KATHMANDU: A cross-sectional study conducted in Nepal sheds light on the distressing prevalence of suicidal ideation, plans, and attempts among men who have sex with men (MSM).

The recent research, led by Kiran Paudel, Kamal Gautam, Prashamsa Bhandari, and a team of researchers, uncovers concerning statistics regarding the mental health challenges faced by MSM in Nepal.

Published in the Journal of Global Public Health on November 22, 2023, this study delves into an under-explored area of mental health in the MSM community within low- and middle-income countries. The research aimed to understand the prevalence and factors associated with suicidal behaviors among MSM in Nepal, a demographic known to face increased risks but with minimal attention in LMIC contexts.

Surveying 250 MSM between October and December 2022, the study revealed alarming figures: a staggering 42.4% reported lifetime suicidal ideation, with 31.2% planning and 21.6% attempting suicide. The research highlighted several crucial factors linked to these distressing figures.

Participants experiencing depressive symptoms were notably at a significantly heightened risk, with a 5.7 times greater likelihood of suicidal ideation and a 2.2 times higher chance of planning suicide. Furthermore, those with advanced education levels were more prone to both ideation and planning. Notably, younger MSM had a 2.7 times higher likelihood of attempting suicide.

Beyond mental health factors, the study brought to light the impact of socioeconomic conditions. MSM facing moderate to severe food insecurity were 2–3 times more likely to contemplate, plan, or attempt suicide.

The findings underscore the urgency for early identification and intervention strategies to address the complex interplay of mental health, socio-economic challenges, and suicidal behavior among Nepalese MSM. Additionally, the study calls for tailored interventions that encompass mental health support and measures to alleviate food insecurity within this marginalized community.

This research marks a critical step in understanding and addressing the mental health challenges faced by MSM in Nepal, providing crucial insights to develop targeted preventive strategies and interventions for this vulnerable demographic.

The research was executed under the guidance of Dr. Roman Shrestha, Assistant Professor at University of Connecticut, USA.