The effects of gender and gambling preference on suicidal behaviour and responses to CBT treatment

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Author(s): Valenciano-Mendoza, Eduardo ; Fernández-Aranda, Fernando ; Granero, Roser ; Gómez-Peña, Monica ; Moragas, Laura ; Del Pino-Gutiérrez, Amparo ; Mora-Maltas, Bernat ; Baenas, Isabel ; Guillen-Guzman, Elias ; Valero-Solís, Susana ; Lara-Huallipe, Milagros Lizbeth ; Codina, Ester ; Mestre-Bach, Gemma ; Etxandi, Mikel ; Menchón, José M. ; Jiménez-Murcia, Susana

Journal: Journal of Psychiatric Research

Year Published: 2021

Date Added: January 21, 2022

People with gambling disorder (GD) are more likely to have suicidal behaviours. Some people with GD respond well to cognitive behavioural therapy (CBT), while others relapse or drop out of treatment. This study tested what factors affect suicidal behaviours and responses to CBT. A total of 1112 patients with GD completed the clinical interviews. Then they received 16 weeks of CBT treatment. About 21% of participants had suicidal ideation and 7% attempted suicide at some point. Women were more likely to have suicidal ideation than men. Women, as well as those who prefer non-strategic games, were more likely to have attempted suicide. Worse mental health state and some personality traits were also linked to suicidal behaviour. Neither suicidal behaviour nor gambling preferences affected CBT treatment outcomes.

Citation: Valenciano-Mendoza, E., Fernández-Aranda, F., Granero, R., Gómez-Peña, M., Moragas, L., del Pino-Gutierrez, A., … Jiménez-Murcia, S. (2021). Suicidal behavior in patients with gambling disorder and their response to psychological treatment: The roles of gender and gambling preference. Journal of Psychiatric Research, 143, 317-326. https://doi.org/10.1016/j.jpsychires.2021.09.027

Article DOI: https://doi.org/10.1016/j.jpsychires.2021.09.027

Keywords: gambling disorder ; gambling preferences ; gender ; risk factors ; suicidality ; suicide ; treatment outcomes

Topics: Comorbidities ; Cultural Factors ; Information for Treatment Providers ; Suicide

Conceptual Framework Factors: Gambling Types ; Psychological - Comorbid Disorders ; Cultural - Gender ; Psychological Factors ; Cultural Factors ; Types - Motivational Characteristics ; Gambling Resources ; Resources - Interventions

Study Design: Descriptive: Survey

Geographic Coverage: Spain, Barcelona

Study Population: Adults with GD who were seeking treatment at the Gambling Disorder Unit within the Department of Psychiatry at Bellvitge University Hospital (Barcelona, Spain) between January 2005 and January 2019. (N=1112)

Sampling Procedure: Clinical psychologists invited treatment-seeking patients at the Gambling Disorder Unit to voluntarily participate in the study during an initial clinical screening interview.

Study Funding:

This study was funded by the Ministerio de Ciencia, Innovación y Universidades. It also received funding from Delegación del Gobierno para el Plan Nacional sobre Drogas, CIBER Fisiología Obesidad y Nutrición (CIBERobn), CIBER Salud Mental (CIBERSAM), and School of Medicine and Health Sciences, University of Barcelona.