It could be false memories. It could also be a very casual use of language.It might not be a lot of suicides (there was a documentary made a few years ago but I couldn't face watching it that mentioned it had happened to a lot of people the participant knew) but the numbers of forced sex changes are staggering:
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Iran is forcing gay people to have gender ops against their will
IRAN is forcing thousands of gay people to undergo gender reassignment surgeries in a sick bid to “cleanse” the country of homosexuality. The Islamic Republic legalised transsexuality in 1987 and i…web.archive.org
That's an article that goes into it more in depth - more than 4000 surgeries a year. It is a Sun link but it's an archive version so they won't get revenue/views if you click it.
I think that you can probably convince a three year old that they're trans if you tell them over and over but I do think in some cases it can be false memories. We've talked before on these threads about OCD and there have been times where, even though I know for a fact that something isn't true and never happened I can remember it fully because when you ruminate on something, your brain is capable of creating a memory to fit it. Brains are bizarre like that. I'm sure that if you have realised that you're trans as an adult then you'll do a lot of soul searching and ruminating and it could easily lead you to 'remember' thoughts and feelings and memories that never happened.
Personally I believe people are born in the wrong body, I just don’t believe they realise it as young as some people claim to.