Schreck Benoît, Valenciano-Mendoza Eduardo, Balem Marianne, Jimenez-Murcia Susana, Thiabaud Elsa, Tillet Solène, Saillard Anais, Donnio Yann, Grall-Bronnec Marie, Challet-Bouju Gaelle
Nantes Université, CHU Nantes, UIC Psychiatrie Et Santé Mentale, 44000, Nantes, France.
Nantes Université, Univ Tours, CHU Nantes, INSERM, MethodS in Patient-Centered Outcomes and HEalth ResEarch, SPHERE, Nantes, France.
Arch Sex Behav. 2025 Jun 12. doi: 10.1007/s10508-025-03167-6.
Sex addiction is characterized by a persistent pattern of failure to control intense and repetitive sexual urges, thus causing marked distress or impairment in important areas of functioning. Sex addiction may co-occur with other psychiatric conditions, including suicide risk, but few studies have explored such co-occurrences in depth, and these studies were based on small samples. A total of 136 patients referred to the Nantes University Hospital for sex addiction between 2013 and 2022 were included. Sex addiction was diagnosed using Goodman's scale for the diagnosis of behavioral addictions. Suicide risk was assessed using the suicidality module of the MINI 5.0. A multivariate logistic regression model was used to identify factors associated with the presence of suicide risk. Suicide risk was detected among 46% of patients. Four variables were found to be associated with suicide risk: a higher proportion of relatives aware of the sex addiction, a higher frequency of anxiety disorders, a higher frequency of mood disorders and a lower level of self-directedness. The frequency of suicide risk in patients with behavioral addictions is greater than that reported in previous studies. Mood and anxiety disorders are two factors that are often found to be associated with suicide risk among individuals with sex addiction, while awareness of sex addiction by relatives and a low level of self-directedness are two factors that have not been previously identified. In fact, it may be relevant to improve the self-directedness dimension through psychotherapies and to consider the inclusion of the patient's partner in the treatment.
性成瘾的特征是持续无法控制强烈且反复出现的性冲动，从而在重要的功能领域造成明显的痛苦或损害。性成瘾可能与其他精神疾病同时出现，包括自杀风险，但很少有研究深入探讨这种共病情况，而且这些研究基于小样本。纳入了2013年至2022年间转诊至南特大学医院治疗性成瘾的136名患者。使用古德曼行为成瘾诊断量表诊断性成瘾。使用MINI 5.0的自杀观念模块评估自杀风险。采用多变量逻辑回归模型来确定与自杀风险存在相关的因素。46%的患者被检测出有自杀风险。发现有四个变量与自杀风险相关：知晓性成瘾情况的亲属比例较高、焦虑症发作频率较高、情绪障碍发作频率较高以及自我导向水平较低。行为成瘾患者的自杀风险发生率高于先前研究报告的水平。情绪和焦虑障碍是性成瘾个体中经常被发现与自杀风险相关的两个因素，而亲属对性成瘾的知晓情况以及自我导向水平较低是先前未被识别出的两个因素。事实上，通过心理治疗改善自我导向维度并考虑让患者的伴侣参与治疗可能是有意义的。
