Rüütel Kristi, Valk Anti, Lõhmus Liilia
a Infectious Diseases and Drug Monitoring Department , National Institute for Health Development , Tallinn , Estonia.
J Homosex. 2017;64(6):770-785. doi: 10.1080/00918369.2016.1236578. Epub 2016 Sep 20.
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.
过去十年的许多研究提供了有力证据，表明女同性恋、男同性恋、双性恋和跨性别群体的自杀率高于异性恋群体。本研究的目的是调查爱沙尼亚男男性行为者（MSM）的自杀意念、自杀未遂情况及相关因素。我们在全国范围内对男男性行为者开展了一项基于互联网的研究，有265名符合条件的参与者。我们的研究结果显示，男男性行为者自我报告的自杀意念发生率（终生患病率45%）和自杀未遂发生率（终生患病率11%）很高，同时问题饮酒率（33%）和抑郁症状发生率（32%）也很高。近期自杀意念（14%的人在过去12个月内曾考虑过自杀）与抑郁症状和较低的社会经济状况有关。有必要制定具体干预措施来解决男男性行为者中的这些问题，并提供对同性恋友好的心理健康服务。
