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To be fair, I think that bodily autonomy generally makes a good Schelling point. There are certainly limits, few would argue that the psychotic who is stabbing himself to kill the spiders crawling inside his skin should get bodily autonomy, but for the most part respecting bodily autonomy seems like a rule which leads to beneficial outcomes.
Nor is the solution of non-interventionism in the absence of a sound mind preferred by the natural law people and cishumanists very coherent. They might excuse the mother who kills her child by refusing the measles vaccine because she does not want her child exposed to chemicals, but get really upset with a mother who does a better job of protecting her kid from chemicals, even though death from oxygen deprivation is the natural fate of a human almost anywhere in the observable universe.
At the end of the day what is an act and what is an omission depends on your subjective moral frame of inertia (obligatory xkcd). Failure to prevent the onset of puberty is not meaningfully different from purposefully inducing puberty, just like killing a patient by turning off their ventilator is not meaningfully different from killing them through the injection of pentobabitone.
Naturally, that does not mean that any intervention is good, just that there are no moral shortcuts which save you from looking at the outcomes. (On the object level, I do not have a race in the "gender interventions in minors" topic, my suspicion is that likely no short and simple rule will maximize utility.)
Yes, well, few as they may be, there seems to be a higher concentration of them in the biggest international association concerned with transgender health.
The majority of the observable universe being the cold vacuum of space, you're quite correct, but the one bit of the universe where humans are typically seen, depriving them of oxygen does usually require some form of intervention. If you want a real gotcha you can say they would be upset at refusing a blood transfusion or a dialysis machine, though even there the Natural Law enjoyers have arguments for why they are ok with that, and not other things.
Puberty is a necessary process for development of not just all humans, not just all primates, not even only of all mammals, but practically every animal observable to the naked eye, that anyone will ever run into. Without it it, you lose access to one of the core functions of your body. You can say that it might be worth it under specific circumstances, bot it's loony say they're the same.
The ventilator itself is an active intervention, while puberty is, again, the process of developing a core function of one's healthy body, making the analogy somewhat stilted.
This is where most utilitarians cheat. It's not enough to look at the outcomes, you need a moral framework to judge those outcomes by.
I got used to the "no dog in this fight" folks, but I'd imagine you'd have somethimg to say about your "real world" model of mental health not really reflecting reality because of this issue.
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