Remafedi Gary
Youth and AIDS Projects, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota 55403, USA.
J Adolesc Health. 2002 Oct;31(4):305-10. doi: 10.1016/s1054-139x(02)00405-6.
To examine the incidence, prevalence, and characteristics of suicide attempts in a unique, venue-based sample of young men who have sex with men (YMSM). Eligible participants were 15-25-year-old men who were living in a major metropolitan area (Minneapolis/St. Paul, Minnesota) and had sex with men within 12 months of the interview. A total of 255 subjects were randomly sampled from popular venues for a structured, 20-min interview (1999) that included four items regarding suicide intentions and attempts. Data were analyzed using bivariate and multivariate tests of statistical significance. Eighty-six percent of eligible individuals completed the survey. One-third of all respondents reported at least one suicide attempt, and 4.7% attempted suicide in the past year. Although suicide attempts were more prevalent among African-Americans and urban residents; only school enrollment was significantly associated with attempts in the multivariate analysis (odds ratio = .55, 95% confidence interval = .31,.97). This study corroborates the findings of prior studies of high rates of suicide attempts among YMSM. In addition, it demonstrates that attempts are more prevalent among out-of-school youths.
在一个独特的、基于场所的男男性行为青年样本(YMSM)中,研究自杀未遂的发生率、患病率及特征。符合条件的参与者为年龄在15至25岁之间、居住在一个主要大都市地区(明尼阿波利斯/圣保罗,明尼苏达州)且在访谈前12个月内有过男男性行为的男性。从热门场所中随机抽取了255名受试者进行一次20分钟的结构化访谈(1999年),访谈内容包括四个有关自杀意图和未遂的问题。使用双变量和多变量统计显著性检验对数据进行分析。86%符合条件的个体完成了调查。所有受访者中有三分之一报告至少有过一次自杀未遂,且在过去一年中有4.7%的人尝试过自杀。尽管自杀未遂在非裔美国人和城市居民中更为普遍;但在多变量分析中,只有在校情况与自杀未遂显著相关(比值比=0.55,95%置信区间=0.31,0.97)。本研究证实了先前关于YMSM中自杀未遂率较高的研究结果。此外,它还表明自杀未遂在失学青年中更为普遍。