Suicidality and clinical correlates in Chinese men who have sex with men (MSM) with HIV infection.

Yuan-Yuan Wang, Min Dong, Qinge Zhang, Dan-Dan Xu, Jin Zhao, Chee H Ng, Gabor S Ungvari, Fu-Jun Jia, Yu-Tao Xiang
Author Information
  1. Yuan-Yuan Wang: a Faculty of Health Sciences, Unit of Psychiatry , University of Macau , Macao SAR , China.
  2. Min Dong: a Faculty of Health Sciences, Unit of Psychiatry , University of Macau , Macao SAR , China.
  3. Qinge Zhang: b The National Clinical Research Center for Mental Disorders, China &Center of Depression , Beijing Institute for Brain Disorders & Mood Disorders Center, Beijing Anding Hospital, Capital Medical University , Beijing , China.
  4. Dan-Dan Xu: a Faculty of Health Sciences, Unit of Psychiatry , University of Macau , Macao SAR , China.
  5. Jin Zhao: c Shenzhen Center for Disease Control and Prevention , Guangdong City , Guangdong province , China.
  6. Chee H Ng: d Department of Psychiatry , University of Melbourne , Melbourne , Victoria , Australia.
  7. Gabor S Ungvari: e Greysland Hospital , Perth , Australia.
  8. Fu-Jun Jia: f Guangdong Mental Health Center , Guangdong General Hospital & Guangdong Academy of Medical Sciences , Guangdong City , Guangdong Province , China.
  9. Yu-Tao Xiang: a Faculty of Health Sciences, Unit of Psychiatry , University of Macau , Macao SAR , China.

Abstract

Little is known about suicidality in Chinese men who has sex with men (MSM) infected with human immunodeficiency virus (HIV). This study investigated suicidality and its clinical correlates in Chinese MSM with HIV infection. Suicidality, demographic and clinical characteristics were assessed in 410 MSM with HIV infection consecutively recruited from a public HIV clinic in China. The prevalence of suicidality was 10.7% in Chinese HIV-infected MSM. Compared with those without suicidality, MSM with suicidality were more likely to be younger, unmarried and unemployed, and have more frequent insomnia, lower CD4 lymphocyte counts, and higher GAD-7 and CSE-D total scores. Multiple logistic regression analyses revealed that suicidality was independently associated with unemployment (p = 0.03, OR = 0.3, 95% CI = 0.1-0.9), age (p < 0.01, OR = 0.9, 95% CI = 0.8-0.9), CD4 lymphocyte counts (p = 0.02, OR = 0.9, 95% CI = 0.9-1.0), and the GAD-7 total score (p < 0.001, OR = 1.3, 95% CI = 1.1-1.5). Suicidality is common in Chinese MSM with HIV infection. There is an urgent need to develop comprehensive suicide prevention program and mental health services for this population.

Keywords

MeSH Term

Adult
China
Cross-Sectional Studies
HIV Infections
Homosexuality, Male
Humans
Male
Suicide
Young Adult

Word Cloud

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