LONDON (AP) — Children who question their gender identity are being let down by lack of evidence and a toxic political debate, according to a report Wednesday from a senior doctor in England.
Dr. Hilary Cass said there is “no good evidence on the long-term outcomes of interventions to manage gender-related distress,” and young people have been caught up in a “stormy social discourse” about the issue.
“Ideology on all sides has directed care, rather than care being directed by normal principles of pediatrics and mental health,” said Cass, a retired clinical pediatrician appointed to lead a review of gender services for young people by the state-funded National Health Service.
On April 1 doctors in England’s public health system stopped prescribing puberty-blocking hormones to children and young people with gender dysphoria. The decision came after recommendations in Cass’ earlier interim report, which said there is not enough evidence about the potential benefits and harms of the blockers, which help prevent people from developing physical features not in line with their gender identity, such as beards or breasts.
The decision — which is not an outright ban on puberty blockers — was criticized by some transgender campaigners and is being closely watched in the United States. Transgender medical care for minors is endorsed by major U.S. medical associations, but several Republican-led states have banned puberty blockers and other treatment for transgender youth — and, in some cases, adults.
Cass’ report, which runs to almost 400 pages, said that “for most young people, a medical pathway” is not the best way to deal with gender-related issues.
Cass said young people questioning their gender identity should be given “a holistic assessment” including screening for neurodevelopmental conditions such as autism, and a mental health assessment.
She urged “extreme caution” about giving children or teens masculizing or feminizing hormones — testosterone or estrogen — to people under 18.
Prime Minister Rishi Sunak welcomed the review’s recommendation of caution.
“We simply do not know the long-term impacts of medical treatment or social transitioning on them, and we should therefore exercise extreme caution,” he said.
Critics accuse Sunak’s Conservative government of weaponizing the issue of gender identity as part of a “culture war” electoral strategy. The government recently issued guidelines for schools that said teachers should not be required to address children by their preferred pronouns.
In her report, Cass said there was “no clear evidence” that social transition in childhood — such as changing names or pronouns — has any positive or negative mental health outcomes.
The report also concluded that there is no simple explanation for why the number of young people identifying as transgender has shot up in recent years in the U.K. and other countries.
“There is broad agreement that it is a result of a complex interplay between biological, psychological and social factors,” the report said. “This balance of factors will be different in each individual.”
The LGBTQ rights group Stonewall said many of the report’s recommendations “could make a positive impact.”
“But without due care, training or further capacity in the system, others could lead to new barriers that prevent children and young people from accessing the care they need and deserve," said the group’s director of campaigns and human rights, Robbie de Santos.
FILE - The rainbow flag, a symbol of the LGBTQ+ community, flies over a building next to Nelson's Column monument, right, in Trafalgar Square, central London, Britain, March 28, 2014. Children who question their gender identity are being let down by lack of evidence and a toxic political debate, according to a report Wednesday from a senior doctor in in England. (AP Photo/Lefteris Pitarakis, File)
Classes have been canceled Wednesday at the University of California, Los Angeles.
UCLA announced the class cancelation on the social media site X, stating: “Due to the distress caused by the violence that took place on Royce Quad late last night and early this morning, all classes are cancelled today. Please avoid the Royce Quad area.”
The clashes at UCLA took place around a tent encampment built by pro-Palestinian protesters. Counter protesters tried to pull down a line of parade barricades, plywood and wooden pallets at the edge of the camp.
Currently:
— Dueling protesters clash at UCLA hours after police clear pro-Palestinian demonstration at Columbia
— Student protesters reach a deal with Northwestern University that sparks criticism from all sides
— How Columbia University became the driving force behind protests over the war in Gaza
— Trump’s comparison of student protests to Jan. 6 is part of effort to downplay Capitol attack
Here's the latest:
Police at two campuses in Arizona have cleared out encampments and arrested pro-Palestinian protesters.
Several people were arrested by police in riot gear early Wednesday at the University of Arizona in Tucson after President Robert Robbins directed school officials to “immediately enforce campus use policies.”
And about 20 people were arrested at Northern Arizona University in Flagstaff on Tuesday night on trespassing charges. Police dismantled a small fence made of chicken wire as well as nearly two dozen tents.
