It occurred to me that the reason so many transgendered people commit suicide has a lot to do with the profound realization--a realization that transcends daily speech, or even thought... something deeply rooted in the subconscious mind--that no matter the number or surgeries, the longevity of hormone use, the legal name/gender changes, the acceptance by family and friends, one will never, truly, be the other gender.  In the absence of these things, of course, matters are worse.  Coping skills and counseling only blunt the tip of the truth.  Like others with dysphoric identities, a dark cloud, however big or small, follows these people.  Then factor in *life*.  One's suffering is rarely worse than another's... just different.