Silvia Ronzitti1, Emiliano Soldini2, Neil Smith3, Marc N Potenza4, Massimo Clerici5, Henrietta Bowden-Jones6. 1. Yale School of Medicine, 300 George Street, New Haven, CT 06511, USA; Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy. Electronic address: silvia.ronzitti@yale.edu. 2. Methodology and Statistics Laboratory (LABStat), Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland. Electronic address: emiliano.soldini@supsi.ch. 3. NPGC, National Problem Gambling Clinic, Central North West London NHS Foundation Trust, London, UK. Electronic address: nsmith12@nhs.net. 4. Department of Psychiatry, Yale School of Medicine, 300 George Street, Suite 901, New Haven, CT 06511, USA; Department of Neuroscience, Child Study Center, National Center on Addiction and Substance Abuse, Connecticut Mental Health Center, Yale School of Medicine, 300 George Street, Suite 901, New Haven, CT 06511, USA. Electronic address: marc.potenza@yale.edu. 5. Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy; Department of Mental Health, San Gerardo Hospital, Monza, Italy. Electronic address: massimo.clerici@unimib.it. 6. NPGC, National Problem Gambling Clinic, Central North West London NHS Foundation Trust, London, UK; Department of Medicine, Imperial College London, London, UK. Electronic address: h.bowdenjones02@imperial.ac.uk.
Abstract
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.
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.
Authors: Christopher J Hammond; Steven D Shirk; Dawn W Foster; Nicolas B Potenza; Shane W Kraus; Linda C Mayes; Rani A Hoff; Marc N Potenza Journal: Psychol Addict Behav Date: 2019-06-27
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Authors: Grant L Iverson; Andrew J Gardner; Sandy R Shultz; Gary S Solomon; Paul McCrory; Ross Zafonte; George Perry; Lili-Naz Hazrati; C Dirk Keene; Rudolph J Castellani Journal: Brain Date: 2019-12-01 Impact factor: 13.501