i have seen 2 case of sex changes case in my life, both we're just unhandled at all by professional and catered to their sex changes request immediately.
in canada a part of the sex change process is covered by the pûblic insurances, they go to a psychologist a couple of time to check if they're serious about going thru the process but it last like 2 months for 3 visits and they barely cover anything other than "u sure u want to do dis brah?".
no wonder the case of post change suicide is so high, i mean, many years laters, a lot of those people will realize that all they have done is put a fucking bandaid on a psychological tumor that keep growing anyway.
both of the case i have personally witnessed were both self-destructive person before. I usually see their choice as the result of the said self-destructive behavior