Current suicidal ideation in treatment-seeking individuals in the United Kingdom with gambling problems

被引:38
|
作者
Ronzitti, Silvia [1 ,2 ]
Soldini, Emiliano [3 ]
Smith, Neil [4 ]
Potenza, Marc N. [5 ,6 ]
Clerici, Massimo [2 ,7 ]
Bowden-Jones, Henrietta [4 ,8 ]
机构
[1] Yale Sch Med, 300 George St, New Haven, CT 06511 USA
[2] Univ Milano Bicocca, Dept Med & Surg, Monza, Italy
[3] Univ Appl Sci & Arts Southern Switzerland, Methodol & Stat Lab LABStat, Dept Business Econ, Hlth & Social Care, Manno, Switzerland
[4] Cent North West London NHS Fdn Trust, NPGC, Natl Problem Gambling Clin, London, England
[5] Yale Sch Med, Dept Psychiat, 300 George St,Suite 901, New Haven, CT 06511 USA
[6] Yale Sch Med, Dept Neurosci, Ctr Child Study, Natl Ctr Addict & Subst Abuse,Connecticut Mental, 300 George St,Suite 901, New Haven, CT 06511 USA
[7] San Gerardo Hosp, Dept Mental Hlth, Monza, Italy
[8] Imperial Coll London, Dept Med, London, England
关键词
Gambling disorder; Pathological gambling; Suicide; Suicidality; Attempt suicide; Suicidal ideation; Predictive factors; Anxiety; ALCOHOL-USE DISORDERS; PATHOLOGICAL GAMBLERS; ANXIETY DISORDERS; CLINICAL-FEATURES; RISK; SEVERITY; PREVALENCE; DEPRESSION; SUBSTANCE; ASSOCIATION;
D O I
10.1016/j.addbeh.2017.05.032
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background: Studies show higher lifetime prevalence of suicidality in individuals with pathological gambling. However, less is known about the relationship between pathological gambling and current suicidal ideation. Objectives: We investigated socio-demographic, clinical and gambling-related variables associated with suicidality in treatment-seeking individuals. Methods: Bivariate analyses and logistic regression models were generated on data from 903 individuals to identify measures associated with aspects of suicidality. Results: Forty-six percent of patients reported current suicidal ideation. People with current suicidal thoughts were more likely to report greater problem-gambling severity (p < 0.001), depression (p < 0.001) and anxiety (p < 0.001) compared to those without suicidality. Logistic regression models suggested that past suicidal ideation (p < 0.001) and higher anxiety (p < 0.05) may be predictive factors of current suicidality. Conclusions: Our findings suggest that the severity of anxiety disorder, along with a lifetime history of suicidal ideation, may help to identify treatment-seeking individuals with pathological gambling with a higher risk of suicidality, highlighting the importance of assessing suicidal ideation in clinical settings.
引用
收藏
页码:33 / 40
页数:8
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