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L. Calabrese, B. Harris, Kirk Easley, M. Proffitt (1986)
Persistence of high risk sexual activity among homosexual men in an area of low incidence for acquired immunodeficiency syndrome.AIDS research, 2 4
P. Marzuk, H. Tierney, K. Tardiff, E. Gross, E. Morgan, M. Hsu, J. Mann (1988)
Increased risk of suicide in persons with AIDS.JAMA, 259 9
R. Glass (1988)
AIDS and suicide.JAMA, 259 9
E. Tyson, J. Fortenberry (1987)
Fraudulent AIDS: a variant of Munchausen's syndrome.JAMA, 258 14
R. Martin, C. Cloninger, S. Guze, P. Clayton (1985)
Mortality in a follow-up of 500 psychiatric outpatients. II. Cause-specific mortality.Archives of general psychiatry, 42 1
T. Coates, S. Morin, L. McKusick (1987)
Behavioral consequences of AIDS antibody testing among gay men.JAMA, 258 14
R. Frances, T. Wikstrom, V. Alcena (1985)
Contracting AIDS as a means of committing suicide.The American journal of psychiatry, 142 5
To the Editor.— Marzuk and colleagues1 have prepared a disturbing and thoughtprovoking analysis demonstrating an increased rate of suicide among men who have been recently diagnosed with acquired immunodeficiency syndrome (AIDS). We believe that they overstimated the risk of suicide by using inappropriate comparison populations. Nine of the 12 male AIDS patients who committed suicide in New York were known to be homosexual. Although good epidemiologic studies are lacking, homosexuality may be a risk factor for suicide. One study2 demonstrated a 17-fold increased risk for unnatural deaths (preponderantly suicide and accidents that could have represented suicide) for intravenous drug users and homosexuals. If a population of homosexual men had been used for comparison, the relative risk of suicide for patients with AIDS would have been much less than the 36-fold increased risk calculated by the authors. Your editorialist, Dr Glass,3 suggested that human immnunodeficiency virus (HIV) testing
JAMA – American Medical Association
Published: Jul 1, 1988
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