I have generally been posting different content on my Wordpress and Tumblr blogs, but the issue of gender nonconformity and self harm/suicide is so terrible and important to understand, I am posting this here as well. 

We desperately need the mainstream media to look into this issue in a lot more depth. Which journalist will step up first? 

From the report which produced the 41% stat:

The survey did not directly explore mental health status and history, which have been identified as important risk factors for both attempted and completed suicide in the general population. Further, research has shown that the impact of adverse life events, such as being attacked or raped, is most severe among people with co-existing mood, anxiety and other mental disorders …The lack of systematic mental health information in the NTDS data significantly limited our ability to identify the pathways to suicidal behavior among the respondents. 

The Williams Institute analysis raises many more questions than it answers. It seems clear that being–or, more precisely, identifying as–some flavor of gender nonconforming or trans is correlated with a high rate of self harming behaviors. Mental health problems, coupled with a history of physical and/or sexual abuse or trauma, are associated with the highest risk of self harm. But judging by the evidence, gender specialists don’t seem to be taking those key risk factors into account when prescribing “transition” as an answer.

Whether the majority of these individuals who have self-harmed will ultimately benefit from medical transition is unknown (and for young people, this will not be known for years, if not decades), but there is absolutely nothing in the Williams survey analysis to indicate that medical transition will decrease suicidal intent or self harm.