Department of Applied Social Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China.
Am J Mens Health. 2022 Sep-Oct;16(5):15579883221120985. doi: 10.1177/15579883221120985.
Older adults' mental health and suicidal tendencies have garnered much attention because of their vulnerability. Few studies have examined the impact of psychological well-being and suicide attempts among older men who have sex with men (OMSM). This study examines the levels of depression and suicidal tendencies among OMSM, factors impacting their mental health, and their likelihood of committing suicide. Descriptive statistics are used to analyze the correlation between depression and suicidal tendencies among OMSM in the United States. We constructed a regression model using relevant data, and scales were selected based on a literature review. The validity and relevance of the control variables were considered. Depression and suicidal tendencies were dependent variables. Data were obtained from the U.S. General Social Survey and analyzed with an ordinary least squares model. There were significant differences between MSM and general groups in depression and suicidal tendency scores ( = 67.084, 58.193, < .01). Compared with general groups, MSM scored significantly higher on depression and suicidal tendencies. The regression analysis revealed that sex with men was associated with depression and suicidal tendencies ( < .01) among older men. This indicates that OMSM generally have higher levels of depression and suicidal tendencies than the general population. Finally, in the intermediary test, the level of depression had a significant mediating effect on the relationship between homosexuality and suicidal tendencies ( < .01). This suggests that depression intervention can help reduce suicidal tendencies among OMSM.
老年人的心理健康和自杀倾向因他们的脆弱性而备受关注。很少有研究探讨过男男性行为者（MSM）老年人的心理健康和自杀企图的影响。本研究考察了美国 MSM 中抑郁和自杀倾向的水平、影响他们心理健康的因素以及他们自杀的可能性。我们使用描述性统计来分析美国 MSM 中抑郁和自杀倾向之间的相关性。我们使用相关数据构建了一个回归模型，并根据文献回顾选择了量表。考虑了控制变量的有效性和相关性。抑郁和自杀倾向是因变量。数据来自美国综合社会调查，并使用普通最小二乘法模型进行分析。在抑郁和自杀倾向得分方面，MSM 与一般群体存在显著差异（=67.084，58.193，<.01）。与一般群体相比，MSM 在抑郁和自杀倾向方面的得分明显更高。回归分析表明，与男性发生性关系与老年人的抑郁和自杀倾向有关（<.01）。这表明，与一般人群相比，MSM 通常具有更高的抑郁和自杀倾向。最后，在中介测试中，抑郁程度对同性恋与自杀倾向之间的关系具有显著的中介作用（<.01）。这表明，抑郁干预可以帮助减少 MSM 中的自杀倾向。
