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The current study draws on photovoice and grounded theory methods to examine the processes that underpin survival for gay men living with HIV who have experienced suicidality. Twenty\u2010two Canadian\u2010based gay men participated, taking photographs to depict and discuss their perspectives on resiliencies. Analyses revealed three processes that supported men's survival: (1) connecting to key supports, (2) finding sanctity in the outdoors, and (3) giving help as purposeful value\u2010adding. Connecting to key supports highlighted the utility of connection and therapeutic communication, listening and support provided by friends, family and professionals. Finding sanctity in the outdoors emphasised the healing capacity of outdoor green spaces, and giving help as purposeful value\u2010adding illustrated the meaning and purpose men derived from supporting others. These findings can inform public health and primary care interventions to foster gay men's resilience and coping, and ultimately suicide prevention efforts.<\/jats:p>","DOI":"10.1111\/1467-9566.13500","type":"journal-article","created":{"date-parts":[[2022,5,26]],"date-time":"2022-05-26T03:35:16Z","timestamp":1653536116000},"page":"1132-1148","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Processes underpinning survival in gay men living with HIV and a history of suicidality"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4838-320X","authenticated-orcid":false,"given":"Ingrid","family":"Handlovsky","sequence":"first","affiliation":[{"name":"School of Nursing University of Victoria  Victoria British Columbia Canada"},{"name":"Institute on Aging &amp; Lifelong Health University of Victoria  Victoria British Columbia 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