Australas Psychiatry October 2018 PMID 29783857

Psychiatry's ethical involvement in gender-affirming care.

Roberto D'Angelo

Mentions

45
Peak: 3 in Mar 2023
across 3 sources since May 2019

Extended reach

231,673
potential audience

Total likes

30

Video views

27

Mentions per month

May 2019 – Nov 2025

Where it's discussed

  • X / Twitter37 posts
  • News5 articles
  • YouTube3 videos

AI synopsis

What people are saying

Several discussions critically analyze the quality of evidence cited in the publication, with posts highlighting the low reliability of studies on gender-affirming care, such as references to poor follow-up rates and high regret. Some use dismissive language like 'Bollocks' and question the ethical implications, indicating a highly skeptical tone. This mixture of concern and distrust emphasizes widespread doubts about the validity and impact of the publication's arguments.

AgreementLow agreement

Most discussions strongly question or outright dispute the publication's conclusions, citing low-quality evidence and potential harm, indicating disagreement with the article's implications.

InterestNeutral interest
EngagementNeutral engagement
ImpactNeutral impact

Abstract in brief

  • The text discusses the role of psychiatry in approving physical treatments for people with gender dysphoria and reviews the quality of research evidence on outcomes after gender reassignment.
  • Most studies showing positive results are of low quality, and some robust research indicates that some transgender individuals may experience poor outcomes or even be at risk of suicide after treatment.
  • The author questions whether current practices are ethically sound given the limited and often weak evidence supporting the safety and effectiveness of gender-affirming treatments.]

Top posts

Most liked on X and Bluesky
Tyler
@bigteezol · X

@KBlgbNoT @MattWalshBlog Lol, yes. References like “body dysmorphia in adults” and “psychiatry’s ethical involvement in gender affirming care.” Classically unbiased works of “science.”

May 1, 2023 · 16 likes · 209 followers View post →
Magda Lewandowska
@MagdalenaLewa19 · X

@ManiaWillim @kolektyw_labrys Przeczytaj sobie o jakości tych "badań". https://t.co/xF4j7054TW Powodzenia

Feb 14, 2024 · 2 likes · 2,493 followers View post →
Not the real Fergal_Sharkie
@SharkieFergal · X

@oolon @RunchieC @FromTipToToeXX As opposed to the findings of https://t.co/eZMkixgDqO https://t.co/lYsPgXYRro https://t.co/a24M6gIeun https://t.co/h7QXnb87C2

Mar 8, 2024 · 2 likes · 1,360 followers View post →
Sinéad Watson
@ImWatson91 · X

@eff_off_now @johnnyfrederix @endofpatriarchy @k8souphead @francesweetman @TullipR https://t.co/STX3MAymPa https://t.co/BFNWpfjUwt https://t.co/Ipg8T9cRk8 https://t.co/3C2uoiO7bE

Mar 15, 2023 · 1 like · 113,779 followers View post →
Andy
@lecanardnoir · X

@paul_wilson_nz @bwhVycwky56 @Daderp1242389 @amy_sargeant_ The 98% figure of very unreliable and comes from studies with very significant uncertainties. Huge numbers of non responders to studies and lack of active follow up make the whole field a bad joke. https://t.co/mURMdyH2up

Sep 9, 2023 · 1 like · 18,886 followers View post →
Magda Lewandowska
@MagdalenaLewa19 · X

@hauseoffunk @DerpyErika @TonyDiMeo1370 @BennieDotGay There's no evidence that gender affirming surgeries save lives. There's some evidence that undergoing gender affirming surgery increases risk of suicide. https://t.co/xF4j7054TW

Mar 30, 2024 · 1 like · 2,493 followers View post →

All mentions

HardTruth
@hardtruth2025 · X

@TheSmallMadman @its_indianaTV @nyaraVT You are factually wrong on this... https://t.co/KMP5MrmjIb https://t.co/nmSjeViRjq https://t.co/DrKdA10a0E https://t.co/lxU8XaKAO4 https://t.co/1KA9xV8KA1 https://t.co/dyUEDBCAKj

Oct 23, 2025 · 759 followers View post →
Biology in Medicine
@biologyinmed · X

@GreaterFireweed @AnonInclusive @Fudds13 Studies show 30-75% young dysphoric patients are lost to follow up; satisfaction rates are therefore skewed. Indeed it is likely these children desisted. https://t.co/URGD7lRhyH

