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Theory and Society· 2026Q1

Causal inference from a single treated state: a peer review of Lee et al. (2024) and the exchange that followed

M. Lal

Short summary

A peer review finds the statistical defenses of Lee et al. (2024), which claimed anti-transgender laws increased TGNB youth suicide attempts by 7-72%, are incorrect, rendering the reported uncertainty invalid.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Lee et al. (2024) claimed anti-transgender laws increased TGNB youth suicide attempts by 7-72%.
  • The largest estimates in Lee et al. (2024) relied on a single treated state, Idaho.
  • This peer review finds the statistical defenses of Lee et al. (2024) are incorrect.
  • The single-treated-cluster setting invalidates the reported uncertainty.
  • A key randomization inference analysis was never conducted.

AI-generated from the title and abstract; the full text is not read.

Abstract

Lee et al. (2024) report that state-level anti-transgender laws caused increases of 7–72% in past-year suicide attempts among transgender and non-binary (TGNB) young people. A Matters Arising (Cohn et al., 2026) showed that the paper’s largest estimates derive from a single treated state, Idaho; the authors’ reply (Lee et al., 2026) defended the design, and the format permits no further response. This peer review shows that the reply’s principal statistical defenses are incorrect; that the single-treated-cluster setting renders the paper’s reported uncertainty invalid rather than merely fragile, and that the decisive analysis — randomization inference with a correction for group-size heteroskedasticity — was never conducted; and that several design problems independent of the single-state issue remain unaddressed by the main study or the follow-ups. The remedies are specified and are implementable, quite possibly with the data the authors possess.

The authors' abstract, as published at the source. Theory and Society, 2026 · DOI ↗

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Field: History and Philosophy of Science

History and Philosophy of ScienceArts and Humanities