Thoughts and acts of self-harm, and suicidal ideation, in online gamblers

Abstract Gambling problems have been linked to suicidal ideation and enhanced risk of suicide attempts. However, we know very little about the factors associated with either thoughts or acts of self-harm amongst people who gamble. A web-based study of 4125 online gamblers (79% males; mean age 35.5 years), analysed using hierarchical multiple regression, revealed that self-reported non-gambling-related self-harm was negatively related to age and marital status, and positively related to problematic alcohol use. Self-reported acts of self-harm both related and unrelated to gambling were associated with drug misuse. Thoughts and acts of gambling-related self-harm were associated with problem gambling, gambling involvement and parental problem gambling. All types of self-harm were associated with mood disorder symptoms, unemployment and certain gambling motivations. When tailoring assessment and interventions for individuals at risk for gambling-related deliberate self-harm, it is important to recognize that contributory factors may include some that differ from those for deliberate self-harm in general, and that there is potential value in evaluating gambling involvement and motivations, and history of parental gambling.

[1]  N. Williams.  The Mood Disorder Questionnaire. , 2017, Occupational medicine.

[2]  W. Coryell,et al.  Suicide Ideations, Suicide Attempts, and Completed Suicide in Persons with Pathological Gambling and Their First-Degree Relatives. , 2015, Suicide & life-threatening behavior.

[3]  D. Christensen,et al.  Prevalence of psychiatric co-morbidity in treatment-seeking problem gamblers: A systematic review and meta-analysis , 2015, The Australian and New Zealand journal of psychiatry.

[4]  V. Manning,et al.  Suicidal ideation and lifetime attempts in substance and gambling disorders , 2015, Psychiatry Research.

[5]  F. Wurst,et al.  Suicidal events among pathological gamblers: The role of comorbidity of axis I and axis II disorders , 2015, Psychiatry Research.

[6]  Alex Blaszczynski,et al.  The interaction between gambling activities and modes of access: a comparison of Internet-only, land-based only, and mixed-mode gamblers. , 2015, Addictive behaviors.

[7]  R. Rogers,et al.  The common bipolar phenotype in young people , 2013, International Journal of Bipolar Disorders.

[8]  E. Walker,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[9]  M. Potenza,et al.  Problem gambling severity and the incidence of Axis I psychopathology among older adults in the general population. , 2013, Journal of psychiatric research.

[10]  H. Skinner,et al.  The drug abuse screening test. , 2013, Addictive behaviors.

[11]  R. Cunningham-Williams,et al.  Gambling behavior and problems among older adults: a systematic review of empirical studies. , 2012, The journals of gerontology. Series B, Psychological sciences and social sciences.

[12]  K. Hawton,et al.  Risk factors for repetition and suicide following self-harm in older adults: multicentre cohort study. , 2012, The British journal of psychiatry : the journal of mental science.

[13]  Heather Woltman,et al.  An introduction to hierarchical linear modeling , 2012 .

[14]  Nancy B. Black,et al.  Factors Associated with Recent Suicide Attempts in Clients Presenting for Addiction Treatment , 2012, International Journal of Mental Health and Addiction.

[15]  Gillian M. Pinchevsky,et al.  Longitudinal predictors of past-year non-suicidal self-injury and motives among college students , 2011, Psychological Medicine.

[16]  Allison S. Christian,et al.  Coping style as a mediator of the relationship between depressive symptoms and deliberate self-harm. , 2011, Crisis.

[17]  R. O. Oude Voshaar,et al.  First episode of self-harm in older age: a report from the 10-year prospective Manchester Self-Harm project. , 2011, The Journal of clinical psychiatry.

[18]  K. Merikangas,et al.  Prevalence and correlates of bipolar spectrum disorder in the world mental health survey initiative. , 2011, Archives of general psychiatry.

[19]  E. D. Klonsky.  Non-suicidal self-injury in United States adults: prevalence, sociodemographics, topography and functions , 2011, Psychological Medicine.

[20]  Y. Conwell,et al.  Gambling and completed suicide in Hong Kong: a review of coroner court files. , 2010, Primary care companion to the Journal of clinical psychiatry.

[21]  Guy M. Goodwin,et al.  How Psychological Symptoms Relate to Different Motivations for Gambling: An Online Study of Internet Gamblers , 2010, Biological Psychiatry.

