Slutske Wendy S, Davis Christal N, Lynskey Michael T, Heath Andrew C, Martin Nicholas G
University of Missouri, Columbia, MO, USA.
King's College London Institute of Psychiatry, Psychology, & Neuroscience, London, UK.
Clin Psychol Sci. 2022 Sep;10(5):901-919. doi: 10.1177/21677026211062599. Epub 2022 Jan 10.
Gambling disorder is associated with suicidal behaviors, but it is not clear whether the association is due to common etiologic factors or to gambling disorder being causally related to suicidality. This question was examined from epidemiologic, longitudinal, and discordant twin study perspectives. The results suggested that the causes of the association with disordered gambling differed for suicidal ideation, plan, and attempt, and differed for men and women. The association of suicidal thoughts with disordered gambling was non-causally explained by common genetic influences among women (but not men). Conversely, there was evidence consistent with a potentially causal influence of disordered gambling on suicide attempt among men (but not women), which might have been related to gambling-related financial problems. The use of monetary data to identify individuals experiencing financial harms associated with their gambling may represent a more practicable target for screening, intervention, and prevention and may reduce gambling-related financial crises, thereby warding off a potential gambling-related suicide attempt.
赌博障碍与自杀行为相关，但尚不清楚这种关联是由于共同的病因因素，还是赌博障碍与自杀倾向存在因果关系。本研究从流行病学、纵向研究和异卵双胞胎研究的角度对这一问题进行了探讨。结果表明，赌博障碍与自杀观念、自杀计划和自杀未遂之间关联的原因存在差异，且男女之间也有所不同。女性（而非男性）中，自杀观念与赌博障碍之间的关联可由共同的遗传影响非因果性地解释。相反，有证据表明赌博障碍对男性（而非女性）的自杀未遂可能存在潜在的因果影响，这可能与赌博相关的财务问题有关。利用货币数据识别因赌博而遭受财务损害的个体，可能是筛查、干预和预防的更可行目标，并且可能减少与赌博相关的财务危机，从而避免潜在的与赌博相关的自杀未遂行为。
