Association of recent gay-related stressful events and emotional distress with suicidal behaviors over 12months in Chinese men who have sex with men

作者：Yu, Liya; Li, Yanxia; Liu, Li; Li, Shuang; Na, Jun; An, Xiaoxia; Zhou, Yan; Gu, Yuan; Bi, Xuejuan; Mu, Huijuan; Zhang, Rui; Dong, Wen; Pan, Guowei^*

来源：Asia-Pacific Psychiatry, 2018, 10(1): e12286.

DOI：10.1111/appy.12286

• anxiety symptoms
• depression symptom
• gay related stressful event
• men who have sex with men
• suicidal behaviors

IntroductionThe study was designed to assess the association of gay-related stressful events (GRSEs) and emotional distress with suicidal behaviors over a 12-month period in Chinese men who have sex with men (MSM). @@@ MethodsA total of 807 MSM were recruited using a respondent-driven sampling method from 4 cities in northeastern China. The GRSEs were measured using the Gay-related Stressful Life Events Scale, depression using the Self-rating Depression Scale, and anxiety using the Self-rating Anxiety Scale. @@@ ResultsA total of 26.0% of study participants experienced GRSEs during the 3months, and their average Self-rating Depression Scale and Self-rating Anxiety Scale scores were significantly lower than the national norms. Over a 12-month period, the prevalence of suicidal ideation, plan, and attempt was 9.7%, 4.0%, and 3.0%, respectively, each of which is at least 3 to 4 times greater than that of male adults in the general population of China. Multiple logistic regression analysis showed that GRSEs significantly increased the risk of suicidal ideation (odds ratio [OR]=2.3, 95% confidence interval [CI], 1.4-3.7) and plan (OR=2.8, 95% CI, 1.3-6.0). Depressive symptoms significantly increased the risk of suicidal ideation (OR=3.5, 95% CI, 2.1-5.8), plan (OR=4.4, 95% CI, 2.0-9.6), and attempt (OR=5.6, 95% CI, 21.94.8). Anxiety symptoms (OR=3.4, 95% CI, 1.4-8.4) and cohabitation with a same sex partner (OR=3.0, 95% CI, 1.2-7.9) significantly increased the risk of suicide attempt. @@@ DiscussionMore efforts to reduce GRSE are worth investigating as a strategy to reduce suicidal thoughts and behaviors in Chinese MSM.

• 出版日期2018-3
• 单位大连医科大学; 辽宁省疾病预防控制中心