Lee Carrie, Oliffe John L, Kelly Mary T, Ferlatte Olivier
1 University of British Columbia, Vancouver, British Columbia, Canada.
Am J Mens Health. 2017 Jul;11(4):910-919. doi: 10.1177/1557988316685492. Epub 2017 Jan 19.
Gay men are a subgroup vulnerable to depression and suicidality. The prevalence of depression among gay men is three times higher than the general adult population. Because depression is a known risk factor for suicide, gay men are also at high risk for suicidality. Despite the high prevalence of depression and suicidality, health researchers and health care providers have tended to focus on sexual health issues, most often human immunodeficiency virus in gay men. Related to this, gay men's health has often been defined by sexual practices, and poorly understood are the intersections of gay men's physical and mental health with social determinants of health including ethnicity, locale, education level, and socioeconomic status. In the current article summated is literature addressing risk factors for depression and suicidality among gay men including family acceptance of their sexual identities, social cohesion and belonging, internalized stigma, and victimization. Barriers to gay men's help seeking are also discussed in detailing how health care providers might advance the well-being of this underserved subgroup by effectively addressing depression and suicidality.
男同性恋者是易患抑郁症和自杀倾向的一个亚群体。男同性恋者中抑郁症的患病率比一般成年人口高出两倍。由于抑郁症是自杀的已知风险因素，男同性恋者也有很高的自杀风险。尽管抑郁症和自杀倾向的患病率很高，但健康研究人员和医疗服务提供者往往将重点放在性健康问题上，在男同性恋者中最常见的是人类免疫缺陷病毒。与此相关的是，男同性恋者的健康常常由性行为来定义，而男同性恋者的身心健康与包括种族、地区、教育水平和社会经济地位在内的健康社会决定因素之间的交叉关系却鲜为人知。在当前这篇文章中，总结了有关男同性恋者抑郁症和自杀倾向风险因素的文献，包括家庭对其性取向的接受程度、社会凝聚力和归属感、内化的耻辱感以及受害情况。还详细讨论了男同性恋者寻求帮助的障碍，以及医疗服务提供者如何通过有效解决抑郁症和自杀倾向来促进这个未得到充分服务的亚群体的福祉。
