Right now only the coroner knows for sure what gender this person was.
I’m still confused by all the newspeak terminology.
I guess their real pronoun is “crazy”.
Yes, you are right about mental illness.
The newspeak is very confusing, probably intentionally so. Easiest way I have found is this: substitute “fake” for “trans”. A “trans-woman” is really a “fake woman” and was born male and has XY chromosomes. A “trans-man” is really a “fake man” and was born female and has XX chromosimes.