Imagine how hurtful it must have been for Crowley to see Gabriel, the person who literally took an active part in the process of traumatising the man he loves into the mindset that he cannot be happy and free, get a happy ending. To see the man, who was one of the reasons Aziraphale haven't even acknowledged their relationship for such a long time, because they were on "opposite sides". The man who was one of the reasons they couldn't be together, even as friends, for 6000 years. The man who wanted to execute Aziraphale with a smile on his face and "shut your stupid mouth and die already" as his "goodbye". Seeing this man getting what Crowley has always dreamt of: being able to run away with the person he loves, leave Heaven and Hell behind and just be together with his beloved - in Soho or on Alpha Centauri, literally wherever, because "Heaven is wherever Beelzebub is". Crowley seeing Gabriel get it so... so effortlessly, while he has worked for it so long, nearly died because of it and still haven't been able to get that, to get the happy ending and sever all the connections with Heaven and Hell. It must have hurt like hell (most literally).
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A new landmark study has found that access to gender-affirming healthcare significantly reduces rates of depression, gender dysphoria, and suicidality among transgender people.
While it’s no secret that providing gender-affirming care to transgender individuals who ask for it can greatly benefit their well-being, an increase in transphobic rhetoric and bans on gender-affirming healthcare has prompted thorough medical studies into the impact of such care.
Now, brand new research conducted in Melbourne, Australia, has found that allowing transgender people to access the care they’re after can reduce suicidality by a stunning 55%.
As part of the first-ever randomized controlled trial (RCT) on gender-affirming care, researchers took 64 transgender and gender-diverse adults who had been looking to start testosterone therapy and randomly split them into a treatment group and a control group.
While the treatment group was allowed to begin hormone therapy that week, the control group waited three months for their treatment to begin.
Before the study began, both groups were evaluated on depression, gender dysphoria, and suicidality. Three months later, the two groups were evaluated again.
RCTs for medical care can often be hard to conduct due to practical and ethical concerns. However, researchers of this study found a way to hold an RCT for this study by incorporating a shorter follow-up period. Rather than giving the control group a placebo drug, or no treatment at all, they were simply given a longer wait time.
The results showed a notable decrease in gender dysphoria, depression, and – most significantly – suicidality.
The group that received gender-affirming care right away saw a 55% reduction in suicidality compared to a 5% drop within the control group.
Depression scores in the treatment group decreased by half, while gender dysphoria rates also significantly decreased.
Breaking down their findings, researchers Brendan J. Nolan MBBS, Sav Zwickl, PhD, and Peter Locke wrote: “There was a statistically significant decrease in gender dysphoria in individuals with immediate [access to gender-affirming care] compared with delayed initiation of testosterone therapy.”
“A clinically significant decrease in depression and a decrease in suicidality also occurred with immediate testosterone therapy.”
“The findings of this trial suggest that testosterone therapy significantly decreases gender dysphoria, depression, and suicidality in transgender and gender-diverse individuals desiring testosterone therapy.”
Of course, this isn’t the first time that research has shown significant drops in depression and suicide rates among transgender individuals who receive gender-affirming care.
A 2022 medical study showed that young transgender people who have access to puberty blockers are 73% less at risk of suicide and report improved well-being.
But, as anti-trans activists advocate for further bans on gender-affirming care, one of the key arguments is that the evidence in support of the care isn’t up to scratch with GRADE (Grades of Recommendation, Assessment, Development, and Evaluation) standards.
So research like this landmark RCT is so significant to the transgender community and its allies as the fight for their healthcare rights rumbles on.
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