Hi,
Is your particular concern that the wording implies the RNAO has conducted
a study showing a particular result? My read on this is they believe
experts who in turn interact with literature. In other words, "their
research" used as "their reading", meaning separate from the document you
link.

In terms of "best" outcomes, I am certain that if someone were to define
that others could contest it, but a quick google turns up this paper. I
would assume "death by suicide" to be a bad outcome and certainly avoiding
that is better, maybe not best, but clearly better.

Turban et al, *Pubertal Suppression for Transgender Youth and Risk of
Suicidal Ideation*, 2020.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073269/



On Wed, Feb 14, 2024 at 10:40 AM Melissa Raven <
[log in to unmask]> wrote:

> This RNAO petition (
> https://rnao.ca/policy/action-alerts/stop-targeting-transgender-youth) is
> very misleading. It's bluffing about evidence.
>
> It claims that Alberta Premier Danielle Smith's proposed restrictions on
> gender-affirming care are not informed by evidence; then it claims that, in
> contrast, RNAO has evidence that supports gender-affirming care.
>
> Specifically, it claims that the RNAO's Best Practice Guideline,
> 'Promoting 2SLGBTQI+ Health Equity' (
> https://rnao.ca/bpg/guidelines/promoting-2slgbtqi-health-equity),
> "provides the actual evidence"; and it claims that RNAO’s research shows
> that "gender-affirming care… which may include the use of puberty blockers
> and hormone treatment – provides the best health and social outcomes for
> transgender and non-binary youth":
>
> “The proposed restrictions to care proposed by Smith and supported by
> Poilievre appear to be founded on ideology, not informed by evidence.
> RNAO’s best practice guideline for nurses, *Promoting 2SLGBTQI+ Health
> Equity*, provides the actual evidence for foundational, inclusive
> health-care practices for the 2SLGBTQI+ community. From our research, we
> know that gender-affirming care provided by person-centred health
> professionals in an inclusive health setting – which may include the use of
> puberty blockers and hormone treatment – provides the best health and
> social outcomes for transgender and non-binary youth.”
>
> The specific mention of puberty blockers and hormone treatment is
> significant, because Danielle Smith announced that they will be banned for
> young people aged 15 years or less:
>
> “For those 15 and under, puberty blockers and hormone therapies for the
> purpose of gender reassignment or affirmation would also not be allowed,
> except for those who have already begun the process.”
> https://edmonton.ctvnews.ca/alberta-to-require-parental-consent-for-name-pronoun-changes-at-school-1.6750498
>
> But the RNAO BPG provides no evidence about puberty blockers and hormone
> treatment. It does not mention puberty blockers at all, and it explicitly
> states that hormone treatment (and surgery) is outside the scope of the BPG
> (p. 9). It provides no evidence about gender-affirming medical
> interventions. Instead it’s about “inclusive care practices” (p. 8):
>
> “Specifically, the BPG addresses:
>
> ·        *communication strategies*G to promote inclusivity within
> health-service organizations;
>
> ·        creation of safer spaces in health-service organizations and
> school settings;
>
> ·       promotion of access to *screening*G for health conditions;
>
> ·       group-based interventions for health promotion and chronic disease
> management;
>
> ·       education on 2SLGBTQI+ health for students entering health
> professions and health providers;
>
> ·       implementation strategies and tools;
>
> ·       evaluation criteria related to the recommendations; and
>
> ·       future research opportunities and gaps in peer-reviewed
> literature.” (p. 9)
>
>
>
> So where is the RNAO research that provides evidence that gender-affirming
> care, including puberty blockers and hormone treatment, provides the best
> outcomes for transgender youth?
>
>
>
> *Melissa Raven*
>
> *MPsych(Clin) MMedSc(ClinEpid) PhD*
>
> Psychiatric epidemiologist and policy analyst
