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Personal experiences of suicidality in women with gambling disorder - A qualitative interview study

Karlsson, Anna LU orcid ; Håkansson, Anders LU and Hansson, Helena LU orcid (2023) In Journal of Behavioral Addictions 12(2). p.510-521
Abstract

Background: Gambling disorder is associated with increased suicidality, especially in women who also are more likely to have psychiatric comorbid disorders and more often have experiences of traumatic life events. Although suicidality is increased and several risk factors have been identified, knowledge of the suicidal process is lacking, especially for women. Aim: To explore the lived experiences of suicidality in women with gambling disorder and to investigate potential factors involved in the development of suicidality. Method: Semi-structured interviews were held with seven women with experiences of gambling disorder and suicidality in Malmö, Sweden between November 2021 and June 2022, when saturation was reached. Interviews were... (More)

Background: Gambling disorder is associated with increased suicidality, especially in women who also are more likely to have psychiatric comorbid disorders and more often have experiences of traumatic life events. Although suicidality is increased and several risk factors have been identified, knowledge of the suicidal process is lacking, especially for women. Aim: To explore the lived experiences of suicidality in women with gambling disorder and to investigate potential factors involved in the development of suicidality. Method: Semi-structured interviews were held with seven women with experiences of gambling disorder and suicidality in Malmö, Sweden between November 2021 and June 2022, when saturation was reached. Interviews were audio-recorded, transcribed, and coded in NVivo. Qualitative content analysis was used to build categories and themes. Results: Several women had experienced suicidality before developing gambling disorder and gambling-related suicidality. However, for some, suicidality had appeared seemingly only due to the gambling disorder. Suicidality ranged from ideation to severe suicide attempts. Three themes of factors modulating suicidality related to gambling were found; a) guilt shame and self-stigmatization, b) loss of control/chaotic life circumstances, and c) social consequences/fear of guilt and shame from others. Conclusion: More research on the experience of suicidality in women with gambling disorder is needed. Attempts to address self-stigmatization, guilt, and shame in women with gambling disorder and society at large as well as aiding women to regain a sense of control over their economy and gambling may be ways to reduce suicidality.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
gambling disorder, guilt, indebtedness, stigma, suicidality, women
in
Journal of Behavioral Addictions
volume
12
issue
2
pages
12 pages
publisher
Akademiai Kiado
external identifiers
  • scopus:85164229495
  • pmid:37352093
ISSN
2062-5871
DOI
10.1556/2006.2023.00024
language
English
LU publication?
yes
id
e7ae8bb1-4fb0-486a-a738-7fa115ad5b24
date added to LUP
2023-09-14 14:35:04
date last changed
2024-06-15 08:27:12
@article{e7ae8bb1-4fb0-486a-a738-7fa115ad5b24,
  abstract     = {{<p>Background: Gambling disorder is associated with increased suicidality, especially in women who also are more likely to have psychiatric comorbid disorders and more often have experiences of traumatic life events. Although suicidality is increased and several risk factors have been identified, knowledge of the suicidal process is lacking, especially for women. Aim: To explore the lived experiences of suicidality in women with gambling disorder and to investigate potential factors involved in the development of suicidality. Method: Semi-structured interviews were held with seven women with experiences of gambling disorder and suicidality in Malmö, Sweden between November 2021 and June 2022, when saturation was reached. Interviews were audio-recorded, transcribed, and coded in NVivo. Qualitative content analysis was used to build categories and themes. Results: Several women had experienced suicidality before developing gambling disorder and gambling-related suicidality. However, for some, suicidality had appeared seemingly only due to the gambling disorder. Suicidality ranged from ideation to severe suicide attempts. Three themes of factors modulating suicidality related to gambling were found; a) guilt shame and self-stigmatization, b) loss of control/chaotic life circumstances, and c) social consequences/fear of guilt and shame from others. Conclusion: More research on the experience of suicidality in women with gambling disorder is needed. Attempts to address self-stigmatization, guilt, and shame in women with gambling disorder and society at large as well as aiding women to regain a sense of control over their economy and gambling may be ways to reduce suicidality.</p>}},
  author       = {{Karlsson, Anna and Håkansson, Anders and Hansson, Helena}},
  issn         = {{2062-5871}},
  keywords     = {{gambling disorder; guilt; indebtedness; stigma; suicidality; women}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{510--521}},
  publisher    = {{Akademiai Kiado}},
  series       = {{Journal of Behavioral Addictions}},
  title        = {{Personal experiences of suicidality in women with gambling disorder - A qualitative interview study}},
  url          = {{http://dx.doi.org/10.1556/2006.2023.00024}},
  doi          = {{10.1556/2006.2023.00024}},
  volume       = {{12}},
  year         = {{2023}},
}