Oct 6, 2025 · 4,510 followers View post →
布団大好きねこ
@OZlzOpMaDTl0XQo · X

RT @OZlzOpMaDTl0XQo: 死亡する可能性が19.1倍高いことが示された、と。 「Psychiatry’s ethical involvement in gender-affirming care」(2018)は、性同一性障害の理学療法に関する2005年以降の研…

Sep 5, 2025 · 1 share · 1,508 followers View post →
布団大好きねこ
@OZlzOpMaDTl0XQo · X

死亡する可能性が19.1倍高いことが示された、と。 「Psychiatry’s ethical involvement in gender-affirming care」(2018)は、性同一性障害の理学療法に関する2005年以降の研究をMediline検索し分析、多くの患者が転帰が悪く、自殺の危険にさらされていると指摘。 https://t.co/SQCRB3cl4N

Jul 10, 2025 · 1 share · 1,508 followers View post →
EurekaMag
@EurekaMag · X

Psychiatry's ethical involvement in gender-affirming care Australasian Psychiatry Bulletin of Royal Australian and New Zealand College of Psychiatrists 26(5): 460-463 2018 ISSN/ISBN: 1440-1665 PMID: 29783857 https://t.co/kJoD8IUllv https://t.co/cZJi1gTmoU

Feb 25, 2025 · 6,539 followers View post →
Molly Myers
@mollistan · X

@AveryOfBirds @panzieman @lesthecroc Here's just one. https://t.co/Ii5LUWoN2M

Aug 24, 2024 · 4,153 followers View post →
0112socks2110
@0112socks2110 · X

@nobrainworms @Forge_of_Angles @darkest_roasted @trundimolisher @MilkTeaIsabelle @TTExulansic I’m not trying To change your mind. And you aren’t going to change mine. We can go back and forth like this forever and never budge TIP Need HELP! Mental health help Not mangling their bodies Do what you want IDGAF https://t.co/3qrV5veAY0 https://t.co/k5gyQB5neA

Jul 11, 2024 · 1 like · 174 followers View post →
L P
@Schmooozername · X

@GTea30 @Thylittlehands [3]: infertility, micropenis, detrans/regret, as these should be obvious. As for the rest: -https://t.co/kOO8Z0Ykaz -https://t.co/VORPRldGP8 -https://t.co/Jh1JR3ueYz -https://t.co/hLVA0rlIPF -https://t.co/aA59zMdh0X -https://t.co/jW9nG0Js4h -etc...

Jun 11, 2024 · 1 like · 488 followers View post →
Daniel The Bard
@DrHizz · X

@catteronii_ @TheWhiteOreo2 @TheJrbdog @powerfulwizerd https://t.co/sjrWFeW2Jn

May 20, 2024 · 2,077 followers View post →
FirkinToro
@FirkinToro · X

@PUK161 @DrMariekedOuden @Magica08678935 "An Australian paper notes that many patients have poor outcomes, which put them at risk of suicide." Studie: https://t.co/LHkD2NnpEp

Apr 24, 2024 · 159 followers View post →
Magda Lewandowska
@MagdalenaLewa19 · X

@hauseoffunk @DerpyErika @TonyDiMeo1370 @BennieDotGay There's no evidence that gender affirming surgeries save lives. There's some evidence that undergoing gender affirming surgery increases risk of suicide. https://t.co/xF4j7054TW

Mar 30, 2024 · 1 like · 2,493 followers View post →
Not the real Fergal_Sharkie
@SharkieFergal · X

@oolon @RunchieC @FromTipToToeXX As opposed to the findings of https://t.co/eZMkixgDqO https://t.co/lYsPgXYRro https://t.co/a24M6gIeun https://t.co/h7QXnb87C2

Mar 8, 2024 · 2 likes · 1,360 followers View post →
Magda Lewandowska
@MagdalenaLewa19 · X

@ManiaWillim @kolektyw_labrys Przeczytaj sobie o jakości tych "badań". https://t.co/xF4j7054TW Powodzenia

Feb 14, 2024 · 2 likes · 2,493 followers View post →
Magda Lewandowska
@MagdalenaLewa19 · X

@NykaraNizri @connie_war69582 @TheR33f @speakoutsister With regards to regret after transition the loss to follow up is so huge, that we do not even know what we don't know https://t.co/xF4j7054TW The 80% is a rate of natural resolution of gender dysphoria without any intervention https://t.co/zHp23KLK8K I'd strongly suggest that https://t.co/4CEeiYpzy4

Jan 11, 2024 · 1 like · 2,493 followers View post →
Louise Grace
@LouiseGrace12 · X

@ABillionSuns @gigilarue4 @WnukPaul @LeorSapir D’Angelo, R. (2018). Psychiatry’s ethical involvement in gender-affirming care. Australasian Psychiatry 26 (5): 460-463. American Journal of Psychiatry (2020). Correction to Bränström and Pachankis. Published online: 1 August 2020.

