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

Abstract

The 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). A 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. A 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. More efforts to reduce GRSE are worth investigating as a strategy to reduce suicidal thoughts and behaviors in Chinese MSM.