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

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.

对于感染人类免疫缺陷病毒（HIV）的中国男男性行为者（MSM）的自杀倾向了解甚少。本研究调查了中国感染HIV的男男性行为者的自杀倾向及其临床相关因素。对从中国一家公立HIV诊所连续招募的410名感染HIV的男男性行为者的自杀倾向、人口统计学和临床特征进行了评估。中国感染HIV的男男性行为者中自杀倾向的患病率为10.7%。与无自杀倾向者相比，有自杀倾向的男男性行为者更可能更年轻、未婚、失业，且更频繁地失眠，CD4淋巴细胞计数更低，广泛性焦虑障碍量表 - 7（GAD - 7）和流调中心抑郁量表（CSE - D）总分更高。多元逻辑回归分析显示，自杀倾向与失业（p = 0.03，优势比 = 0.3，95%置信区间 = 0.1 - 0.9）、年龄（p < 0.01，优势比 = 0.9，95%置信区间 = 0.8 - 0.9）、CD4淋巴细胞计数（p = 0.02，优势比 = 0.9，95%置信区间 = 0.9 - 1.0）以及GAD - 7总分（p < 0.001，优势比 = 1.3，95%置信区间 = 1.1 - 1.5）独立相关。自杀倾向在感染HIV的中国男男性行为者中较为常见。迫切需要为这一人群制定全面的自杀预防计划和心理健康服务。