[22]  G. Turecki,et al.  Suicide and gambling: psychopathology and treatment-seeking. , 2010, Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors.

[23]  J. Hallak,et al.  Is the full version of the AUDIT really necessary? Study of the validity and internal construct of its abbreviated versions. , 2010, Alcoholism, clinical and experimental research.

[24]  W. Dutton,et al.  Internet Gamblers: A Latent Class Analysis of Their Behaviours and Health Experiences , 2010, Journal of Gambling Studies.

[25]  R. Sansone,et al.  Measuring self-harm behavior with the self-harm inventory. , 2010, Psychiatry (Edgmont (Pa. : Township)).

[26]  Bob Erens,et al.  Sociodemographic Correlates of Internet Gambling: Findings from the 2007 British Gambling Prevalence Survey , 2009, Cyberpsychology Behav. Soc. Netw..

[27]  S. Stewart,et al.  Development and psychometric evaluation of a three-dimensional Gambling Motives Questionnaire. , 2008, Addiction.

[28]  Sidney H Kennedy,et al.  Problem gambling in bipolar disorder: results from the Canadian Community Health Survey. , 2007, Journal of affective disorders.

[29]  N. Petry,et al.  Do coping skills mediate the relationship between cognitive-behavioral therapy and reductions in gambling in pathological gamblers? , 2007, Addiction.

[30]  P. West,et al.  Young people who self-harm. , 2007, The British journal of psychiatry : the journal of mental science.

[31]  Robert T. Wood,et al.  Problem gambling on the internet: implications for internet gambling policy in North America , 2007, New Media Soc..

[32]  R. Kessler,et al.  Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey replication. , 2007, Archives of general psychiatry.

[33]  O. Lozhkina,et al.  A comprehensive review of the psychometric properties of the Drug Abuse Screening Test. , 2007, Journal of substance abuse treatment.

[34]  Mark D. Griffiths,et al.  Online Data Collection From Gamblers: Methodological Issues , 2007, International Journal of Mental Health and Addiction.

[35]  J. Kopec,et al.  The CAGE questionnaire for alcohol misuse: a review of reliability and validity studies. , 2007, Clinical and investigative medicine. Medecine clinique et experimentale.

[36]  Lesa Hoffman,et al.  Multilevel models for the experimental psychologist: Foundations and illustrative examples , 2007, Behavior research methods.

[37]  M. Battersby,et al.  Suicide Ideation and Behaviour in People with Pathological Gambling Attending a Treatment Service , 2006, International Journal of Mental Health and Addiction.

[38]  D. Hodgins,et al.  Risk factors for suicide ideation and attempts among pathological gamblers. , 2006, The American journal on addictions.

[39]  K. Puura,et al.  Factors associated with ideation and acts of deliberate self-harm among 18-year-old boys , 2005, Social Psychiatry and Psychiatric Epidemiology.

[40]  G. Lewis,et al.  Studying suicide from the life course perspective: implications for prevention. , 2005, The British journal of psychiatry : the journal of mental science.

[41]  K. Rodham,et al.  In what ways are adolescents who engage in self-harm or experience thoughts of self-harm different in terms of help-seeking, communication and coping strategies? , 2005, Journal of adolescence.

[42]  K. Hawton,et al.  Suicide and attempted suicide in bipolar disorder: a systematic review of risk factors. , 2005, The Journal of clinical psychiatry.

[43]  J. Deeks,et al.  The prevalence of suicidal phenomena in adolescents: a systematic review of population-based studies. , 2005, Suicide & life-threatening behavior.

[44]  I. Wilson,et al.  Depression screening instruments made good severity measures in a cross-sectional analysis. , 2005, Journal of clinical epidemiology.

[45]  F. Levin,et al.  Bipolar disorder and substance abuse , 2004, Biological Psychiatry.

[46]  N. Petry,et al.  Gambling and Suicidality in Treatment-Seeking Pathological Gamblers , 2004, The Journal of nervous and mental disease.

[47]  S. McCabe.  Comparison of Web and Mail Surveys in Collecting Illicit Drug Use Data: A Randomized Experiment , 2004, Journal of drug education.

[48]  B. Erens,et al.  Gambling and problem gambling in Britain , 2003 .

