{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T08:02:08Z","timestamp":1774339328110,"version":"3.50.1"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,6,21]],"date-time":"2017-06-21T00:00:00Z","timestamp":1498003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Liaoning Provincial Science-Technology Department","award":["2008225001"],"award-info":[{"award-number":["2008225001"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asia-Pacific Psychiatry"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The study was designed to assess the association of gay\u2010related stressful events (GRSEs) and emotional distress with suicidal behaviors over a 12\u2010month period in Chinese men who have sex with men (MSM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 807 MSM were recruited using a respondent\u2010driven sampling method from 4 cities in northeastern China. The GRSEs were measured using the Gay\u2010related Stressful Life Events Scale, depression using the Self\u2010rating Depression Scale, and anxiety using the Self\u2010rating Anxiety Scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 26.0% of study participants experienced GRSEs during the 3\u00a0months, and their average Self\u2010rating Depression Scale and Self\u2010rating Anxiety Scale scores were significantly lower than the national norms. Over a 12\u2010month period, the prevalence of suicidal ideation, plan, and attempt was 9.7%, 4.0%, and 3.0%, respectively, each of which is at least 3 to 4 times greater than that of male adults in the general population of China. Multiple logistic regression analysis showed that GRSEs significantly increased the risk of suicidal ideation (odds ratio [OR]\u00a0=\u00a02.3, 95% confidence interval [CI], 1.4\u20103.7) and plan (OR\u00a0=\u00a02.8, 95% CI, 1.3\u20106.0). Depressive symptoms significantly increased the risk of suicidal ideation (OR\u00a0=\u00a03.5, 95% CI, 2.1\u20105.8), plan (OR\u00a0=\u00a04.4, 95% CI, 2.0\u20109.6), and attempt (OR\u00a0=\u00a05.6, 95% CI, 21.94.8). Anxiety symptoms (OR\u00a0=\u00a03.4, 95% CI, 1.4\u20108.4) and cohabitation with a same sex partner (OR\u00a0=\u00a03.0, 95% CI, 1.2\u20107.9) significantly increased the risk of suicide attempt.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>More efforts to reduce GRSE are worth investigating as a strategy to reduce suicidal thoughts and behaviors in Chinese MSM.<\/jats:p><\/jats:sec>","DOI":"10.1111\/appy.12286","type":"journal-article","created":{"date-parts":[[2017,6,21]],"date-time":"2017-06-21T09:28:42Z","timestamp":1498037322000},"source":"Crossref","is-referenced-by-count":16,"title":["Association of recent gay\u2010related stressful events and emotional distress with suicidal behaviors over 12\u00a0months in <scp>C<\/scp>hinese men who have sex with men"],"prefix":"10.1111","volume":"10","author":[{"given":"Liya","family":"Yu","sequence":"first","affiliation":[{"name":"Institute of Chronic Disease Liaoning Provincial Center for Disease Control and 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