title: Prevalence and risk factors for lifetime suicide ideation, plan and attempt in Chinese men who have sex with men.
abstract: BACKGROUND
  To describe the level and risk factors for suicidal behaviors in Chinese men who have sex with men (MSM).
  
  
  METHODS
  A total of 807 MSM were recruited using a respondent-driven sampling method from Anshan, Benxi, Dandong, and Shenyang cities in northeastern China.
  
  
  RESULTS
  Chinese MSM had lifetime prevalences of suicide ideation (18.3%), plan (8.7%) and attempt (4.6%) that were about 2.8, 5.8 and 5.8 times greater than that of male adults in the general population of China. The MSM with any psychiatric disorders were 4-7 times more likely to think about, plan or attempt suicide than those MSM with no disorder, and there was a clear relationship between the number of comorbid disorders and suicidal behaviors. Multiple regression analysis showed that major depression, bipolar disorder, dysthymia and alcohol use disorder significantly increased the risk for suicide ideation, but not for suicide attempt. Drug dependence disorder, panic disorder and generalized anxiety disorder significantly increased the risk for suicide attempt, but not for suicide ideation. More advanced education reduced the risk of suicidal behaviors, sexual orientations revealed to or discovered by family members or friends significantly increased risk of these suicidal behaviors.
  
  
  CONCLUSIONS
  Chinese MSM have significantly increased risk for suicidal behaviors, mental disorders and their comorbidities could be the largest risk factors for the elevated suicidal behaviors in Chinese MSM. Reducing the family and social stigma and rejection of homosexual behavior and early detection and effective treatment of psychiatric disorders and their comorbidities in MSM may help to decrease suicidal behaviors of Chinese MSM.
authors.affiliation: Institute of Chronic Disease, Liaoning Provincial Center for Disease Control and Prevention, Sayang Road 242, Heping District, Shenyang, 110005, P.R. China.
authors.forename: Huijuan
authors.initials: H
authors.lastname: Mu
authors.affiliation: Institute of Chronic Disease, Liaoning Provincial Center for Disease Control and Prevention, Sayang Road 242, Heping District, Shenyang, 110005, P.R. China.
authors.forename: Yanxia
authors.initials: Y
authors.lastname: Li
authors.affiliation: Institute of Chronic Disease, Liaoning Provincial Center for Disease Control and Prevention, Sayang Road 242, Heping District, Shenyang, 110005, P.R. China.
authors.forename: Li
authors.initials: L
authors.lastname: Liu
authors.affiliation: Institute of Chronic Disease, Liaoning Provincial Center for Disease Control and Prevention, Sayang Road 242, Heping District, Shenyang, 110005, P.R. China.
authors.forename: Jun
authors.initials: J
authors.lastname: Na
authors.affiliation: Institute of Chronic Disease, Liaoning Provincial Center for Disease Control and Prevention, Sayang Road 242, Heping District, Shenyang, 110005, P.R. China.
authors.forename: Liya
authors.initials: L
authors.lastname: Yu
authors.affiliation: Anshan Municipal Center for Disease Control and Prevention, Anshan, P.R. China.
authors.forename: Xuejuan
authors.initials: X
authors.lastname: Bi
authors.affiliation: Benxi Municipal Center for Disease Control and Prevention, Benxi, P.R. China.
authors.forename: Xiaoxia
authors.initials: X
authors.lastname: An
authors.affiliation: Shenyang Municipal Center for Disease Control and Prevention, Shenyang, P.R. China.
authors.forename: Yuan
authors.initials: Y
authors.lastname: Gu
authors.affiliation: Dandong Municipal Center for Disease Control and Prevention, Dandong, P.R. China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Zhou
authors.affiliation: Institute of Chronic Disease, Liaoning Provincial Center for Disease Control and Prevention, Sayang Road 242, Heping District, Shenyang, 110005, P.R. China.
authors.forename: Shuang
authors.initials: S
authors.lastname: Li
authors.affiliation: Institute of Chronic Disease, Liaoning Provincial Center for Disease Control and Prevention, Sayang Road 242, Heping District, Shenyang, 110005, P.R. China.
authors.forename: Rui
authors.initials: R
authors.lastname: Zhang
authors.affiliation: Department of Psychiatry, Dalian Medical University, Dalian, P.R. China.
authors.forename: Chao
authors.initials: C
authors.lastname: Jiang
authors.affiliation: Institute of Chronic Disease, Liaoning Provincial Center for Disease Control and Prevention, Sayang Road 242, Heping District, Shenyang, 110005, P.R. China. panpgw@163.com.
authors.forename: Guowei
authors.initials: G
authors.lastname: Pan
mesh_terms: D000293:Adolescent; D000328:Adult; D001714:Bipolar Disorder / Q000453:epidemiology; D002681:China / Q000453:epidemiology; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000453:epidemiology* / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012725:Sexual Behavior; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology; D011795:Surveys and Questionnaires
keywords: Comorbidity; Men who have sex with men; Psychiatric disorder; Suicidal behavior