[49]  O. Kausch.  Suicide attempts among veterans seeking treatment for pathological gambling. , 2003, The Journal of clinical psychiatry.

[50]  N. Petry,et al.  A comparison of pathological gamblers with and without substance abuse treatment histories. , 2003, Experimental and clinical psychopharmacology.

[51]  K. Hawton,et al.  Deliberate self-harm in Oxford, 1990–2000: a time of change in patient characteristics , 2003, Psychological Medicine.

[52]  Keith Hawton,et al.  Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital. , 2003, The British journal of psychiatry : the journal of mental science.

[53]  A. Blaszczynski,et al.  Pathological gambling and suicidality: an analysis of severity and lethality. , 2003, Suicide & life-threatening behavior.

[54]  A. House,et al.  Fatal and non-fatal repetition of self-harm , 2002, British Journal of Psychiatry.

[55]  Brian D. Kiluk,et al.  SUICIDAL IDEATION AND SUICIDE ATTEMPTS IN TREATMENT-SEEKING PATHOLOGICAL GAMBLERS , 2002, The Journal of nervous and mental disease.

[56]  A. Blaszczynski,et al.  A pathways model of problem and pathological gambling. , 2002, Addiction.

[57]  W. Burke,et al.  Gambling as a Social Activity of Older Adults , 2001, International journal of aging & human development.

[58]  K. Hawton,et al.  Psychiatric and personality disorders in deliberate self-harm patients , 2001, British Journal of Psychiatry.

[59]  K. Hawton.  Sex and suicide. Gender differences in suicidal behaviour. , 2000, The British journal of psychiatry : the journal of mental science.

[60]  J. Calabrese,et al.  Development and validation of a screening instrument for bipolar spectrum disorder: the Mood Disorder Questionnaire. , 2000, The American journal of psychiatry.

[61]  R. Spitzer,et al.  Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. , 1999, JAMA.

[62]  K. Carey,et al.  Psychometric properties of the Drug Abuse Screening Test in psychiatric outpatients. , 1998 .

[63]  G. Canino,et al.  Psychopathology associated with suicidal ideation and attempts among children and adolescents. , 1998, Journal of the American Academy of Child and Adolescent Psychiatry.

[64]  R. Volberg.  Gambling and problem gambling in Oregon: Report to the Oregon Gambling Addiction Treatment Foundation , 1997 .

[65]  R. Hays,et al.  Response burden, reliability, and validity of the CAGE, Short MAST, and AUDIT alcohol screening measures , 1995 .

[66]  K Kroenke,et al.  Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. , 1994, JAMA.

[67]  Craig Jackson,et al.  VALIDITY OF A SHORT 5-ITEM VERSION OF THE GENERAL HEALTH QUESTIONNAIRE (G.H.Q) , 1986, Indian journal of psychiatry.

[68]  J. Ewing,et al.  Detecting alcoholism. The CAGE questionnaire. , 1984, JAMA.

[69]  G. Klintworth,et al.  Suicide and attempted suicide. , 1974, Public health papers.

[70]  J. Pacheco,et al.  Suicide , 1968, Royal Institute of Philosophy Lectures.

[71]  Alexius A. Pereira,et al.  Conceptual Framework of Harmful Gambling: An International Collaboration , 2013 .

[72]  P. Yip,et al.  A psychological autopsy study of pathological gamblers who died by suicide. , 2010, Journal of affective disorders.

[73]  J. Lani,et al.  General Health Questionnaire (GHQ) , 2010 .

[74]  V. Preedy,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2010 .

[75]  B. Cox,et al.  The Canadian Problem Gambling Index: Factor structure and associations with psychopathology in a nationally representative sample. , 2009 .

[76]  Jessica McBride,et al.  Internet Gambling Behavior in a Sample of Online Gamblers , 2008, International Journal of Mental Health and Addiction.

[77]  Winfried Rief,et al.  Validity of the Brief Patient Health Questionnaire Mood Scale (PHQ-9) in the general population. , 2006, General hospital psychiatry.

[78]  J. Calabrese,et al.  Validity of the mood disorder questionnaire: a general population study. , 2003, The American journal of psychiatry.

[79]  R. Spitzer.  Utility of new procedure for diagnosing mental disorders in primary care , 1994 .