This study investigated the attitudes toward suicide of HN positive pa
tients, a population at substantial risk for suicide. Such attitudes h
ave not been studied, and it is quite possible that the depression and
stress associated with HIV may be mediated by such attitudes. The Sui
cide Opinion Questionnaire, the Beck Depression Inventory, the Hopeles
sness Scale, and a demographic questionnaire were administered to thre
e male samples (n = 36 each). The first sample consisted of HIV positi
ve gay men, with the diagnosis of AIDS or AIDS related complex (ARC).
The second sample consisted of HIV negative gay men who had no symptom
s for AIDS or ARC. The third sample consisted of thirty-six heterosexu
al males in good physical health with no evidence of AIDS, ARC, or oth
er major medical conditions. The three samples were matched on age, et
hnicity, education, and reported annual income. The three samples diff
ered significantly on both depression and hopelessness, with HIV posit
ive scoring highest, HIV negative scoring intermediate, and heterosexu
al scoring lowest. Depression correlated significantly with scores on
the SOQ mental illness and cry for help scales for both HN groups, but
not for the heterosexual group. Hopelessness scores correlated signif
icantly with the SOQ mental illness scale for the HN negative and hete
rosexual groups, but not for the HIV positive group. Significant diffe
rences in attitude toward suicide between HIV positive and the other t
wo samples were obtained on four of the SOQ scales. No significant dif
ferences were obtained between HIV negative and heterosexual responden
ts. These results suggest that as the HIV/AIDS entity progresses, atti
tudes toward suicide are altered in order to cope with the stress and
to maintain cognitive balance.