischen Gerichtsurteils (das später kassiert wurde!) zu irgendwas entscheidet. Nicht besonders seriös.
Und auf irgendeiner Karolinska-Seite hab ich dieses Dokument immer noch nicht gefunden.
Sixteen studies to date have examined the impact of gender-affirming medical care for transgender youth.
Existing evidence suggests that gender-affirming medical care results in favorable mental health outcomes.
All major medical organizations oppose legislation that would ban gender-affirming medical care for transgender adolescents.
https://www.psychologytoday.com/us/b...g-medical-care
What the Science on Gender-Affirming Care for Transgender Kids Really Shows
[...] The truth is that data from more than a dozen studies of more than 30,000 transgender and gender-diverse young people consistently show that access to gender-affirming care is associated with better mental health outcomes—and that lack of access to such care is associated with higher rates of suicidality, depression and self-harming behavior.
[...] A 2021 systematic review of 44 peer-reviewed studies found that parent connectedness, measured by a six-question scale asking about such things as how safe young people feel confiding in their guardians or how cared for they feel in the family, is associated with greater resilience among teens and young adults who are transgender or gender-diverse. Rafferty says he sees his role with regard to prepubertal children as offering a safe environment for the child to explore their gender and for parents to ask questions. “The gender-affirming approach is not some railroad of people to hormones and surgery,” Safer says. “It is talking and watching and being conservative.”
[...] “[Puberty blockers] are part of the process of ‘do no harm,’” Forcier says, referencing a popular phrase that describes the Hippocratic Oath, which many physicians recite a version of before they begin to practice.
Hormone blocker treatment may have side effects. A 2015 longitudinal observational cohort study of 34 transgender young people found that, by the time the participants were 22 years old, trans women experienced a decrease in bone mineral density. A 2020 study of puberty suppression in gender-diverse and transgender young people found that those who started puberty blockers in early puberty had lower bone mineral density before the start of treatment than the public at large. This suggests, the authors wrote, that GnRHa use may not be the cause of low bone mineral density for these young people. Instead they found that lack of exercise was a primary factor in low bone-mineral density, especially among transgender girls.
https://www.scientificamerican.com/a...-really-shows/
Artikel auf Google suchen, aus dem Google Cache laden, Paywall umgehen
Link
Der Artikel fasst den recht umfangreichen Forschungsstand zusammen. Und kommt zu einem eindeutigen Ergebnis:
Kindern Zugang zur Hormontherapie zu erlauben verhindert deutlich mehr Schaden, als dadurch erzeugt wird.
Wer Leid verhindern will, wer sich als Arzt an den hippokratischen Eid halten will, muss aufgrund der eindeutigen Datenlage dafür sein, dass (nach umfangreicher Vorbehandlung, psychologischen Gesprächen, elterlichem Einverständnis, usw.) auch Kinder Zugang zu Hormontherapien haben, die ihre Pubertät ausbremsen. Denn diese Pubertät hinterlässt bei Kindern mit Gender-Dysphorie deutlich größere (vor allem psychologische) Schäden, als die Hormontherapie
And while some critics point to decade-old study and older studies suggesting very few young people persist in transgender identity into late adolescence and adulthood, Forcier says the data are “misleading and not accurate.” A recent review detailed methodological problems with some of these studies. New research in 17,151 people who had ever socially transitioned found that 86.9 percent persisted in their gender identity. Of the 2,242 people who reported that they reverted to living as the gender associated with the sex they were assigned at birth, just 15.9 percent said they did so because of internal factors such as questioning their experienced gender but also because of fear, mental health issues and suicide attempts. The rest reported the cause was social, economic and familial stigma and discrimination. A third reported that they ceased living openly as a trans person because doing so was “just too hard for me.”
[...] Data suggest the effects of denying that care are worse than whatever side effects result from delaying sex-assigned-at-birth puberty.
[...] “Delays in prescribing puberty blockers and hormones may in fact worsen mental health symptoms for trans youth,” says Diana Tordoff, an epidemiology graduate student at the University of Washington and co-author of the study.
That effect may be lifelong. A 2022 study of more than 21,000 transgender adults showed that just 41 percent of adults who wanted hormone therapy received it, and just 2.3 percent had access to it in adolescence. When researchers looked at rates of suicidal thinking over the past year in these same adults, they found that access to hormone therapy in early adolescence was associated with a 60 percent reduction in suicidality in the past year and that access in late adolescence was associated with a 50 percent reduction.