Campus police spokesperson Marc Lovicott said at least a dozen people have been arrested at the University of Wisconsin in Madison as police removed tents erected by protesters.
Police pushed into the protesters with shields Wednesday morning, resulting in a scrum. Protesters chanted “students hold your ground” and “long live Palestine.”
Police have removed all but one of the tents that protesters erected. The protesters’ tents and belongings were loaded into a dump truck.
The university said camping is prohibited under campus policy and state law.
New York City Mayor Eric Adams says about 300 people were arrested in police crackdowns on pro-Palestinian protests at Columbia University and City College.
Adams, a Democrat who was formerly a police captain, insisted that while the people who entered Columbia’s Hamilton Hall included students, “It was led by individuals who were not affiliated with the university.”
“There is a movement to radicalize young people. And I’m not going to wait until it is done to acknowledge the existence of it,” Adams said Wednesday morning.
Police were removing an encampment of pro-Palestinian protesters at the University of Wisconsin’s Madison campus and have taken away several protesters.
Several police officers arrived at the encampment on the campus’ Library Mall around 7 a.m. Wednesday and played a recorded message on a loop saying it was a final warning and that protesters were in violation of university code, WISC-TV reported.
About 20 minutes later, nearly 60 police officers, some with riot shields, arrived and began removing tents and other items, the station reported.
Video from WISC-TV showed police with riot shields pushing against protesters and the protesters pushing back while chanting slogans, including “Free Free Palestine.” The station said that at least 10 protesters were taken away by police with their hands zip-tied by officers.
Police later removed some tents that had remained at the encampment, but about 30 protesters surrounded another tent to prevent officers from reaching it.
Campus leaders and police warned students last week to comply with state law and university rules, which prohibit unauthorized camping on campus. But on Monday, several hundred protesters gathered on the Mall, located between Memorial Library and the Wisconsin Historical Society, and established an encampment, the Wisconsin State Journal reported.
New York City Mayor Eric Adams said in an appearance on on “CBS Mornings” on Wednesday that police had identified organizations and individuals who weren’t university students, but professional agitators.
“Once I became aware of the outside agitators who were part of this operation, as Columbia mentioned in their letter and their request with the New York City Police Department, it was clear we had to take appropriate actions when our intelligence division identified those who were professionals, well trained,” Adams said.
Adams and the NYPD made similar claims before the arrests that the protest had been co-opted by outside agitators, though did not provide specific evidence to back up that contention. While people involved in the Columbia demonstrations acknowledge that some people not part of the college community have participated, they forcefully dispute the idea that outsiders were driving or unduly influencing the protests.
Adams pointed to protesters breaking into Hamilton Hall at Columbia University, saying some of the tactics and methods have been used across the globe.
“And we understood how really dangerous this situation had become,” Adams said, noting they made sure that a minimum amount of force was used to “eradicate the problem” at City University of New York and Columbia.
When there’s an analysis of those arrested, Adams said a substantial number of them won’t be City University of New York or Columbia students.
Adams said he understands the power of protests, but they have to make sure they don’t turn violent. Breaking into Hamilton Hall was not protesting, “that was committing a crime,” he said.
New York City Mayor Eric Adams said on MSNBC’s “Morning Joe” on Wednesday that police had to move in to Columbia University’s Hamilton Hall “for the safety of those children.”
He blamed outside agitators for the building takeover.
“There are people who are harmful and they’re trying to radicalize our children and we cannot ignore this,” Adams said.
The NYPD’s deputy commissioner for public information, Tarik Sheppard, who appeared with the mayor, held up a heavy chain.
“This is not what students bring to school,” Sheppard said. “This is what we encountered on every door inside Hamilton Hall.”
Sheppard said 40 to 50 people were arrested at Hamilton Hall with no injuries. Adams said they will face charges including burglary, trespassing and criminal mischief, while those who were arrested outside the building will be face less serious charges.
Six people have been arrested and suspensions have been issued to seven students who participated in demonstrations at Tulane University, the school in New Orleans said in a message to the university community early Wednesday. One more suspension was pending, officials said.
The university was also looking into reports of university employees participating in the demonstration.
