Healthcare engagement among gay and bisexual men with recent suicide ideation or attempts
| Autor: | Aaron Purdie, Olivier Ferlatte, Jean Shoveller, Terry Trussler, Travis Salway, Mark Gilbert |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Canada medicine.medical_specialty media_common.quotation_subject Suicide Attempted Context (language use) Human sexuality PsycINFO Suicidal Ideation Sexual and Gender Minorities 03 medical and health sciences Social support 0302 clinical medicine Arts and Humanities (miscellaneous) Health care Developmental and Educational Psychology medicine Humans 030212 general & internal medicine Homosexuality Homosexuality Male Psychiatry Suicidal ideation media_common 030505 public health business.industry Middle Aged Patient Acceptance of Health Care Mental health Psychiatry and Mental health Bisexuality Psychology (miscellaneous) medicine.symptom 0305 other medical science business Psychology |
| Zdroj: | American Journal of Orthopsychiatry. 88:713-722 |
| ISSN: | 1939-0025 0002-9432 |
| DOI: | 10.1037/ort0000345 |
| Popis: | Gay and bisexual men experience elevated rates of suicide ideation and attempts, as compared with heterosexual men, but face unique barriers in accessing health services. In this context, the present study sought to describe rates of health care engagement among gay and bisexual men with a recent history of suicide ideation or attempts. An anonymous online survey was conducted with 7,872 Canadian gay and bisexual men in 2014-2015. The sample was restricted to characterize patterns of mental health care engagement among respondents who reported suicide ideation or attempts in the previous 12 months. "Engagement" was defined as having discussed mental health concerns (depression, substance use, or suicide) with a provider in the previous 12 months. Rates and correlates of engagement were estimated. Nineteen percent of men reported suicide ideation or attempts in the previous 12 months, of whom 58% had discussed mental health concerns with a provider. Older age, larger social support networks, and being out to a health care provider about one's sexuality were all positively associated with mental health care engagement. Among those who had not engaged with the health care system, 88% had some contact with a provider in the previous 12 months. One-third of these men accessed care through a provider other than their family doctor. Drawing on lessons learned from the HIV crises, collaborations between gay and bisexual community organizations and decision-makers within the health system are needed to address elevated rates of suicide ideation and attempts affecting sexual minorities. (PsycINFO Database Record (c) 2018 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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