Massive suicide rate - might indicate harm. Lower than average income - might indicate harm. Higher than average rate of being victim of homocide - maybe some harm there.
If i tell you that you are not who you think you are and refuse to accept what you say, ABOUT YOURSELF, i am telling you that you have less value than me; that i am more important, and that i know more about you than you could possibly know about yourself. Thousands of times a day, this kind of message builds up; all day everyday, this message leads directly to suicides.
And you are directly responcible for your lack of compassion and empathy.
@Your Hum: medical biological facts have changed many times; once being gay was diagnoised as a mental illness, but medical facts have changed to reflect changes in society - thus you can't claim they are entirely objective.
I can think of literally no examples where yiu use bio-sex as the deciding factor in determining which pronouns you use. It is usually gender expression (ie how they present themselves, sometimes people make mistakes when someone presents contrary to how society expects from their gender, but the decision is never based on bio-sex) It seems you are coming up with new rules to justify your bigotry.
And as far as i'm aware they are very few example of true hermaphorditism, ie both vagina AND penis, and even rarer examples of both genitals being functional. There are many more case of intersex conditions, where there is one set of genitals but the have only partially formed or had some development abnormality (if we can assume we know what normal is)