Seeing a lot of criticism of the evidence informing the #CassReview . Exclusions, narrow view of methodology, etc.

My impression is the opposite, the review was generous.

These are vulnerable young people. We can’t lower standard of safety & effectiveness the NHS should require.

There’s much services can do to ⬇️ risk.

Be a trusted support - their previous experience was prejudice.

Address key risks like depression. Adapt therapy to autistic traits & past trauma. Work through stresses at home & school.

Plan for crisis but offer hope.

#EvidenceMatters

Even if you haven’t been persuaded by the #CassReview conclusions on suicide, we can presumably all agree that suicide should not be used in a campaign slogan?

Dangerous & insensitive to bereaved families.

#CassReview is a landmark report.

It should lead to better mental health care for a group of distressed young people facing prejudice & at risk.

It also shows why in health care, ideology should never outweigh evidence.

#CassReview on suicide risk.

The distress & risk are real & may be exacerbated by long waits for services.

The view that gender-affirming care reduces risk is not supported by evidence.

Huge thanks to all involved both on and off twitter: Lana Bojanić, Ali Baird, Dr Pauline Turnbull, louis appleby.