>
> Research Fellow
>
> Critical and Ethical Mental Health
> <https://www.adelaide.edu.au/robinson-research-institute/critical-and-ethical-mental-health/>
> research group (CEMH)
>
> www.adelaide.edu.au/robinson-research-institute/research/groups/cemh/
>
> Robinson Research Institute
>
> Faculty of Health and Medical Sciences
>
> University of Adelaide
>
> 55 King William Road, North Adelaide SA 5006, AUSTRALIA
>
> PhD: Depression and antidepressants in Australia and beyond - a critical
> public health analysis https://ro.uow.edu.au/theses/3686/
>
>
>
> *From:* Social Determinants of Health <[log in to unmask]> *On Behalf Of *Ricardo
> S Grinspun
> *Sent:* Wednesday, February 14, 2024 2:35 PM
> *To:* [log in to unmask]
> *Subject:* [SDOH] Fwd: Action Alert: Stop targeting transgender youth!
>
>
>
> *Please share widely*
>
> https://rnao.ca/policy/action-alerts/stop-targeting-transgender-youth
>
> -------- Forwarded Message --------
>
>
>
> [image: Registered Nurses' Association of Ontario]
> <https://myrnao.ca/civicrm/mailing/url?u=180902&qid=149180892>
>
>
> Dear colleague,
>
> Recently, the premier of Alberta, Danielle Smith, joined other provincial
> leaders who have exploited prejudice and ignorance about transgender people
> – and, in particular, youth. RNAO is deeply concerned to see federal
> Conservative Party leader, Pierre Poilievre, echoing and amplifying Smith’s
> views across the country. These views are ill-informed and dangerous to the
> health and wellbeing of some of the most vulnerable youth in our society.
>
> *Join us!
> <https://rnao.ca/policy/action-alerts/stop-targeting-transgender-youth>*Tell
> the leader of the federal Conservative Party to stop targeting transgender
> and gender-diverse youth. RNAO denounces any kind of stigmatization,
> discrimination and social exclusion based on sexual orientation, gender
> identity and gender expression. We applaud Prime Minister Justin Trudeau
> and other federal leaders who continue to stand in support of transgender
> youth.
>
> The proposed restrictions to care proposed by Smith and supported by
> Poilievre appear to be founded on ideology, not informed by evidence.
> RNAO’s best practice guideline for nurses, *Promoting 2SLGBTQI+ Health
> Equity*, provides the actual evidence for foundational, inclusive
> health-care practices for the 2SLGBTQI+ community. From our research, we
> know that gender-affirming care provided by person-centred health
> professionals in an inclusive health setting – which may include the use of
> puberty blockers and hormone treatment – provides the best health and
> social outcomes for transgender and non-binary youth.
>
> We are also deeply concerned about efforts in other provinces to restrict
> education on matters of sexuality and gender combined with a corresponding
> insistence on parental consent in all matters related to youth gender
> identity. Research shows that this compounds the vulnerability of
> gender-diverse youth, considerably increasing their exposure to violence
> and likelihood of homelessness, as well as increasing the risk of self-harm
> and suicide.
>
> RNAO is very pleased by the pledge of Ontario Premier Doug Ford and
> Minister of Health Sylvia Jones to retain the province’s current guidelines
> for treatment and care for transgender youth.
>
> RNAO is inspired by the widespread reaction across Canada to politicians
> targeting at-risk youth and sending them a simple message: Stop.
>
> *Join us
> <https://rnao.ca/policy/action-alerts/stop-targeting-transgender-youth>*
> and join youth across the country telling Poilievre and other political
> leaders to stop targeting transgender and gender-diverse youth.
>
> In solidarity,
>
> Dr. Doris Grinspun, RN, BScN, MSN, PhD,
> LLD(hon), Dr(hc), DHC, DHC, FAAN, FCAN, O.ONT
> Chief Executive Officer
>
>
>
> *Follow us*
>   <https://myrnao.ca/civicrm/mailing/url?u=180903&qid=149180892> [image:
> Follow us on Instagram]
> <https://myrnao.ca/civicrm/mailing/url?u=180904&qid=149180892>
> <https://myrnao.ca/civicrm/mailing/url?u=180905&qid=149180892>
>
>
>
>
>
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