Suicidality among gambling helpline callers: A consideration of the role of financial stress and conflict

Abstract

Researchers and clinicians may want to consider the overall level of conflict a patient is experiencing when assessing suicide risk among individuals with gambling problems. Professionals may also want to consider the suitability of interventions to address conflict within the context of gambling treatment. (Am J Addict 2018;27:531-537).

Substance Use among Economically Disadvantaged African American Older Adults; Objective and Subjective Socioeconomic Status

“…Supporting our findings on the undesired effects of financial difficulties on health behaviors, multiple studies have documented the effects of financial strain on cigarette smoking [97] and alcohol use [33]. The effects of financial stress go beyond these two behaviors and expand to self-rated health [96], chronic disease [81], depression [77], suicide [98], and mortality [99,100,101]. These effects are repeatedly documented for the general population [102] and for people with chronic disease [90].…”

“…Financial difficulties limit access to and use of health care services [91] and are a risk factor for health-risk behaviors such as poor diet [95]. Financial difficulties also increase the risk of CMC [81], poor SRH [96], depression [77], smoking cigarettes [97], alcohol use [33], and suicide [98], which are barriers to maintaining health.…”

Binge Drinking among Economically Disadvantaged African American Older Adults with Diabetes

“…Financial difficulty reflects lack of money, cash, expendable income, and liquid financial resources that can buffer stress and shape access to resources. Financial difficulty and financial strain have been shown to impact alcohol use, smoking, suicide, depression, self-rated health, chronic disease, and mortality [84,85,86,87,88,89,90,91]. These effects are repeatedly documented for the general population, as well as people with chronic disease [85,86,87,88,89,90,91].…”

Suizidalität bei Menschen mit pathologischem Glücksspiel

“…Bei Anrufern und Anruferinnen einer 24-Stunden-Hotline für Glücksspielprobleme wurde eine Befragung zu spielbezogenen Variablen, finanziellen und sozialen Auswirkungen, Substanzkonsum und glücksspielbezogenen Suizidgedanken und -versuchen durchgeführt [33]. Die Ergebnisse zeigen, dass 27,7 % der Teilnehmenden Suizidgedanken und 5,9 % Suizidversuche aufgrund des Glücksspiels in den letzten 12 Monaten vor der Befragung hatten.…”

“…Über 90 % des Samples hatten im Laufe ihres Lebens unter einer depressiven Erkrankung und/oder einer Angststörung gelitten, Teilnehmende mit Suizidgedanken oder -versuchen berichteten signifikant häufiger familiäre Konflikte und negative finanzielle Auswirkungen durch das Glücksspielverhalten. In einer Mediationsanalyse konnten die Autoren und Autorinnen einen direkten Effekt von finanziellen Problemen auf Suizidalität und einen indirekten Effekt über familiäre Konflikte darstellen [33].…”