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Figure 5. Responses of patients who underwent gender-affirming surgeries to the “I have suffered from low mood” (question 12) in the
GCLS. GCLS: Gender Congruence and Life Satisfaction Scale.
Figure 6. Responses of patients who underwent gender-affirming surgeries to the “I have thought about cutting or hurting my chest,
genitals, and/or surrounding areas” (question 8) in the GCLS. GCLS: Gender Congruence and Life Satisfaction Scale.
Suicidal ideation
Further insights from the GCLS revealed that a significant majority of respondents never considered self-
harm or suicide; although some reported some thoughts of self-harm, none reported constant thoughts of
