Causes of suicidal behaviors in men who have sex with men in China: a national questionnaire survey

详细信息    查看全文

• 作者：Hongquan Chen (1)
  Yang Li (2)
  Lixin Wang (1)
  Beichuan Zhang (3)
  
  1. Department of Dermatology ; the Affiliated Hospital of Qingdao University ; No.16 Jiangsu Road ; Qingdao ; Shandong ; 266003 ; China
  2. Department of Dermatology ; Qingdao Sanatorium of Shandong Province ; No.16 Zhengyangguan Road ; Qingdao ; 266071 ; Shandong ; China
  3. Sex Health Center ; the Affiliated Hospital of Qingdao University ; No.16 Jiangsu Road ; Qingdao ; Shandong ; 266003 ; China
  
• 关键词：MSM ; Suicide behaviors ; Suicidal ideation ; Risk factors ; Questionnaire survey
• 刊名：BMC Public Health
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：15
• 期：1
• 全文大小：318 KB
• 参考文献：1. Sheng, L, Cao, WK (2008) HIV/AIDS epidemiology and prevention in China. Chin Med J 121: pp. 1230-6
  2. UNAIDS: The Estimation Report on Chinese AIDS Epidemic in 2011. Beijing, UNAIDS. Joint United Nations Programme on HIV/AIDS (UNAIDS), 2011 http://www.chinaaids.cn/fzdt/zxdd/201201/W020141216427590954445.pdf.
  3. Lau, JT, Lin, C, Hao, C, Wu, X, Gu, J (2011) Public health challenges of the emerging HIV epidemic among men who have sex with men in China. Public Health 125: pp. 260-5 CrossRef
  4. Zhang, BC, Chu, QS (2005) MSM and HIV/AIDS in China. Cell Res 15: pp. 858-64 CrossRef
  5. Griensven, F, de Lind van Wijngaarden, JW (2010) A review of the epidemiology of HIV infection and prevention responses among MSM in Asia. Aids 24: pp. S30-40 CrossRef
  6. King, M, Semlyen, J, Tai, SS, Killaspy, H, Osborn, D, Popelyuk, D (2008) A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry 8: pp. 70 CrossRef
  7. Safren, SA, Blashill, AJ, O'Cleirigh, CM (2011) Promoting the sexual health of MSM in the context of comorbid mental health problems. AIDS Behav 15: pp. S30-4 CrossRef
  8. Balsam, KF, Lehavot, K, Beadnell, B, Circo, E (2010) Childhood abuse and mental health indicators among ethnically diverse lesbian, gay, and bisexual adults. J Consult Clin Psychol 78: pp. 459-68 CrossRef
  9. Paul, JP, Catania, J, Pollack, L, Moskowitz, J, Canchola, J, Mills, T (2002) Suicide attempts among gay and bisexual men: lifetime prevalence and antecedents. Am J Public Health 92: pp. 1338-45 CrossRef
  10. O'Donnell, S, Meyer, IH, Schwartz, S (2011) Increased risk of suicide attempts among Black and Latino lesbians, gay men, and bisexuals. Am J Public Health 101: pp. 1055-9 CrossRef
  11. Sivasubramanian, M, Mimiaga, MJ, Mayer, KH, Anand, VR, Johnson, CV, Prabhugate, P (2011) Suicidality, clinical depression, and anxiety disorders are highly prevalent in men who have sex with men in Mumbai, India: findings from a community-recruited sample. Psychol Health Med 16: pp. 450-62 CrossRef
  12. Chen, G, Li, Y, Zhang, B, Yu, Z, Li, X, Wang, L (2012) Psychological characteristics in high-risk MSM in China. BMC Publ Health 12: pp. 58 CrossRef
  13. Bailey, RK, Patel, TC, Avenido, J, Patel, M, Jaleel, M, Barker, NC (2011) Suicide: current trends. J Natl Med Assoc 103: pp. 614-7
  14. Zhang, J, Li, N, Tu, XM, Xiao, S, Jia, C (2011) Risk factors for rural young suicide in China: a case-control study. J Affect Disord 129: pp. 244-51 CrossRef
  15. Ma, X, Xiang, YT, Cai, ZJ, Li, SR, Xiang, YQ, Guo, HL (2009) Lifetime prevalence of suicidal ideation, suicide plans and attempts in rural and urban regions of Beijing, China. Aust N Z J Psychiatry 43: pp. 158-66 CrossRef
  16. Zhang, J, Ma, Z (2012) Patterns of life events preceding the suicide in rural young Chinese: a case control study. J Affect Disord 140: pp. 161-7 CrossRef
  17. Carrico, AW, Neilands, TB, Johnson, MO (2010) Suicidal ideation is associated with HIV transmission risk in men who have sex with men. J Acquir Immune Defic Syndr 54: pp. e3-4 CrossRef
  18. Antoni, MH, Schneiderman, N, Klimas, N, LaPerriere, A, Ironson, G, Fletcher, MA (1991) Disparities in psychological, neuroendocrine, and immunologic patterns in asymptomatic HIV-1 seropositive and seronegative gay men. Biol Psychiatr 29: pp. 1023-41 CrossRef
  19. Gibbie, TM, Mijch, A, Hay, M (2012) High levels of psychological distress in MSM are independent of HIV status. J Health Psychol 17: pp. 653-63 CrossRef
  
• 刊物主题：Public Health; Medicine/Public Health, general; Epidemiology; Environmental Health; Biostatistics; Vaccine;
• 出版者：BioMed Central
• ISSN：1471-2458

文摘

Background Men who have sex with men (MSM) have become a high-risk group of HIV infection in China. To date, little is known regarding the psychological characteristics in Chinese MSM, especially the prevalence of suicidal ideation and attempts. Methods A questionnaire survey was conducted on 2,250 MSM recruited from gay bars in 9 large cities in mainland China. Data on the prevalence of suicidal ideation and attempts as well as the underlying causes in the respondents were analyzed. Results A total of 1530 MSM responded to the question regarding previous suicidal ideation and attempts. Of these respondents, 26.01% had ever considered suicide and 12.55% actually attempted suicide at least once. Romantic gay relationship breakup was the number one cause of suicide behaviors, followed by self-objection to homosexuality, difficulties in finding gay partners or in getting used to heterosexual marriage life, sudden emotional hurts from unexpected events, illegal status of gay marriage in China and disclosure of homosexuality. Conclusions The survey study has led to a better understanding of the factors contributing to suicide behaviors of MSM in China, which may have significant implications in developing preventive strategies against suicide behaviors in this unique group of individuals.