Jillian R Scheer1, Kirsty A Clark2, Ali Talan3, Cynthia Cabral4, John E Pachankis5, H Jonathon Rendina6. 1. Department of Psychology, Syracuse University, 414 Huntington Hall, Syracuse NY 13244, USA. Electronic address: jrscheer@syr.edu. 2. Department of Medicine, Health & Society, Vanderbilt University, Nashville, TN 37212, USA. 3. Whitman-Walker Institute, Inc., Washington, DC 20009, USA. 4. Counseling and Wellness Center, St. Joseph's College, Brooklyn, NY 11205, USA. 5. Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT 06510, USA. 6. Whitman-Walker Institute, Inc., Washington, DC 20009, USA; Department of Epidemiology, Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA.
Abstract
BACKGROUND: Sexual minority men report high rates of childhood sexual abuse (CSA) and adulthood suicidality. However, mechanisms (e.g., PTSD symptoms) through which CSA might drive suicidality remain unknown. OBJECTIVE: In a prospective cohort of sexual minority men, we examined: (1) associations between CSA and suicidal thoughts and behaviors; (2) prospective associations between CSA-related PTSD symptoms and suicidal ideation; and (3) interpersonal moderators of these associations. PARTICIPANTS AND SETTING: Participants included 6305 sexual minority men (Mage = 33.2, SD = 11.5; 82.0% gay; 53.5% White) who completed baseline and one-year follow-up at-home online surveys. METHODS: Bivariate analyses were used to assess baseline demographic and suicidality differences between CSA-exposed participants and non-CSA-exposed participants. Among CSA-exposed participants, multivariable logistic regression analyses were used to regress passive and active suicidal ideation at one-year follow-up on CSA-related PTSD symptoms at baseline. Interactions were examined between CSA-related PTSD symptoms and interpersonal difficulties. RESULTS: CSA-exposed sexual minority men reported two-and-a-half times the odds of suicide attempt history compared to non-CSA-exposed men (95% CI = 2.15-2.88; p < 0.001). Among CSA-exposed sexual minority men, CSA-related PTSD symptoms were prospectively associated with passive suicidal ideation (adjusted odds ratio [aOR] = 1.38; 95% CI = 1.19; 1.61). Regardless of CSA-related PTSD symptom severity, those with lower social support and greater loneliness were at elevated risk of active suicidal ideation at one-year follow-up. CONCLUSIONS: CSA-related PTSD symptom severity represents a psychological mechanism contributing to CSA-exposed sexual minority men's elevated suicide risk, particularly among those who lack social support and report loneliness.
BACKGROUND: Sexual minority men report high rates of childhood sexual abuse (CSA) and adulthood suicidality. However, mechanisms (e.g., PTSD symptoms) through which CSA might drive suicidality remain unknown. OBJECTIVE: In a prospective cohort of sexual minority men, we examined: (1) associations between CSA and suicidal thoughts and behaviors; (2) prospective associations between CSA-related PTSD symptoms and suicidal ideation; and (3) interpersonal moderators of these associations. PARTICIPANTS AND SETTING: Participants included 6305 sexual minority men (Mage = 33.2, SD = 11.5; 82.0% gay; 53.5% White) who completed baseline and one-year follow-up at-home online surveys. METHODS: Bivariate analyses were used to assess baseline demographic and suicidality differences between CSA-exposed participants and non-CSA-exposed participants. Among CSA-exposed participants, multivariable logistic regression analyses were used to regress passive and active suicidal ideation at one-year follow-up on CSA-related PTSD symptoms at baseline. Interactions were examined between CSA-related PTSD symptoms and interpersonal difficulties. RESULTS: CSA-exposed sexual minority men reported two-and-a-half times the odds of suicide attempt history compared to non-CSA-exposed men (95% CI = 2.15-2.88; p < 0.001). Among CSA-exposed sexual minority men, CSA-related PTSD symptoms were prospectively associated with passive suicidal ideation (adjusted odds ratio [aOR] = 1.38; 95% CI = 1.19; 1.61). Regardless of CSA-related PTSD symptom severity, those with lower social support and greater loneliness were at elevated risk of active suicidal ideation at one-year follow-up. CONCLUSIONS: CSA-related PTSD symptom severity represents a psychological mechanism contributing to CSA-exposed sexual minority men's elevated suicide risk, particularly among those who lack social support and report loneliness.
Authors: Brian Mattera; Ethan C Levine; Omar Martinez; Miguel Muñoz-Laboy; Carolina Hausmann-Stabile; José Bauermeister; M Isa Fernandez; Don Operario; Carlos Rodriguez-Diaz Journal: Cult Health Sex Date: 2017-09-20
Authors: Alexandra Bernegger; Klemens Kienesberger; Laura Carlberg; Patrick Swoboda; Birgit Ludwig; Romina Koller; Nestor D Kapusta; Martin Aigner; Helmuth Haslacher; Michaela Schmöger; Siegfried Kasper; Alexandra Schosser Journal: PLoS One Date: 2015-09-14 Impact factor: 3.240
Authors: Chung-Ying Lin; Ching-Shu Tsai; Chia-Wei Fan; Mark D Griffiths; Chih-Cheng Chang; Cheng-Fang Yen; Amir H Pakpour Journal: Int J Environ Res Public Health Date: 2022-07-01 Impact factor: 4.614