Suicide attempts among veterans seeking treatment for pathological gambling
Suicide attempts among veterans seeking treatment for pathological gambling
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DOI：
10.4088/jcp.v64n0908
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发表时间：
2003-09-01
影响因子：
5.3
通讯作者：
Kausch, O
中科院分区：
文献类型：
--
作者：
Kausch, O
背景资料：科学文献中关于病态赌徒自杀企图的信息很少，尽管对问题赌徒的研究发现自杀未遂，自杀企图和自杀意念是与赌博行为相关的常见结果。有没有尝试在以前的研究中，以确定共病的条件，如药物滥用，病理gambler.Method的自杀企图的贡献：一个回顾性的图表审查完成了所有连续入院（N = 114）的赌博治疗计划的路易斯斯托克斯VA医疗中心在12个月内（2000年9月至2001年9月）。所有受试者均符合DSM-IV病理性赌博标准。相关信息从入院史和体格检查，以及各种自我报告问卷和结构化的instruments.Results：45例（39.5%）报告说，他们曾在他们的生活中的某个时候自杀未遂。最常见的方法是过量服用。64%的赌博者报告说，他们最近的尝试与赌博有关。42%有酒精依赖史的赌徒和58.8%有药物依赖史的赌徒有自杀企图史。平均冲动得分区分自杀未遂者与非自杀未遂者之间的赌博历史的药物和/或酒精依赖。精神症状和家庭问题的严重程度入院与自杀attempts.Conclusion的历史：病理性赌徒自杀未遂率高。他们非常冲动，患有高比例的共病精神疾病以及社会混乱。这些风险因素的结合很可能导致他们的自杀行为的可能性。
Background: There is little information in the scientific literature regarding the suicide attempts of pathological gamblers, even though studies of problem gamblers have found that completed suicide, suicide attempts, and suicidal ideation are common outcomes related to gambling behavior. There has been no attempt in previous studies to identify the contributions of comorbid conditions, such as substance abuse, to the suicide attempts of pathological gamblers.Method: A retrospective chart review was completed for all consecutive admissions (N = 114) to the Gambling Treatment Program of the Louis Stokes VA Medical Center over a 12-month period (September 2000-September 2001). All subjects met DSM-IV criteria for pathological gambling. Relevant information was obtained from the admission history and physical examination, as well as a variety of self-report questionnaires and structured instruments.Results: Forty-five patients (39.5%) reported that they had made a suicide attempt at some time in their lives. The most common method was overdose. Sixty-four percent of attempters reported that their most recent attempt was related to gambling. Forty-two percent of gamblers with a history of alcohol dependence and 58.8% of those with a history of drug dependence had a history of suicide attempts. Mean impulsivity scores differentiated suicide attempters from nonattempters among gamblers with a history of drug and/or alcohol dependence. Severity of psychiatric symptoms and family problems on admission was related to a history of suicide attempts.Conclusion: Pathological gamblers have high rates of attempted suicide. They are highly impulsive and suffer from high rates of comorbid psychiatric conditions as well as social disruptions. A combination of these risk factors very likely contributes to their potential for suicidal behavior.