上海市男男性行为人群自杀意念及其相关社会心理因素研究

Psychosocial Factors Associated with Suicidal Ideation Among Men Who Have Sex with Men in Shanghai,China

目的探索上海地区男男性行为(MSM)人群中各种社会心理问题在其产生自杀意念个的作用,为该人群自杀干预提供参考。方法采用滚雪球法,选取上海4个区共547名MSM人群进行问卷调查。用Logistic回归分析社会心理问题对MSM人群自杀意念的作用。结果研究对象中有58人(10.6%)承认在过去的1年内有过自杀意念。多因素Logistic回归分析表明非服从意愿(ORm=2.92,95%CI=1.55~5.51)及危险性行为(ORm=3.79,95%CI=1.44~9.97)与自杀意念相关。结论研究表明MSM人群中社会心理问题会显著增加自杀意念。相关的社会心理因素的早期识别可为MSM人群中开展干预提供依据。

Objective To provide suggestion for suicidality intervention among Men Who Have Sex with Men（MSM） by exploring the associations between psychosocial factors and suicidal ideation in Shanghai, China. Methods By using the ＂snowball＂ technique, a cross-sectional study was conducted among 547 MSM in four Districts in Shanghai. Logistic regressions were performed to assess the associations between psychosocial factors and suicidal ideation. Results Fifty eight（10.6%） of the participants reported have had suicidal ideations in the past year. Involuntary subordination（ORm=2.92, 95% CI=1.55-5.51） and risky sex behavior（ORm=3.79, 95% CI=1.44-9.97） were found significant by using multivariate logistic regression analysis. Conclusion The study confirmed psychosocial problems increasing the risk of suicidality among MSM. Early identification of psychosocial problems among MSM will benefit to conduct intervention of suicidality.