Ronzitti Silvia, Soldini Emiliano, Smith Neil, Potenza Marc N, Clerici Massimo, Bowden-Jones Henrietta
Yale School of Medicine, 300 George Street, New Haven, CT 06511, USA; Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Methodology and Statistics Laboratory (LABStat), Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland.
Addict Behav. 2017 Nov;74:33-40. doi: 10.1016/j.addbeh.2017.05.032. Epub 2017 May 24.
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.
We investigated socio-demographic, clinical and gambling-related variables associated with suicidality in treatment-seeking individuals.
Bivariate analyses and logistic regression models were generated on data from 903 individuals to identify measures associated with aspects of suicidality.
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.
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.
研究表明，病态赌博者自杀倾向的终生患病率更高。然而，关于病态赌博与当前自杀意念之间的关系，人们了解得较少。
我们调查了寻求治疗的个体中与自杀倾向相关的社会人口统计学、临床和赌博相关变量。
对903名个体的数据进行双变量分析和逻辑回归模型分析，以确定与自杀倾向各方面相关的指标。
46%的患者报告有当前自杀意念。与无自杀倾向者相比，有当前自杀想法的人更有可能报告更高的问题赌博严重程度（p<0.001）、抑郁（p<0.001）和焦虑（p<0.001）。逻辑回归模型表明，过去的自杀意念（p<0.001）和更高的焦虑水平（p<0.05）可能是当前自杀倾向的预测因素。
我们的研究结果表明，焦虑症的严重程度以及自杀意念的终生病史，可能有助于识别寻求治疗的病态赌博个体中自杀风险较高的人群，突出了在临床环境中评估自杀意念的重要性。
