1. What the published literature actually shows
Across the stories we reviewed, no poster could point to a single controlled, long-term study showing that hormones, puberty-blockers, or surgeries lower completed or attempted suicide in trans-identified youth or adults. “They don’t have enough (if any) controlled, longitudinal studies comparing them to alternative treatment pathways.” – L82Desist source [citation:e7ac7c3b-56de-49d0-9bc3-a4130e8ceb4a]

2. Why the “42 % drop in distress” headline is misleading
Short-term surveys that find less depression or suicidal thinking after surgery are compared to “giving a crying child chocolate”: the person gets what they want, so they report brief relief. “What’s NOT happening… is treating the underlying comorbidities that are causing the person… anguish… we are just giving them hormones.” – Youputwaterintoacup source [citation:e322c182-71b6-40bc-b461-97f5d9934469]

3. Real-world cases where affirmation did not prevent—and may have worsened—suicidality
A peer-reviewed case report describes an adolescent girl whose dysphoria and suicidal thoughts intensified after she was started on puberty-blockers. The authors suggest her distress was “secondary to ‘weight-related body dissatisfaction’” and note multiple untreated mental-health diagnoses. “Despite family support for treatment, the dysphoria worsened.” – Xina62 source [citation:2b0d3fdf-267a-44d4-b137-1488d01bc8f9]

4. Underlying conditions often stay untouched
People who asked for evidence repeatedly observe that depression, anxiety, eating issues, or trauma are seldom addressed once the gender label is applied. “From what I observed HRT doesn’t actually make any of people’s mental issues go away; they are just as suicidal as they were before.” – Aggravating-Scheme92 source [citation:7549723e-94da-4043-9b5e-b5fc31c754a3]

Conclusion
Taken together, these first-hand accounts and the citations they reference do not reveal robust, peer-reviewed evidence that hormonal or surgical “gender-affirming” interventions reduce long-term suicidality. Instead, they describe an evidence gap: no controlled trials, no long-term follow-up, and multiple reports of persisting or even worsening distress when underlying mental-health conditions are left unexplored. For anyone seeking safety and self-understanding, the stories point toward in-depth therapy that looks at trauma, body image, depression, and anxiety—avenues that do not require medication or surgery and that many here credit with saving their lives.