Suicide Shock and Study Correction

Originally posted Sept 5, 2021

Transgender activists often claim if the “affirmative care model” is not followed the mental health of those suffering from gender dysphoria will worsen and increase the likelihood of suicide.

Parents are shocked into action when told by health professionals that puberty blockers and cross sex hormones, and eventually “gender affirming surgery” may be the only way to prevent their children from committing suicide. Starting them on a medicalized pathway from their “sex assigned at birth” to the sex they now identify with is the most beneficial and humane course of action, parents are instructed.

[Please view this post which rebuts the “assigned at birth” fiction]

In 2019 one of the few major studies on this issue released its findings. The study analyzed health records of 2,679 Swedes diagnosed with gender dysphoria between 2005 and 2015 to determine whether hormonal or surgical treatments improved their mental health over time.  This was one of the first longitudinal studies done about the efficacy of cross-sex hormonal therapy and sex reassignment surgery. And the largest population study to date. Plus it was done in perhaps the most Trans-friendly country on the planet, Sweden.

The original study conducted by a researcher from the Karolinska Institute in Sweden and a researcher from the Yale School of Public Health was published in the American Journal of Psychiatry in 2019. (The Karolinska Institute is the same institute that awards the Nobel Prize in Medicine and in May advised its hospital to stop hormone treatments and surgery for young people under 18!) The study concluded that “Transgender individuals who undergo gender-affirming surgery are significantly less likely to seek mental health treatment for depression and anxiety disorders or attempt suicide in the years following the procedure.”

Still from the perspective of the “affirmers” the results were decidedly mixed.

We learned two things from this study.

The main finding of the study was that hormonal transition showed no signs of mental health improvement for “gender incongruent” patients. This “no improvement” finding was largely ignored by the news media and trans-activists.

Administering cross-sex hormones to gender confused folk did not improve their mental health.

But the 2019 study did show that gender affirming surgery improved the mental health of those in the study. Patients from 2005-2015 who underwent surgical procedures to assist their transition to the opposite sex showed an overall 8 percent improvement.

This was widely reported as evidence that the “affirmative care model” works!

You may think an 8% improvement for those who underwent radical irreversible surgery is not a lot to “hang one’s hat on.” But this result was widely used to denounce Gender Critical viewpoints like mine as anti-science. (read on)

Study Correction

That was then. This is now. (as of August 2020)

After criticism for the study’s flawed methodology, the American Journal of Psychiatry was forced to retract those findings. What was the flawed methodology? For starters: No control group! The researchers looked at a large group of transgender patients over a 10 year period, making it a good longitudinal study. But they failed to compare those results with a control group of transgender patients who had not undergone body altering surgery. Once that was done the rather small 8 percent improvement evaporated.

“the results [of the reanalysis] demonstrated no advantage of surgery in relation to subsequent mood or anxiety disorder-related health care visits or prescriptions or hospitalizations following suicide attempts” - AJP correction

Surgery did not improve psychological well-being. It did not decrease suicide attempts relative to those transgender patients who went the non-surgical route. (Remember this is a study of Swedish patients in the most trans-friendly country on Earth so blaming unaccepting social factors as a cause for continued distress doesn’t work.)

Hormones & mutilating surgery did not improve outcomes for transgender patients!

Here’s a link to the correction. And here is an assessment by the Society For Evidence-Based Gender Medicine (SEGM) an international group of over 100 clinicians and researchers. Their assessment is worth your careful attention. For those of you interested in the details of the flawed methodology make sure you click on the “click here for more” link in the section labeled “Vigorous Debate Leads to Correction of Key Finding.”

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So, after the retraction how did the media respond?

Crickets….

Journalists, like scientists can be biased too.

But sadly parents are still being pressured by pediatricians, gender clinics and Trans-activists into accepting a single medicalized pathway if they want to prevent their kids from committing suicide.

In my research this past year I’ve noticed parents and confused young people hear the following statement all the time from social media influencers and medical professionals:

“Do you want a live “son” or a dead daughter?

That will cause any parent to sit up and take notice! But that is a bald assertion with no evidence to support it. Yes, there is a much higher incidence of suicide among this population but that is because they are psychologically troubled to begin with. Social transitioning, hormones and surgery doesn’t change that reality. My recommendation to parents is get non-affirming treatment and “hold your ground.” Your children and teens are confused.

You’ll meet some of those parents in my next post. They are distraught over the advice they and their children have been given by health care providers.

Obviously, it’s hard to know whether the flaws of the above study were just human error or whether the scientists involved desired a preferred outcome. If you read the end of my last post you’ll find one of our top Psychiatrists admitting that when it comes to questions about “Sex and sexual behavior” many scientists who view humans as infinitely malleable would rather not look too hard for empirical evidence to back up their claims. Ideology drives some of them, just like the activists.

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If you’ve just found my blog and are intrigued about this issue, and want to learn more, I highly recommend a book by Abigail Shrier.

Shrier is a graduate of Columbia College who went on to earn a bachelor of philosophy degree from the University of Oxford and a JD from Yale Law School.  Her book Irreversible Damage: The Transgender Craze Seducing Our Daughters was named a “best book” by The Economist and The Times of London. [2020, 2021]

The Gospel of Love: For Family and Friends

Dear Family and Friends,

This post has been on my heart for a while now. It comes with some weight—and I don’t post it lightly. But I also don’t post it in anger or bitterness. I write out of love—for my family and friends, for the Church, for the truth. I hope it will be received that way.

Over the past few years, you’ve probably noticed how much I’ve written about human sexuality—issues like gender identity, same-sex parenting, and transgenderism.

