I did not listen to this video, but in watching it, it appears to me that the "father" in the "family", is a lesbian that underwent some sort of alteration.
Mental disorders, child abuse, possibly medical ethics violations run rampant in this news item.
The kid just wanted to be like his older sister. Parents too stupid to realize what was going on. This won't last. Jackie will be Jack again in a couple years at the latest. Unless his loving parents sexually mutilate him before then. If that happens he will merely be suicidal for the brief remainder of his life.