“We value free speech and have supported numerous lawful demonstrations throughout this year,” the university said in the statement. “But we remain opposed to trespassing, hate speech, antisemitism and bias against religious or ethnic groups.”
Four buildings on campus would remain closed Wednesday as the demonstration continued, with classes scheduled in those buildings going remote, officials said.
When several dozen protesters camped in about a dozen small tents on a grassy area near an administration building Monday, police “moved in immediately to attempt to stop the encampment,” the administration said Tuesday. There were arrests and students were suspended after a confrontation with police Monday and the Students for a Democratic Society organization also was suspended, the university said.
Dueling groups of protesters clashed Wednesday at the University of California, Los Angeles, grappling in fistfights and shoving, kicking and using sticks to beat one another.
Hours earlier, police carrying riot shields burst into a building at Columbia University that pro-Palestinian protesters took over and broke up a demonstration that had paralyzed the school while inspiring others.
After a couple of hours of scuffles between pro-Palestinian and pro-Israeli demonstrators at UCLA, police wearing helmets and face shields formed lines and slowly separated the groups. That appeared to quell the violence.
Police have swept through campuses across the U.S. over the last two weeks in response to protests calling on universities to stop doing business with Israel or companies that support the war in Gaza. There have been confrontations and more than 1,000 arrests. In rarer instances, university officials and protest leaders struck agreements to restrict the disruption to campus life and upcoming commencement ceremonies.
Fireworks erupt as demonstrators clash at a pro-Palestinian encampment at UCLA late Tuesday, April 30, 2024, in Los Angeles. Dueling groups of protesters have clashed at the University of California, Los Angeles, grappling in fistfights and shoving, kicking and using sticks to beat one another. (AP Photo/Ethan Swope)
Demonstrators clash at a pro-Palestinian encampment at UCLA early Wednesday, May 1, 2024, in Los Angeles. Dueling groups of protesters have clashed at the University of California, Los Angeles, grappling in fistfights and shoving, kicking and using sticks to beat one another. (AP Photo/Ethan Swope)
A person looks out as demonstrators clash at a pro-Palestinian encampment at UCLA early Wednesday, May 1, 2024, in Los Angeles. Dueling groups of protesters have clashed at the University of California, Los Angeles, grappling in fistfights and shoving, kicking and using sticks to beat one another. (AP Photo/Ethan Swope)
Demonstrators clash at a pro-Palestinian encampment at UCLA early Wednesday, May 1, 2024, in Los Angeles. Dueling groups of protesters have clashed at the University of California, Los Angeles, grappling in fistfights and shoving, kicking and using sticks to beat one another. (AP Photo/Ethan Swope)
Officers with the New York Police Department arrest pro-Palestinian protesters at Columbia University, Tuesday, April 30, 2024, in New York. The protesters had seized the administration building, known as Hamilton Hall, more than 20 hours earlier in a major escalation as demonstrations against the Israel-Hamas war spread on college campuses nationwide. (Marco Postigo Storel via AP)
Officers with the New York Police Department arrest Pro-Palestinian protesters at Columbia University, Tuesday, April 30, 2024, in New York. The protesters had seized the administration building, known as Hamilton Hall, more than 20 hours earlier in a major escalation as demonstrations against the Israel-Hamas war spread on college campuses nationwide. (Marco Postigo Storel via AP)
Officers with the New York Police Department raid the encampment by pro-Palestinian protesters at Columbia University on Tuesday, April 30, 2024, in New York. The protesters had seized the administration building, known as Hamilton Hall, more than 20 hours earlier in a major escalation as demonstrations against the Israel-Hamas war spread on college campuses nationwide. (Marco Postigo Storel via AP)
Officers with the New York Police Department raid the encampment by pro-Palestinian protesters at Columbia University, Tuesday, April 30, 2024, in New York. The protesters had seized the administration building, known as Hamilton Hall, more than 20 hours earlier in a major escalation as demonstrations against the Israel-Hamas war spread on college campuses nationwide. (Marco Postigo Storel via AP)
Pro-Palestianian protesters gather near a main gate at Columbia University in New York, Tuesday, April 30, 2024, just before New York City police officers cleared the area after a building was taken over by protesters earlier in the day. The building and a tent encampment were cleared during the operation. (AP Photo/Craig Ruttle)