Jan 5, 2024 · 2,354 followers View post →
Eric Joan ||*|| CatalunyaLliure
@Eric_Joan_90 · X

@litztsong @MonarchBiden @JusticeLibert19 @InsaneCope In statsforgender page they have the sources with links to studies like this: https://t.co/b4iRp4dLuy

Dec 28, 2023 · 969 followers View post →
ROGDovercomer
@ROGDovercomer · X

@becca_begotten @Nataleo71379448 Low quality is meaningful. It tells us that your conclusions aren’t based on any reliable evidence. Here’s a 2018 study showing similar findings. Notable is that trans identified people are overwhelmingly mentally ill. https://t.co/9XVFbBYM0n

Dec 19, 2023 · 1 like · 1,348 followers View post →
Magda Lewandowska
@MagdalenaLewa19 · X

@DrownedMarzanna @klosu2002 @zoha_phaguette O negatywnym wpływie tranzycji społecznej: https://t.co/aH2ttnp7kb O negatywnym wpływie wiązania piersi: https://t.co/Xxbw4WZbIS O kiepskiej jakości dowodach naukowych na jakiekolwiek korzyści tranzycji medyczniej: https://t.co/xF4j7054TW https://t.co/xF4j7054TW

Nov 5, 2023 · 2,493 followers View post →
Andy
@lecanardnoir · X

@paul_wilson_nz @bwhVycwky56 @Daderp1242389 @amy_sargeant_ The 98% figure of very unreliable and comes from studies with very significant uncertainties. Huge numbers of non responders to studies and lack of active follow up make the whole field a bad joke. https://t.co/mURMdyH2up

Sep 9, 2023 · 1 like · 18,886 followers View post →
Moori
@Moori44698090 · X

@adhayeladim @KnessetT @GadiTaub1 @polly_bronstein קודם כל באמת שאין לכם סיבה להיעלב. אני רק מנסה לבין יותר את הנושא ובמקרה פספסתי את השרשור. שנית, אשמח לשמוע מה לגבי המחקרים האלה שחקרו סיכיי מוות והתאבדות לאחר התעקבות רפואית: https://t.co/xZ9P0hMCu7 https://t.co/IAuiuEHzr6 https://t.co/L9GQ5y7dWk https://t.co/GT6PoR7wFz

Jun 24, 2023 · 6 followers View post →
Brendan_V
@brendan_loves · X

@ConnorLillis @RobProvince @kara_kirsten @RepDanCrenshaw So many showing the harm that follows. Either due to not treating the actual, underlying cause/s of the issues in the first place, due to complications from procedures, etc. https://t.co/PQ58WnLAMy https://t.co/YPV4f4XAo9

Jun 14, 2023 · 1 like · 223 followers View post →
Marcella McClure
@McMarsmcclure · X

@Schmaniel @tazerface43 @prof_curiosity1 @rizpossnett [2] Zucker, K.J., Lawrence, A.A., Kreukels, B.P. (2016). Gender Dysphoria in Adults. Annu Rev Clin Psychol. 12: 217-47. [Link] [3] D’Angelo, R. (2018). Psychiatry’s ethical involvement in gender-affirming care. Australasian Psychiatry 26 (5): 460-463. [Link]

May 30, 2023 · 614 followers View post →
Fiercely for Feminism, Freedom & Critical Thinking
@FierceFem4Frdm · X

@cort_dizzle @JandJDad @iamthemayer @EdKrassen Similarly, an Australian paper [3] notes that many patients have poor outcomes, which puts them at risk of suicide. Source studies: [2] https://t.co/93Bt7JruVX [3] https://t.co/p2J6gXGVq2 3/3

May 8, 2023 · 360 followers View post →
Tyler
@bigteezol · X

@KBlgbNoT @MattWalshBlog Lol, yes. References like “body dysmorphia in adults” and “psychiatry’s ethical involvement in gender affirming care.” Classically unbiased works of “science.”

