The entire act of threatening suicide if one doesn’t get the elective surgery or medical intervention they want should invalidate that person from receiving said treatments. Especially when those surgeries or medications, like you said, haven’t even been proven to alleviate mental anguish, and come with life-long consequences. I think liberals/Democrats who are concerned about trans issues need to frame their arguments this way, and focus on protecting children and people from unethical or dangerous medical treatments. I think most reasonable people would see through the false accusations of “transphobia” and see it for what it is.