ArticleBMC public health2015
Suicide related ideation and behavior among Canadian gay and bisexual men: a syndemic analysis.
Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.
- Violence motivated by perception of sexual orientation and gender identity: a systematic review.Bulletin of the World Health Organization · 2018Pooled it
- Lifetime prevalence of suicidal ideation among men who have sex with men: a meta-analysis.BMC psychiatry · 2017Pooled it
- Mental Health Challenges and Workplace Risk Factors Among Sexual and Gender Minority Workers in Korea.Safety and health at work · 2026Article
- Early life stress modulates social behavior via oxytocin and arginine vasopressin in males.European archives of psychiatry and clinical neuroscience · 2026Article
- Homophobic Bullying Among Adolescents: Prevalence, Associations with Emotional Factors, Psychopathological Symptoms, and Predictors.Healthcare (Basel, Switzerland) · 2025Article
- From isolation to inclusion: Understanding suicidality and school supports for LGB+ students in Japan.SSM - population health · 2025Article
- Examining Longitudinal Risk and Strengths-Based Factors Associated with Depression Symptoms Among Sexual Minority Men in Canada.Behavioral sciences (Basel, Switzerland) · 2025Article
- Testing syndemic models along pathways to psychotic spectrum disorder: implications for population-level preventive interventions.Psychological medicine · 2025Article
- A Syndemic Clustering of Adversities on Suicide Risk among YMSM Living with HIV in Bangkok: A Causal Latent Class Analysis.AIDS and behavior · 2025Article
- Article
- Syndemic relationship of depressive symptoms, substance use, and suicidality in transgender youth: a cross-sectional study using the U.S. youth risk behavior surveillance system.Social psychiatry and psychiatric epidemiology · 2022Article
- Victimisation, Depression and Suicidal Ideation among Lesbian, Gay and Bisexual Adults in Malaysia.The Malaysian journal of medical sciences : MJMS · 2022Article
- The relationship between obesity and suicide ideation among young adults in the United States.SSM - population health · 2022Article
- Global research on syndemics: a meta-knowledge analysis (2001-2020).F1000Research · 2022Article
- Segmenting or Summing the Parts? A Scoping Review of Male Suicide Research in Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021Article
- Age, period, and cohort patterns in the epidemiology of suicide attempts among sexual minorities in the United States and Canada: detection of a second peak in middle adulthood.Social psychiatry and psychiatric epidemiology · 2021Article
- It is time to mobilize suicide prevention for sexual and gender minorities in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- Concurrent Hepatitis C and B Virus and Human Immunodeficiency Virus Infections Are Associated With Higher Mortality Risk Illustrating the Impact of Syndemics on Health Outcomes.Open forum infectious diseases · 2020Article
- Prevalence of Exposure to Sexual Orientation Change Efforts and Associated Sociodemographic Characteristics and Psychosocial Health Outcomes among Canadian Sexual Minority Men.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2020Article
- Characterizing Experiences of Conversion Therapy Among Middle-Aged and Older Men Who Have Sex with Men from the Multicenter AIDS Cohort Study (MACS).Sexuality research & social policy : journal of NSRC : SR & SP · 2020Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile 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.
methodsThis 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.
resultsSuicide 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.
conclusionsThis 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.