Abstract Gay and bisexual men (GBM) are a high-risk population for suicide. While evidence is emerging that maladaptive externalizing behaviors such as substance overuse, anger and aggression, and risk-taking may be associated with mood disorder and suicide risk for men in general, the association for GBM has not been well researched. As such, the aim of this study was to examine the relationships between sexual orientation, suicide, and maladaptive externalizing behaviors. The present study analyzed self-reported data for suicide risk and maladaptive externalizing behaviors from an online sample of GBM (n = 74) and heterosexual men (n = 902). Relative to heterosexual men, GBM were at marked risk for suicide (OR = 2.0). Mean scores on maladaptive externalizing behaviors were equivalent between the groups. Logistic regression indicated that anger and aggression, and risk-taking were significant predictors (p’s < .001) of suicide risk for heterosexual men, but for not GBM. Maladaptive externalizing behaviors correctly identified the suicide risk status of 80.3% of heterosexual men, and 71.6% of GBM. While GBM were at elevated risk of suicide, maladaptive behaviors were less predictive of this risk than for heterosexual men. Findings underscore the potential need for sub-group approaches to men’s mental health research and practice.

中文翻译：

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自杀，适应不良的外在行为和性取向：来自加拿大男性的在线代表性样本的结果

摘要男同性恋者和双性恋者（GBM）是自杀的高风险人群。虽然越来越多的证据表明，一般而言，男性过度使用不良行为，例如物质过度使用，愤怒和攻击行为以及冒险行为可能与男性的情绪障碍和自杀风险有关，但对GBM的关联尚未进行充分的研究。因此，本研究的目的是检验性取向，自杀和适应不良的外在行为之间的关系。本研究分析了在线报告的GBM（n = 74）和异性恋男性（n = 902）的自杀风险和适应不良外在行为的自我报告数据。相对于异性恋男性，GBM的自杀风险显着（OR = 2.0）。不良适应外在行为的平均得分在两组之间是相等的。Logistic回归表明，愤怒和侵略性以及冒险精神是异性恋男人自杀风险的重要预测因子（p <.001），而对于GBM则不是。适应不良的外在行为正确地确定了80.3％的异性恋男性和71.6％的GBM的自杀风险状态。尽管GBM的自杀风险较高，但适应不良的行为比异性恋男性更难以预测这一风险。研究结果强调了对男性心理健康研究和实践进行分组研究的潜在需求。与异性恋男人相比，适应不良的行为对这种风险的预测能力较低。研究结果强调了对男性心理健康研究和实践进行分组研究的潜在需求。与异性恋男人相比，适应不良的行为对这种风险的预测能力较低。研究结果强调了对男性心理健康研究和实践进行分组研究的潜在需求。