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Suicide Attempt in Patients With Gambling Disorder—Associations With Comorbidity Including Substance Use Disorders

Håkansson, Anders LU and Karlsson, Anna LU orcid (2020) In Frontiers in Psychiatry 11.
Abstract

Background: Gambling disorder is known to be associated with increased risk of suicidal behavior. However, relatively little is known about how the risk of suicide attempts in gambling disorder is influenced by comorbid alcohol or drug use disorders, as well as other psychiatric conditions. Methods: The present study is a nationwide, diagnostic register study assessing the risk of suicide attempts (including fatal ones) in gambling disorder in Sweden in 2005–2016. Results: In a total of 2,099 individuals (23 percent women) with gambling disorder, 417 individuals had a suicide attempt (including 10 fatal cases of suicide) during the study period. Suicidal behavior was more common in patients with substance use disorders at any time... (More)

Background: Gambling disorder is known to be associated with increased risk of suicidal behavior. However, relatively little is known about how the risk of suicide attempts in gambling disorder is influenced by comorbid alcohol or drug use disorders, as well as other psychiatric conditions. Methods: The present study is a nationwide, diagnostic register study assessing the risk of suicide attempts (including fatal ones) in gambling disorder in Sweden in 2005–2016. Results: In a total of 2,099 individuals (23 percent women) with gambling disorder, 417 individuals had a suicide attempt (including 10 fatal cases of suicide) during the study period. Suicidal behavior was more common in patients with substance use disorders at any time during the study period (50 percent if both alcohol and drug use disorders were present, and 10 percent if none of these were present). In logistic regression, suicidal behavior was significantly associated with female gender (OR 2.13 [1.63–2.78]), mood disorders (OR 2.65 [2.00–3.50]), anxiety disorders (OR 1.78 [1.34–2.35]), and with alcohol (OR 1.95 [1.51–2.51]) or drug use disorders (OR 3.60 [2.76–4.69]), respectively. Conclusions: Suicidal behavior in clinical gambling disorder patients is common, but markedly more common in the presence of substance use and other comorbid disorders.

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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
behavioral addiction, comorbidity, gambling, gambling disorder, substance use disorder, suicide attempt
in
Frontiers in Psychiatry
volume
11
article number
593533
publisher
Frontiers Media S. A.
external identifiers
  • scopus:85096987030
  • pmid:33304287
ISSN
1664-0640
DOI
10.3389/fpsyt.2020.593533
language
English
LU publication?
yes
id
7fa81595-ccf5-4cc8-b4d8-801c112714bc
date added to LUP
2020-12-11 10:33:52
date last changed
2024-05-15 23:14:42
@article{7fa81595-ccf5-4cc8-b4d8-801c112714bc,
  abstract     = {{<p>Background: Gambling disorder is known to be associated with increased risk of suicidal behavior. However, relatively little is known about how the risk of suicide attempts in gambling disorder is influenced by comorbid alcohol or drug use disorders, as well as other psychiatric conditions. Methods: The present study is a nationwide, diagnostic register study assessing the risk of suicide attempts (including fatal ones) in gambling disorder in Sweden in 2005–2016. Results: In a total of 2,099 individuals (23 percent women) with gambling disorder, 417 individuals had a suicide attempt (including 10 fatal cases of suicide) during the study period. Suicidal behavior was more common in patients with substance use disorders at any time during the study period (50 percent if both alcohol and drug use disorders were present, and 10 percent if none of these were present). In logistic regression, suicidal behavior was significantly associated with female gender (OR 2.13 [1.63–2.78]), mood disorders (OR 2.65 [2.00–3.50]), anxiety disorders (OR 1.78 [1.34–2.35]), and with alcohol (OR 1.95 [1.51–2.51]) or drug use disorders (OR 3.60 [2.76–4.69]), respectively. Conclusions: Suicidal behavior in clinical gambling disorder patients is common, but markedly more common in the presence of substance use and other comorbid disorders.</p>}},
  author       = {{Håkansson, Anders and Karlsson, Anna}},
  issn         = {{1664-0640}},
  keywords     = {{behavioral addiction; comorbidity; gambling; gambling disorder; substance use disorder; suicide attempt}},
  language     = {{eng}},
  publisher    = {{Frontiers Media S. A.}},
  series       = {{Frontiers in Psychiatry}},
  title        = {{Suicide Attempt in Patients With Gambling Disorder—Associations With Comorbidity Including Substance Use Disorders}},
  url          = {{http://dx.doi.org/10.3389/fpsyt.2020.593533}},
  doi          = {{10.3389/fpsyt.2020.593533}},
  volume       = {{11}},
  year         = {{2020}},
}