Puberty blockers are not safe. That's true. Their relative risk is judged against suicide, an all too common outcome among untreated trans kids (and adults).
"...a negative association found many years after treatment is compatible with three scenarios: puberty blockers reduced suicidal ideation; puberty blockers had no effect on suicidal ideation; puberty blockers increased suicidal ideation, albeit not enough to counteract the initial negative effect of psychological problems on eligibility. Turban et al. (2020, p. 7) acknowledged that “the study’s cross-sectional design…does not allow for determination of causation.”"
https://link.springer.com/article/10.1007/s10508-020-01743-6