yeah, exactly, also guess what counts as gender affirmation. Besides that, i dont know how else to tell you this, there are no historical trends as we dont have that data, here
Evidence to assess the effects of hormone treatment on the above fields in children with gender dysphoria is insufficient. To improve future research, we present the GENDHOR checklist, a checklist for studies in gender dysphoria.
pubmed.ncbi.nlm.nih.gov
they just straight up say not enough data
my opinion is not formed on studies telling me gender affirming care for minors keeps them alive, its based on seeing the obvious and listening to trans people who talk about it lol