The Role of Sexual Minority Stigma and Depressive Symptoms Among Young Men Who Have Sex with Men in the Relationship Between Coming Out and Suicidal Ideation: A Prospective Cohort Study.

IF 2 4区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Journal of Homosexuality Pub Date : 2025-09-04 DOI:10.1080/00918369.2025.2553050

Shijie Wang, Mengxi Zhai, Jiayu Li, Longhui Zhou, Qiwen Wang, Chenchang Xiao, Yili Li, Bin Yu, Hong Yan

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Abstract

Suicide has become a significant issue globally and in China in recent years. Research has shown that stigma toward young men who have sex with men (YMSM) and depressive symptoms are associated with suicidal ideation among YMSM after coming out. However, the potential mechanisms are not fully understood. This study used cohort data from three cities in central China, including a total of 372 participants. The study analyzed the relationship between coming out type and suicidal ideation, with sexual minority stigma and depressive symptoms as mediating factors. The data was analyzed using a chain mediation model. The relationship between total out of the coming out score and suicidal ideation was mediated by sexual minority stigma, while depressive symptoms did not have a significant mediating effect. Depressive symptoms mediated the relationship between coming out to family or other intimates and suicidal ideation. Additionally, we observed a chain mediation mechanism, which continuously mediated the relationship between suicidal ideation and coming out through sexual minority stigma and depressive symptoms The study concludes that coming out affects YMSM suicidal ideation through sexual minority stigma and depressive symptoms. The impact of different coming out types on YMSM suicidal ideation varies.

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性少数污名和抑郁症状在年轻男男性行为者出柜与自杀意念关系中的作用：一项前瞻性队列研究

近年来，自杀已成为全球和中国的一个重大问题。研究表明，对年轻男同性恋者（YMSM）的污名和抑郁症状与YMSM出柜后的自杀念头有关。然而，潜在的机制尚不完全清楚。本研究使用了来自中国中部三个城市的队列数据，共包括372名参与者。本研究分析了出柜类型与自杀意念的关系，并以性少数群体耻感和抑郁症状为中介因素。使用链式中介模型分析数据。出柜总分与自杀意念的关系受性少数污名的中介作用，而抑郁症状的中介作用不显著。抑郁症状介导了向家人或其他亲密者出柜与自杀意念之间的关系。此外，我们还观察到一个链式中介机制，该机制通过性少数污名和抑郁症状持续介导自杀意念与出柜之间的关系。研究认为，出柜通过性少数污名和抑郁症状影响YMSM自杀意念。不同的出柜方式对YMSM自杀意念的影响存在差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Homosexuality Multiple-

CiteScore

5.60

自引率

7.70%

发文量

164

期刊介绍： The Journal of Homosexuality is an internationally acclaimed, peer-reviewed publication devoted to publishing a wide variety of disciplinary and interdisciplinary scholarship to foster a thorough understanding of the complexities, nuances, and the multifaceted aspects of sexuality and gender. The chief aim of the journal is to publish thought-provoking scholarship by researchers, community activists, and scholars who employ a range of research methodologies and who offer a variety of perspectives to continue shaping knowledge production in the arenas of lesbian, gay, bisexual, transgender (LGBT) studies and queer studies. The Journal of Homosexuality is committed to offering substantive, accessible reading to researchers and general readers alike in the hope of: spurring additional research, offering ideas to integrate into educational programs at schools, colleges & universities, or community-based organizations, and manifesting activism against sexual and gender prejudice (e.g., homophobia, biphobia and transphobia), including the promotion of sexual and gender justice.