La crise chez les joueurs de jeux de hasard et d’argent : au-delà de l’appel de détresse, les services novateurs qui y répondent

Abstract

La dynamique des joueurs excessifs a souvent pour conséquence d’affecter les relations affectives, l’emploi, la santé financière de la famille de même que la santé mentale et physique de la personne. Ces multiples répercussions personnelles et professionnelles accentuent la détresse déjà très importante chez les joueurs. Or, la détresse conjuguée à de multiples petits événements stressants crée un terrain propice à l’émergence d’une multitude de crises psychosociales. À partir d’une recension des écrits, cet article présentera d’abord les liens complexes entre la crise et le jeu. Ensuite, une présentation critique des différents services de crise pour les joueurs (lignes d’écoute, services d’intervention de crise dans les casinos et service d’autoexclusion) sera effectuée. Enfin, nous conclurons par des recommandations pour améliorer les services actuels.The dynamic of pathological gamblers often impacts their affective relationships, employment and the family’s financial health, as well as the person’s mental and physical health. These multiple personal and professional repercussions accentuate the gambler’s already significant distress. This distress, combined with many little stressful incidents, creates a fertile ground for the emergence of multiple psychosocial crises. Based on the documentation, this article begins by presenting the complex relationship between the crisis and gambling, followed by a critical presentation of the various crisis services for gamblers (hotlines, crisis intervention services in the casinos and self-exclusion service). Lastly, recommendations on how to improve current services are made.La dinámica de los jugadores excesivos afecta a menudo como consecuencia las relaciones afectivas, el empleo, la salud financiera de la familia y la salud mental y física de la persona. Estas múltiples repercusiones personales y profesionales acentúan el desamparo, que es ya muy importante en los jugadores. Ahora bien, el desamparo conjugado con múltiples pequeños acontecimientos estresantes crea un terreno propicio para el surgimiento de una cantidad de crisis psicosociales. A partir de una revisión de textos, este artículo presentará en primer lugar los vínculos complejos entre la crisis y el juego. Continuará luego con la presentación crítica de los diferentes servicios de crisis para jugadores (líneas de escucha, servicios de intervención de crisis en los casinos y servicio de auto-exclusión). Finalmente, concluirá con recomendaciones destinadas a mejorar los servicios actuales

Gambling-related suicides and suicidality: A systematic review of qualitative evidence

“…As also noted by Hing et al ( 70 ) deep feelings of shame and self-stigma result in secrecy and unwillingness to seek help. Similarly, Dufour and Roy ( 5 ) have found that individuals may wish to conceal the extent of their indebtedness from others, and therefore do not seek help. Making the situation worse, particularly in the case of indebtedness, continued gambling is not only the cause but also the perceived solution to financial problems ( 5 ).…”

“…Similarly, Dufour and Roy (5) have found that individuals may wish to conceal the extent of their indebtedness from others, and therefore do not seek help. Making the situation worse, particularly in the case of indebtedness, continued gambling is not only the cause but also the perceived solution to financial problems (5). The actual processes that connect gambling to suicide and suicidality therefore also appear to function as barriers to helping these individuals.…”

“…The relationship between gambling and suicide has evoked ample research interests recently, with several reviews published on the topic. Two recent scoping reviews (1,4) as well as earlier reviews (5,6) have mapped the quantitative occurrence of suicide attempts, suicides, and other 10.3389/fpsyt.2022.980303 self-harm among gamblers. These have found a positive association between gambling and suicidality.…”