Prevalence of suicidal ideation and associated factors among HIV-positive MSM in Anhui, China

Int J STD AIDS. 2015 Jun;26(7):496-503. doi: 10.1177/0956462414544722. Epub 2014 Jul 23.

Abstract

The aim of this study was to investigate the prevalence and factors associated with suicidal ideation among HIV-positive men who have sex with men (MSM) in Anhui, China. A cross-sectional study was conducted to recruit HIV-positive MSM in Anhui, China. A total of 184 HIV-positive MSM gave informed consent and completed the interview. Correlates of suicidal ideation were assessed using multivariable logistic regression. Fifty-seven (31%) of HIV-positive MSM had suicidal ideations within six months before the interview. Multivariable analyses showed that learning of their HIV status in the past 12 months (adjusted odds ratio (AOR) = 3.4, 95% CI = 1.6-7.3), perceived HIV stigma (AOR = 2.4, 95% CI = 1.1-5.2), depression symptoms (AOR = 2.6, 95% CI = 1.1-5.9) and anxiety symptoms (AOR = 2.7, 95% CI = 1.2-6.1) were significantly associated with the suicidal ideation among HIV-positive MSM. The results indicated that suicidal ideation was common among HIV-positive MSM in Anhui, China. There is an urgent need to establish psychological counselling services among HIV-positive MSM in China. Targeting of these potential risk factors could be an effective approach to reduce the suicide risk among this high-risk subgroup by the implementation of early intervention measurements.

Keywords: AIDS; HIV; Men who have sex with men; anxiety; depression; suicidal ideation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anxiety / epidemiology
  • Anxiety / psychology
  • China / epidemiology
  • Cross-Sectional Studies
  • Depression / epidemiology*
  • Depression / psychology
  • HIV Infections / epidemiology
  • HIV Infections / psychology*
  • Homosexuality, Male / psychology
  • Homosexuality, Male / statistics & numerical data*
  • Humans
  • Male
  • Prevalence
  • Regression Analysis
  • Risk Factors
  • Self Concept
  • Socioeconomic Factors
  • Suicidal Ideation*
  • Suicide, Attempted / psychology
  • Suicide, Attempted / statistics & numerical data*
  • Young Adult