Suicide note is not required to know someone did it. Most cases today, with all our ability to communicate via text msg, email, snail mail, audio recordings, are still WITHOUT a note. Yet we know when someone does it. If someone leaps off bridge & there's no evidence they were pushed, we know it's suicide (toxicology shows no drugs that could have influenced decision, but it's still suicide if no foul play & it requires deliberate climbing over ledge). Suicide is documented without presence of notes. Only in VERY recent times has it been revealed that trans people suffer so immensely psychologically. Where was all this suffering 200 yrs ago? It was unheard of. Seems that the suffering + much of the whole thing is a monster created over the last 50 yrs by cultural evolution & social media. Trans was once considered a mental illness. Nowadays if you don't like speaking in public or your kid fidgets in class, THOSE r considered psych disorders---things keep changing; not necessarily right