Deprsn and Suicidaly Gay Men: Implitns for Health Care Provirs - PMC

Contents:

• DEPRSN IS KILLG GAY MEN
• DEPRSN AND SUICIDALY GAY MEN: IMPLITNS FOR HEALTH CARE PROVIRS
• GAY MEN’S DEPRSN COPG GUI
• THE CHARACTERISTICS OF THE VULNERABLE CHE GAY MEN WH PRSN AND ANXIETY: A CROSS-SECTNAL STUDY

DEPRSN IS KILLG GAY MEN

The 2013 fifth edn of the Amerin Psychiatric Associatn's Diagnostic and Statistil Manual (DSM) f prsn clilly as a prsive mood or loss of tert or pleasure nearly all activi over a two-week perd, along wh four of the symptoms: “chang appete or weight, sleep, and psychomotor activy; creased energy; feelgs of worthlsns or guilt; difficulty thkg, ncentratg, or makg cisns; or recurrent thoughts of ath or suicidal iatn or suici plans or attempts. Health re provirs workg wh gay men should first tablish rapport and tst by displayg empathy and not makg assumptns about an dividual’s behavr and sexual choic based on generalizatns about “all” gay men.

Speakg openly and ankly about the disproportnate impact of prsn on gay men, and prrizg our mental health and well-beg, we n chase that big gray elephant out of the room—and keep om harmg any more of .

DEPRSN AND SUICIDALY GAY MEN: IMPLITNS FOR HEALTH CARE PROVIRS

Mental health unselg and support groups that are sensive to the needs of gay and bisexual men n be pecially eful if you are g to terms wh your sexual orientatn or are experiencg prsn, anxiety, or other mental health problems. While many gay, bisexual, and other men who have sex wh men may not seek re om a mental health provir bee of a fear of discrimatn or homophobia, is important to keep this as an optn and to fd a provir that is tstworthy and patible.

Related to this, gay men’s health has often been fed by sexual practic, and poorly unrstood are the tersectns of gay men’s physil and mental health wh social termants of health cludg ethnicy, lole, tn level, and socenomic stat. In the current article summated is lerature addrsg risk factors for prsn and suicidaly among gay men cludg fay acceptance of their sexual inti, social hn and belongg, ternalized stigma, and victimizatn. Keywords: gay men’s health, prsn, suicidaly, men’s health, men’s help seekgIntroductnDeprsn is prevalent among gay men, where gay men are three tim more likely to experience prsn pared wh the general adult populatn (Cox, 2006; Kg et al., 2008).

GAY MEN’S DEPRSN COPG GUI

Wh this ntext, there is strong evince that gay men are more likely than heterosexual men to experience suicidaly (Brennan, Ross, Dobson, Veldhuizen, & Steele, 2010; Hott, Bogaert, Rhos, Brennan, & Gk, 2016; Kg et al., 2008). Deprsn and suicidaly may also crease gay men’s risk of alhol and dg ovese, unprotected anal terurse, and human immunoficiency vis (HIV; Cox, 2006; Ferlatte, Dulai, Hott, Tssler & Marchand, 2015). In terms of potential of prsn and suicidaly gay men, relatnship problems, acceptg one’s homosexualy, experiencg homophobia, stutnal discrimatn, and alienatn om gay muni have been reported as unrpng issu (Cox, 2006; Haas et al., 2011; Wang, Plörl, Hӓermann, & Weiss, 2015) rearch exists about gay men’s health beyond sexual health issu, most often HIV (Hott, Ferlatte, & Gk, 2014).

Though gay men self-report that they rank mental health as one of their top health ncerns (Grov, Ventuneac, Renda, Jimenez, & Parsons, 2013) prsn and suicidaly the liv of gay men are poorly unrstood (Haas et al., 2011; Kg et al., 2008). DeprsnDeprsn is fed clilly as the experience of a prsive mood or loss of tert or pleasure nearly all activi over a 2-week perd, along wh four of the followg symptoms: “chang appete or weight, sleep, and psychomotor activy; creased energy; feelgs of worthlsns or guilt; difficulty thkg, ncentratg, or makg cisns; or recurrent thoughts of ath or suicidal iatn or suici plans or attempts” (Amerin Psychiatric Associatn, 2013). (2008) noted that general practners ed anxiety-related symptoms to intify addnal signs of prsn gay terms of e–effect and triggers for prsn, a range of factors have been tailed, many of which are tertwed wh the strs that n acpany beg part of socially margalized gay muni (Mays & Cochran, 2001; Meyer, 1995, 2003).

THE CHARACTERISTICS OF THE VULNERABLE CHE GAY MEN WH PRSN AND ANXIETY: A CROSS-SECTNAL STUDY

In the specific ntext of prejudice events, which refers to the multiple forms of antigay vlence and discrimatn (Meyer, 2003), a Canadian study reported that 47% of gay men had experienced harassment, 42% bullyg, 16. Deprsn among young gay men has been associated wh prejudice events such as school-based victimizatn (Burton, Marshal, Chisolm, Suto, & Friedman, 2013; Rsell, Ryan, Toomey, Diaz, & Sanchez, 2011).

Young gay men n experience prejudice their fay the form of rejectn, often after disclosg their sexual orientatn durg adolcence, which turn n heighten young men’s risk for prsn (Ryan, Huebner, Diaz, & Sanchez, 2009) expectatns of discrimatn and homophobic rejectn n also negatively affect gay men’s mental health (Hatzenbuehler, 2009; Meyer, 2003).

For example, an Amerin study of gay men, those who perceived creased homophobia and the world as dangero for gay men were more likely to report prsive symptoms (Hatzenbuehler, Nolen-Hoeksema, & Erickson, 2008). Self-acceptance is therefore a cril element for gay men’s well-beg, as is beg accepted by others (Ash & Mackereth, 2013) addn to the four factors tailed Meyer’s (1995, 2003) mory strs mol, a lack of acceptance and rejectn om the gay muny n also crease the risk for gay men’s prsn. Particularly at risk of rejectn om other gay men are men livg wh HIV (Courtenay-Quirk, Wolski, Parsons, Gómez, & Seroposive Urban Men’s Study Team, 2006) as well as men om racial/ethnic mory groups (Bowleg, 2012; Haile, Rowell-Cunsolo, Parker, Padilla, & Hansen, 2014; Riggs, 2012).