BMC Public Health | |
Causes of suicidal behaviors in men who have sex with men in China: a national questionnaire survey | |
Beichuan Zhang3  Lixin Wang1  Yang Li2  Hongquan Chen1  | |
[1] Department of Dermatology, the Affiliated Hospital of Qingdao University, No.16 Jiangsu Road, Qingdao 266003, Shandong, China;Department of Dermatology, Qingdao Sanatorium of Shandong Province, No.16 Zhengyangguan Road, Qingdao 266071, Shandong, China;Sex Health Center, the Affiliated Hospital of Qingdao University, No.16 Jiangsu Road, Qingdao 266003, Shandong, China | |
关键词: Questionnaire survey; Risk factors; Suicidal ideation; Suicide behaviors; MSM; | |
Others : 1131380 DOI : 10.1186/s12889-015-1436-8 |
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received in 2014-11-20, accepted in 2015-01-15, 发布年份 2015 | |
【 摘 要 】
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.
【 授权许可】
2015 Chen et al.; licensee BioMed Central.
【 预 览 】
Files | Size | Format | View |
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20150302031841740.pdf | 318KB | download |
【 参考文献 】
- [1]Sheng L, Cao WK: HIV/AIDS epidemiology and prevention in China. Chin Med J 2008, 121(13):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: Public health challenges of the emerging HIV epidemic among men who have sex with men in China. Public Health 2011, 125(5):260-5.
- [4]Zhang BC, Chu QS: MSM and HIV/AIDS in China. Cell Res 2005, 15(11–12):858-64.
- [5]van Griensven F, de Lind van Wijngaarden JW: A review of the epidemiology of HIV infection and prevention responses among MSM in Asia. Aids 2010, 24(3):S30-40.
- [6]King M, Semlyen J, Tai SS, Killaspy H, Osborn D, Popelyuk D, et al.: A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry 2008, 8:70. BioMed Central Full Text
- [7]Safren SA, Blashill AJ, O'Cleirigh CM: Promoting the sexual health of MSM in the context of comorbid mental health problems. AIDS Behav 2011, 15(Suppl 1):S30-4.
- [8]Balsam KF, Lehavot K, Beadnell B, Circo E: Childhood abuse and mental health indicators among ethnically diverse lesbian, gay, and bisexual adults. J Consult Clin Psychol 2010, 78(4):459-68.
- [9]Paul JP, Catania J, Pollack L, Moskowitz J, Canchola J, Mills T, et al.: Suicide attempts among gay and bisexual men: lifetime prevalence and antecedents. Am J Public Health 2002, 92(8):1338-45.
- [10]O'Donnell S, Meyer IH, Schwartz S: Increased risk of suicide attempts among Black and Latino lesbians, gay men, and bisexuals. Am J Public Health 2011, 101(6):1055-9.
- [11]Sivasubramanian M, Mimiaga MJ, Mayer KH, Anand VR, Johnson CV, Prabhugate P, et al.: 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 2011, 16(4):450-62.
- [12]Chen G, Li Y, Zhang B, Yu Z, Li X, Wang L, et al.: Psychological characteristics in high-risk MSM in China. BMC Publ Health 2012, 12:58. BioMed Central Full Text
- [13]Bailey RK, Patel TC, Avenido J, Patel M, Jaleel M, Barker NC, et al.: Suicide: current trends. J Natl Med Assoc 2011, 103(7):614-7.
- [14]Zhang J, Li N, Tu XM, Xiao S, Jia C: Risk factors for rural young suicide in China: a case-control study. J Affect Disord 2011, 129(1–3):244-51.
- [15]Ma X, Xiang YT, Cai ZJ, Li SR, Xiang YQ, Guo HL, et al.: Lifetime prevalence of suicidal ideation, suicide plans and attempts in rural and urban regions of Beijing, China. Aust N Z J Psychiatry 2009, 43(2):158-66.
- [16]Zhang J, Ma Z: Patterns of life events preceding the suicide in rural young Chinese: a case control study. J Affect Disord 2012, 140(2):161-7.
- [17]Carrico AW, Neilands TB, Johnson MO: Suicidal ideation is associated with HIV transmission risk in men who have sex with men. J Acquir Immune Defic Syndr 2010, 54(4):e3-4.
- [18]Antoni MH, Schneiderman N, Klimas N, LaPerriere A, Ironson G, Fletcher MA: Disparities in psychological, neuroendocrine, and immunologic patterns in asymptomatic HIV-1 seropositive and seronegative gay men. Biol Psychiatr 1991, 29(10):1023-41.
- [19]Gibbie TM, Mijch A, Hay M: High levels of psychological distress in MSM are independent of HIV status. J Health Psychol 2012, 17(5):653-63.