These are hard topics. They touch real people. They touch us. And because they do, I haven’t wanted to treat them casually or toss out slogans from a distance. But I’ve felt more and more compelled to speak clearly—especially because these ideas have not only infiltrated our cultural institutions, but have taken root in the Church itself.

The final turning point for me was personal. For several years, I had been attending a congregation that was a blend of Evangelical Lutheran Church of America (ELCA) and Episcopal USA traditions. I loved the people. I still do. It was a generous, open-hearted community. But over time, I began to sense that the gospel being proclaimed there was subtly—sometimes not so subtly—drifting from the one I knew. The Bible’s authority and Church Tradition was increasingly treated as optional. Christian sexual ethics were reimagined to align with the culture. And then came the moment I could no longer ignore.

One Sunday morning, a woman ordained by one of those denominations—an openly practicing lesbian, whose “wife” was present in the congregation—stood before us and preached as a representative of Christ’s Church. That was the moment for me. I sat there grieving—not out of personal offense, but because something precious was being lost.

This wasn’t merely a difference of opinion. It pointed to a deeper divergence—a fundamentally different understanding of what the Church is, what the gospel proclaims (ie. that Jesus is Lord of the created cosmos), and who Jesus calls us to be.

The gospel is not merely a message of inclusion or affirmation. It is the announcement that Jesus Christ is Lord of all—that through Him all things were made, and in Him all things hold together. As Paul writes in Colossians:

"For by him all things were created, in heaven and on earth, visible and invisible... all things were created through him and for him. And he is before all things, and in him all things hold together" (Colossians 1:16–17). 

This is the gospel: not a validation of our desires, but a call to live in joyful submission to the One through whom the cosmos was made.


After that Sunday, I knew I couldn’t do it anymore—not in good conscience. I couldn’t keep contributing my time and treasure to a church whose leadership had embraced a theological trajectory that I believe is deeply harmful. So I stepped away. And that decision still breaks my heart. I loved those people. I still do.

Love and truth cannot be separated. In the years since, I’ve come to believe that many parts of the Church have failed to speak the truth—especially about the body, about male and female, about marriage and children—and that failure has had devastating consequences. The cultural winds are strong. But the Church was never called to drift with the wind. We are called to be rooted.

I’ve written several blog posts recently, and I want you to know why.

The first was about gay parenting and the Regnerus Study—a work that dared to ask what’s best for children and found answers that challenge the prevailing narrative. It’s not enough to say children are “loved.” They also need a father and a mother. Our policies—and our churches—ought to reflect that truth.

The second addressed the ELCA’s 2025 Reconsideration of Human Sexuality—a document that appears to codify the denomination’s full embrace of sexual revisionism. The very truths that once shaped Christian witness on marriage, the body, and the created order are now treated as “harmful” or “exclusionary.” I couldn’t remain silent.

The third examined the ELCA’s doctrine of “Bound Conscience”—a concept I once thought might preserve theological diversity, but which has become a theological escape hatch. It allows the Church to affirm contradictory truths in the name of unity, while quietly discarding the authority of Scripture. That’s not unity—it’s institutionalized confusion.

I don’t write these things to score points or “win” debates. I write them because someone needs to say what so many faithful Christians—especially in more progressive circles—are afraid to say out loud. I write them because I fear that silence now will only mean deeper compromise later.

I believe the Triune God made us male and female—not as an accident of biology, but as a reflection of something sacred. I believe our bodies matter. I believe Christian love includes a call to repentance. And I believe that our first obligation of love is not to ourselves or one another, but to our Creator.

To affirm someone’s identity apart from the Lordship of Christ is not compassion—it is a tragic abandonment to a path that cannot yield life. And I believe the Church must have the courage to say so, even when it costs something.

With love always,
d

St. John Paul II’s “Letter to Women”

June 29 was the 30th anniversary of St. John Paul II’sLetter to Women.” ( A MUST READ)

Some reflections on the uplifting importance of that letter….

Reflection 1

John Paul II’s first, and arguably, most profound point, is his expression of gratitude. Whether you’re a mother, wife, daughter, sister, employed in the workforce, consecrated virgin, or an educator (in whatever capacity), he thanks YOU. He doesn’t only thank you for the work you do, but for your very existence as a woman.

Reflection 2

As St. John Paul II continues in his reflection, he rightly brings awareness to the marginalization and lack of progress women have experienced. While it’s easy to see drastic progress in something like Title IX, we are simultaneously experiencing a “relapse” of this progress, spearheaded by lawmakers, organizations, and activists rushing to dismantle a law that has protected so many women. This is not the only deterioration we are seeing.

We live in a culture that no longer understands what it means to be a woman. We live in a culture that changes words like “breastfeeding” to “chestfeeding” or “women” to “wimmin” in the name of affirmation and inclusivity. We live in a culture where biological men compete in women’s sports. And we live in a culture that tells little girls they are boys because they enjoy wearing cargo shorts over dresses and prefer trucks over dolls. The list continues. So, what happened?

We not only forgot to thank women, but we also forgot to address that women are inherently different and unique, made in the Image and Likeness of God, with a specific vocation that only women can fulfill, to help. I’m not claiming the world became corrupt for this reason alone, but how are we expected to flourish in a culture that doesn’t respect or appreciate God’s given design for our bodies, let alone His plan for our lives?

Further reflections found here. But I’ll finish with this one.

“Let us remind our daughters, “tomboys” or not, that they are loved as a child of the Lord and are no less of a woman because they choose dirt over dolls, or dolls over dirt. Let us remind our friends that they can still be “mothers” by guiding their students, peers, or nieces/nephews toward the truth, single or not.”

Saint John PAul II’s “Letter to Women”

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