男男性行为者自杀行为与社会心理因素关系

Relationship Between Suicidal Behaviors of MSM and Social-psychological Factors

目的了解男男性行为者(MSM)人群自杀行为及社会心理因素关系。方法 采用自编调查表,用应答者趋动招募抽样法(RDS)对MSM人群进行招募和自填式匿名调查。结果共调查201人,最近6个月自杀意念、自杀计划、自杀未遂报告率分别为9.0%(18/201)、4.5%(9/201)、3.5%(7/201)。和MSM朋友是否去过MSM活动公园、浏览过MSM网站自杀意念报告率差异有统计学意义(P<0.05),是否到过迪斯科/夜总会、参加家庭MSM聚会自杀计划报告率差异有统计学意义(P<0.05),是否参加过MSM家庭聚会自杀未遂报告率差异有统计学意义(P<0.01);认为性取向伤害了家庭、被家人训斥自杀意念报告率差异有统计学意义(P<0.01),同性性取向被家人训斥、被怀疑精神有问题、因别人指点穿着打扮烦恼、失去住处的自杀计划、自杀未遂报告率差异有统计学意义(P<0.05);抑郁症状检出与自杀意念、自杀计划、自杀未遂报告率相关(P<0.05),到过相应社会活动场所、经历相应社会歧视和有抑郁症状者自杀行为报告率较高。结论 MSM人群自杀行为报告率较高,与社会心理因素相关,应针对性开展自杀行为干预和心理疏导。

Objective To explore the relationship between suicidal behavior and social-psychological factors in men who have sex with men（MSM）. Methods The respondents recruited from MSM group by the method of Research Development and Statistics（RDS） were surveyed using self-designed anonymous questionnaires. Results Totally 201 MSM were investigated,and the results showed that the reporting rates of suicidal ideation,suicidal plan,and failed suicide attempts in the last 6 months were 9.0%（18/201）,4.5%（9/201） and 3.5%（7/201）,respectively.There were statistically significant differences in the reporting rate of suicidal ideation between whether the respondents who had been to MSM activity park and browsed MSM websites or not（P0.05）.There were statistically significant differences in the reporting rate of suicidal plan between whether the respondents who had been to disco/night club and participated SMS house-hold party or not（P0.05）.There were statistically significant differences in the reporting rate of failed suicide attempts between whether the respondents who had participated in house-hold private party or not（P0.01）.There were statistically significant differences in the reporting rate of suicidal ideation among the respondents with different frequencies of considering that sexual orientation did harm to the family and the respondents with different frequencies of being rebuked by family members（P0.01）.There were statistically significant differences in the reporting rates of suicidal plan and failed suicidal attempts among the respondents with different frequencies of being rebuked by family members because of homosexual orientation,with different frequencies of being suspected to have mental problems,with different frequencies of worrying about being criticized for their dressing,and with different frequencies of losing their residency（P0.05）.The reporting rates of suicidal ideation,suicidal plan,and failed suicide attempts were correlated with the detection of depressive symptoms（P0.05）.The reporting rate of suicidal behavior was higher among the respondents who had been to the relevant activity sites,ones who underwent the relevant discrimination,and ones who had depressive symptoms（P0.05）. Conclusions The reporting rate of suicidal behavior of MSM group is higher,which is related to social-psychological factors.It is necessary to conduct the targeted intervention on suicidal behavior and psychological consultation among MSM group.