School of Population and Public Health, University of British Columbia.
Faculty of Nursing, University of British Columbia.
Am J Orthopsychiatry. 2018;88(6):713-722. doi: 10.1037/ort0000345. Epub 2018 Sep 3.
Gay and bisexual men experience elevated rates of suicide ideation and attempts, as compared with heterosexual men, but face unique barriers in accessing health services. In this context, the present study sought to describe rates of health care engagement among gay and bisexual men with a recent history of suicide ideation or attempts. An anonymous online survey was conducted with 7,872 Canadian gay and bisexual men in 2014-2015. The sample was restricted to characterize patterns of mental health care engagement among respondents who reported suicide ideation or attempts in the previous 12 months. "Engagement" was defined as having discussed mental health concerns (depression, substance use, or suicide) with a provider in the previous 12 months. Rates and correlates of engagement were estimated. Nineteen percent of men reported suicide ideation or attempts in the previous 12 months, of whom 58% had discussed mental health concerns with a provider. Older age, larger social support networks, and being out to a health care provider about one's sexuality were all positively associated with mental health care engagement. Among those who had not engaged with the health care system, 88% had some contact with a provider in the previous 12 months. One-third of these men accessed care through a provider other than their family doctor. Drawing on lessons learned from the HIV crises, collaborations between gay and bisexual community organizations and decision-makers within the health system are needed to address elevated rates of suicide ideation and attempts affecting sexual minorities. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
男同性恋和双性恋者比异性恋男性自杀意念和自杀企图的发生率更高，但在获得卫生服务方面面临独特的障碍。在这种情况下，本研究旨在描述有近期自杀意念或自杀企图史的男同性恋和双性恋者获得卫生保健服务的情况。2014-2015 年，对 7872 名加拿大男同性恋和双性恋者进行了一项匿名在线调查。该样本仅限于描述在过去 12 个月内报告自杀意念或自杀企图的受访者的心理健康保健服务参与模式。“参与”被定义为在过去 12 个月内与提供者讨论过心理健康问题（抑郁、药物使用或自杀）。估计了参与率和参与的相关因素。19%的男性在过去 12 个月内报告有自杀意念或自杀企图，其中 58%的人曾与提供者讨论过心理健康问题。年龄较大、社会支持网络较大、向医疗保健提供者公开自己的性取向，这些都与心理健康保健服务的参与呈正相关。在那些没有与卫生保健系统接触的人中，有 88%在过去 12 个月内与提供者有过某种接触。其中三分之一的人通过家庭医生以外的提供者获得了治疗。借鉴从艾滋病毒危机中吸取的经验教训，需要男同性恋和双性恋社区组织与卫生系统内部的决策者之间开展合作，以解决影响性少数群体的自杀意念和企图发生率高的问题。（美国心理协会，2018 年）
