Tumbler Ridge, Canada.

[Squid]

Transgenderism and any associated dysphoria are indeed mental health issues.

Someone needs to tell the WHO, APA and DSM….

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Also, there is a massive, massive difference between an adult making choices in terms of their gender identity and the various consequences of any medical treatment and a child doing the same. There's been enough whistle-blowing about gender medicine and enough detransitioners speaking out to know that there are too many gender clinics telling children with numerous other issues, that changing their gender will make them truly happy and all their other problems go away. When that turns out not to be case, it can be pretty devastating for the child.

The other issue (which again has been spoken about for a long time), is the role social media plays. It would seem that the perpetrator spent years talking to adults on the internet about wanting to be "petite like girls in anime". Unfortunately, instead of telling him to go outside, they seem to encouraged such delusions.

Is there any evidence that the gender reassignment treatment led to the shooter doing this? I mean millions of people receive some form affirming care without going on killing sprees

Should we not be asking questions of other mental illness care and gun laws?

You are conflating children and adults. The recent NHS Cass Review found that the evidence based for gender affirming care in children and adolescents to be very weak. Meanwhile in New York, a woman has just been awarded $2Million for malpractice after surgeons performed a double mastectomy on her when she was 16 and thought that she wanted to be male. That's the condition of "gender affirming care".

If, as I suspect, the Tumbler Ridge shooter turns out to be someone who's many mental health problems were ignored in favour of catering to their delusions - and wanting to be a small and petite anime girl is a delusion, then saying "Lots of other people are fine, nothing to see here" isn't an adequate response.