May 1, 2023 · 16 likes · 209 followers View post →
Sinéad Watson
@ImWatson91 · X

@eff_off_now @johnnyfrederix @endofpatriarchy @k8souphead @francesweetman @TullipR https://t.co/STX3MAymPa https://t.co/BFNWpfjUwt https://t.co/Ipg8T9cRk8 https://t.co/3C2uoiO7bE

Mar 15, 2023 · 1 like · 113,779 followers View post →
Jester's Marotte
@pontif_Marotte · X

@Zoe_Brain @MinModulation Also, it is disputed by doctors, too. https://t.co/Waab2APDIj

Mar 13, 2023 · 106 followers View post →
Jester's Marotte
@pontif_Marotte · X

@NotJames66 @MinModulation Here you go. I looked it up especially for you ❤️ https://t.co/Waab2APDIj

Mar 13, 2023 · 106 followers View post →
RabbiZvi
@RabbiZvi · X

@theSelfishMan @heyitsnatalie00 @Lila_333000 @RazorsharpG96 @Eric_Biggz @DeificDragon @patriotjism @jk_rowling @VaushV This one notes that many patients have poor outcomes, which puts them at risk of suicide. https://t.co/7KRVzfX7a5

Feb 27, 2023 · 11,573 followers View post →
Adam Hibbert
@adhib · X

@AsInTheJar @SalwayBrewer @almay292 @BramhamAlex So, no postgrad study. "Research through data" ... Bollocks. Just talk us through one study I've cited for you. Explain how it fails, or is irrelevant, as you see it. https://t.co/tBfxsRxIev https://t.co/H0UtTK5Ife

Feb 25, 2023 · 8,401 followers View post →
Paul Litterick
@fundypost · X

@RohanIrvine @comingupcharlie @exfundyfeminist An Australian paper states that most available evidence indicating positive outcomes for gender reassignment is of poor quality. https://t.co/otJYCAEp35

Nov 26, 2022 · 2,224 followers View post →
Letzer
@Letzer1o · X

@WeepingRoses93 @CTVNews "Similarly, an Australian paper notes that many patients have poor outcomes which put them at risk of suicide." D’Angelo, R. (2018). Psychiatry’s ethical involvement in gender-affirming care. Australasian Psychiatry 26 (5): 460-463.

Nov 6, 2022 · 1,645 followers View post →
Journoman
@journo_star · X

@Random_Neuro123 @doug_lee42 https://t.co/C3EZyP9lA8 I paid for this, but the references are all accessible, so PLEASE DO YOUR RESEARCH before calling people Nazis when you are involved in a fascist cult. Psychiatry’s ethical involvement in gender-affirming care

Jul 17, 2022 · 1,156 followers View post →
Jhatmaker
@Jhatmaker1 · X

An Australian paper [1] states that most available evidence indicating positive outcomes for gender reassignment is of poor quality. https://t.co/LbTg1UGfs1

Mar 31, 2022 · 23 followers View post →
Jason
@JasonSalamone77 · X

@Dystopusa @chuckschmurda @MattWalshBlog https://t.co/N7Xase8tj3

Feb 1, 2022 · 1,403 followers View post →
Jason
@JasonSalamone77 · X

@Dystopusa @chuckschmurda @MattWalshBlog 2. It is not known whether they also have good outcomes, or whether they have not been helped or indeed harmed, and most concerning, it is generally not known whether they are alive or dead.” https://t.co/N7Xase8tj3

Feb 1, 2022 · 1 like · 1,403 followers View post →
ngrywmn
@C_scip · X

@estherbeeee @uuuomo Bei Erwachsenen: https://t.co/Ub7bM8RuaS https://t.co/O2i8qkQvmK https://t.co/TdUSV9xmeQ

Dec 18, 2021 · 1 like · 2,481 followers View post →
Stella O'Malley
@stellaomalley3 · X

@bigbd1978 @AidanCTweets @SakuraNoSeirei @Henriettaspoon @setoacnna @jonronson @anitambyrne D’Angelo, R. (2018). Psychiatry’s ethical involvement in gender-affirming care.[online] Australasian Psychiatry. Available at: https://t.co/Z7bnDJE07b

May 28, 2019 · 29,166 followers View post →