Suicide related ideation and behavior among Canadian gay and bisexual men: a syndemic analysis

Ferlatte, Olivier; Dulai, Joshun; Hottes, Travis Salway; Trussler, Terry; Marchand, Rick
July 2015
BMC Public Health;Jul2015, Vol. 15 Issue 1, p1
Academic Journal
Background: While several studies have demonstrated that gay and bisexual men are at increased risk of suicide less attention has been given to the processes that generate the inherent inequity with the mainstream population. This study tested whether syndemic theory can explain the excess suicide burden in a sample of Canadian gay and bisexual men. Syndemic theory accounts for co-occurring and mutually reinforcing epidemics suffered by vulnerable groups due to the effects of social marginalization. Methods: This study used data from Sex Now 2011, a cross-sectional survey of Canadian gay and bisexual men (n = 8382). The analysis measured the extent to which anti-gay marginalization and several psychosocial health problems are associated with suicide related ideation and attempts. Since psychosocial health problems were hypothesized to have an additive effect on suicide related ideation and attempts, the analysis calculated the effect of accumulated psychosocial health problems on suicide behavior. Results: Suicide ideation and attempts were positively associated with each individual marginalization indicator (verbal violence, physical violence, bullying, sexual violence and work discrimination) and psychosocial health problems (smoking, party drugs, depression, anxiety, STIs, HIV risk and HIV). Furthermore, prevalence of suicide ideation and attempts increased with each added psychosocial health problem. Those who reported 3 or more had 6.90 (5.47-8.70) times the odds of experiencing suicide ideation and 16.29 (9.82-27.02) times the odds of a suicide attempt compared to those with no psychosocial health problems. Conclusions: This investigation suggests that syndemics is a useful theory for studying suicide behavior among gay and bisexual men. Moreover, the findings highlight a need to address gay and bisexual men's health problems holistically and the urgent need to reduce this population's experience with marginalization and violence.


Related Articles

  • GRACE THERAPY: MEETING THE CHALLENGE OF GROUP THERAPY FOR MALE BATTERERS. Ronel, Natti; Tim, R. // Clinical Social Work Journal;Spring2003, Vol. 31 Issue 1, p63 

    Grace Therapy is a relatively new model for male batterers' group therapy, based on the 12-Step program. Grace Therapy attempts to address the marked suspicion of and resistance to treatment that most male batterers display, while offering several principles that work together to enhance the...

  • Examining the Science and Practice of Violence Risk Assessment with Female Adolescents. Odgers, Candice L.; Moretti, Marlene M.; Reppucci, N. Dickon // Law & Human Behavior (Springer Science & Business Media B.V.);Feb2005, Vol. 29 Issue 1, p7 

    While the field of violence risk assessment among adult males has progressed rapidly, several questions remain with respect to the application of forensic risk assessment tools within other populations. In this article, we consider the empirical evidence for the assessment, prediction, and...

  • Masculine ideals prevent suicides.  // Filipino Post;7/1/2010, p11 

    The article presents a study regarding the risk factors and prevention strategies that can help men combat depression and overcome thoughts of suicide in British Columbia.

  • note from the editor. Zbogar, Hema // CrossCurrents: The Journal of Addiction & Mental Health;Summer2010, Vol. 13 Issue 4, p1 

    An introduction to the journal is presented in which the editor discusses various reports published within the issue including one about mental health and addiction issues, another about men's needs and stories that cover masculinity and depression.

  • What Can a Shrink Do for You? McGLYNN, DAVID // Men's Health;Jan/Feb2016, Vol. 31 Issue 1, p65 

    The article presents questions and answers related to how psychiatrists can help men including what kind of therapist should one visit, how will one know if he needs to see a therapist, and whether a special effort is needed to find a male therapist.

  • Men's mental health. Jones, Patrick // Canadian Urological Association Journal;sep/oct2014, Vol. 8 Issue 9/10, p305 

    No abstract available.

  • Does Socio-structural Context Matter? A Multilevel Test of Sexual Minority Stigma and Depressive Symptoms in Four Asia-Pacific Countries. Miedema, Stephanie Spaid; Haardörfer, Regine; Keyes, Corey L. M.; Yount, Kathryn M. // Journal of Health & Social Behavior;Dec2019, Vol. 60 Issue 4, p416 

    In the Asia-Pacific region, individual sexual stigma contributes to elevated rates of depression among sexual minority men. Less well understood is the role of socio-structural sexual stigma despite evidence that social context influences the experience of stigma. We use data from the United...

  • Men in mid-life are new high-risk group for suicide.  // Mental Health Practice;Oct2012, Vol. 16 Issue 2, p5 

    The article reports that according to a research by the Samaritans, men born during 1960s-70s are more likely to commit suicide, as a result of which the Department of Health's (DH) launched suicide prevention strategy and is urging for 1.5 million dollars grant for further research.

  • Male suicide and alcohol.  // Therapy Today;Jul2015, Vol. 26 Issue 6, p7 

    The article reports that the charity Samaritans has claimed that more British men are turning to alcohol to deal with their problems which increases the risk of them committing suicide.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics