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Study finds that the attempted-suicide rate among transgender women who received a vaginoplasty in California was twice as high during the period after the surgery compared with the period before the surgery.

The investigaotrs analyzed data on all 868 people who received a vaginoplasty and 357 people who received a phalloplasty in California from 2012-2018. There were an average of 2 years of data before and after surgery.

A total of 22% of the vaginoplasty group and 21% of the phalloplasty group had at least one ER or in-patient psych encounter during the study period, whether before or after surgery.

If there was a psych encounter prior to surgery, 34% of the vaginoplasty group and 27% of the phalloplasty group had a psych encounter after surgery.

Among those receiving a vaginoplasty, the rate of suicide attempts was twice as high after the surgery, at 3.3%, compared with before, at 1.5%.

The phalloplasty suicide-attempt rate was similar to the general population, while the vaginoplasty group's rate was more than twice as high as the general population.

"Patients undergoing [gender-affirming surgery] with a history of prior psychiatric emergences or feminizing transition are at higher risk and should be counseled appropriately," the study authors concluded. https://auajournals.org/doi/10.1097/JU.0000000000001971.20