title: Suicidality and Associated Factors Among Men Who Have Sex With Men in Estonia.
abstract: Many studies over the last decade provide strong evidence of elevated rates of suicidality among lesbian, gay, bisexual, and transgender populations compared to heterosexual populations. The aim of the current study was to investigate suicidal ideation and attempts and related factors among men who have sex with men (MSM) in Estonia. We conducted a nationwide Internet-based study among MSM with 265 eligible participants. Our results reveal high rates of self-reported suicidal ideation (lifetime prevalence 45%) and attempts (lifetime prevalence 11%) as well as a high rate of problem drinking (33%) and depressive symptoms (32%) among MSM. Recent suicidal ideation (14% had thought about suicide in the last 12 months) was related to depressive symptoms and lower socioeconomic situation. There is a need to develop specific interventions to address these issues among MSM and to provide gay-friendly mental health services.
authors.affiliation: a Infectious Diseases and Drug Monitoring Department , National Institute for Health Development , Tallinn , Estonia.
authors.forename: Kristi
authors.initials: K
authors.lastname: Rüütel
authors.affiliation: a Infectious Diseases and Drug Monitoring Department , National Institute for Health Development , Tallinn , Estonia.
authors.forename: Anti
authors.initials: A
authors.lastname: Valk
authors.affiliation: a Infectious Diseases and Drug Monitoring Department , National Institute for Health Development , Tallinn , Estonia.
authors.forename: Liilia
authors.initials: L
authors.lastname: Lõhmus
mesh_terms: D000293:Adolescent; D000328:Adult; D003863:Depression / Q000453:epidemiology / Q000523:psychology; D004957:Estonia; D020010:Heterosexuality / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D015995:Prevalence; D000072339:Sexual and Gender Minorities / Q000523:psychology*; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Depression; HIV; internalized homonegativity; men who have sex with men; outness; problem drinking; suicide