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Introduction: The intentional use of drugs before or during sexual intercourse (chemsex) is a phenomenon of special importance in the MSM (men who have sex with men) population due to its impact on mental, physical and sexual health. A 12 workshop sexual health program was made in two Drug Dependence Clinics in Madrid. Shame, stigma, homophobia or ignorance of drug services assistance have been describe as barriers by chemsex drug users to accessing services. Facilitators such as creating a safe environment are necessary. Objectives: The objective of this study was to identify barriers and facilitators to the implementation of a sexual health program for chemsex users in two Drug Dependence Clinics in Madrid. Methods: The study is based on a qualitative research approach. We analyze an anonymous on-line survey with chemsex users with open answer questions about barriers and facilitators for implementing the sexual health program. Data analysis was based on thematic analysis of content. Results: Facilitators included: motivated stuff with LGBT cultural competence, close interaction between stuff and the patients, a nonjudgemental and multidisciplinary approach which includes sexual health and mental health. Barriers included: stigma related to attending drug dependence clinics, psychopathology in acute state (psychosis, anxiety), lack of perceived support from public institutions facing the mental and sexual health problems associated with chemsex. Conclusions: Chemsex, a public health problem in some Spanish communities, is a phenomenon that needs a collaborative approach between users and mental and sexual health professionals and other medical stuff. The described program is a pioneering initiative in Spain. [ABSTRACT FROM AUTHOR]

Introduction: The intentional use of drugs before or during sexual intercourse (chemsex) is a phenomenon of special importance in the MSM (men who have sex with men) population due to its impact on mental, physical and sexual health. Mental health disorders such as psychosis, delirium and serotonine syndrome has been described associated with chemsex practices. Other sexual health issues such as difficulties in achieving sober sex or erectile dysfunction has been described. To date, no specific sexual health intervention has been described. Objectives: To describe a sexual health intervention program for patients with chemsex practices. We describe the profile of users according to socio-demographic, medical, psychopathological and drug-related characteristics. On the other hand, we analyze a survey of satisfaction made by users. Methods: Description of the program. Demographics, consumption patterns, other accompanying substances, use of geo-social applications and comorbid medical and psychiatric disease and perceived satisfaction data were described through a online survey. Results: 12 sexual health workshops were done based on behavioralcognitive theory, biopsychosocial and Sex Positive Model. The most common profile was a male of Spanish nationality, 35-45 years old, living with HIV and drug use perceived as problematic. 35% presented a reduction in frequency or amount of drug use. 10% stopped practicing chemsex. 45% presented a reduction in sexual risk behaviour. 60%perceived an improvement in perceived social support and increased awareness of presenting a drug addiction. Conclusions: Interventions in sexual health were perceived as satisfactory and useful by users to improve their sexual health and self-efficacy to change substance use patterns. [ABSTRACT FROM AUTHOR]

Introduction Non-suicidal self-injury (NSSI) have their typical onset during adolescence. Although a growing body of research has been dedicated to this subject, little is known about the relation between psychosocial factors (PF) and NSSI in adolescence. Objectives To identify the main PF associated with the occurrence of NSSI in adolescence and potential relations between them. Methods The authors used a convenience sample of 50 outpatient adolescents from Coimbra's Child and Adolescent Psychiatry Service, with identified history of NSSI. Each patient was evaluated regarding the presence/absence of the PF contemplated in the Axis V (Associated Abnormal Psychosocial Situations) of the Multiaxial Classification of Child and Adolescent Psychiatric Disorders, (ICD-10, WHO). Results Sixty-seven factors were evaluated within this sample, with 50% of the subjects showing the 3 most prevalent PF (the 5 most prevalent PF are displayed on Table 1 ). Statistical significance between pairs or triads of PF (selected within the 10 most prevalent PF) was evaluated, with results showing 14 significant correlations between pairs and 20 significant correlations between selected triads among the most prevalent PF. Conclusions PF are highly prevalent within adolescents with NSSI. Identification of specific associations of PF may be useful to identify high-risk patients and promote early intervention and prevention programs. [ABSTRACT FROM AUTHOR]