Gambling policy framework

This policy framework is part of a series of documents that review evidence, summarize current policy environments, and propose evidence-informed principles to guide public policy in Ontario.* This document updates CAMH’s 2011 Gambling Policy Framework to account for new evidence and policy developments. The purpose of this framework is to provide a template for gambling […]

The search term ‘suicide’ is being used to lead web browsers to online casinos

While Search Engine Optimisation seeks to enhance PageRankings, some methods are not approved or condoned by browser developers. To understand the risks faced by suicidal gamblers in the online environment, 2 studies examined the behaviour of an online search engine. A series of Google searches in 2021 used key terms such as ‘suicide’ and ‘gambling’ […]

From engagement to treatment, recovery, and beyond for people seeking help for their gambling-related problems (IN Problem Gambling Counseling and Treatment Approaches, edited by J. Landon, S. Rodda, & M. Zangeneh))

This chapter focuses on the importance of engagement, assessment, and evidence-based treatments for people seeking help for gambling-related problems, and on understanding how relapse happens. It has been written for  mental health professionals with a background in evidence-based practice, including Cognitive Behaviour Therapy (CBT) (Beck & Beck, 2011) and Motivational Interviewing (MI; Hettema et al., […]

Suicide ideations, suicide attempts, and completed suicide in persons with pathological gambling and their first-degree relatives

We examined the relationship between suicidal ideations and attempts in 95 probands with pathological gambling (PG), 91 controls, and 1075 first-degree relatives. The results were analyzed using logistic regression with generalized estimating equations. Thirty-four PG probands (35.8%) and 4 controls (4.4%) had attempted suicide (OR = 12.12, p < .001); in 13 probands, the attempt […]

Gambling problems predict suicidality in recently transitioned military veterans

Objective: This study investigated associations between gambling problems and suicidality in Australian veterans. Methods: Data drawn from n = 3,511 Australian Defence Force veterans who had recently transitioned to civilian life. Gambling problems were assessed using the Problem Gambling Severity Index (PGSI) and suicidal ideation and behaviour were assessed using items adapted from the National Survey of […]

Suicidal ideation and familicidal-suicidal ideation among individuals presenting to problem gambling services: A retrospective data analysis

Background: Studies have consistently reported high rates of suicidal ideation (SI) among individuals with disordered gambling. None have explored gambling-related familicidal-suicidal ideation (FSI). Aims: This study examined the (1) prevalence of SI and FSI among treatment-seeking gamblers in Hong Kong, (2) characteristic profile of factors associated with SI and FSI, and (3) factors that predict SI and […]

Changes in severity of problem gambling and subsequent suicide attempts: A longitudinal survey of young adults in Great Britain, 2018–20

Background Cross-sectional studies identify problem gambling as a risk factor for suicidality. Using an online longitudinal survey, we aimed to examine the association between changes in severity of gambling behaviour and attempted suicide. Methods The Emerging Adults Gambling Survey is a longitudinal survey of people in England, Scotland, and Wales, aged 16–24 years interviewed online […]

Distorted cognitions, substance use and suicide ideation among gamblers: A moderated mediation approach

Psychoactive substance users and those having irrational beliefs tend to report more suicide ideation; however, there is paucity of research on substance use and distorted cognitions in relation to suicidality among gamblers. The possibility of a moderated mediation model has not been examined. This study examines substance use as a mechanism explaining the association between […]

Gambling in patients with major depressive disorder is associated with an elevated risk of suicide: Insights from 12-years of nationwide inpatient sample data

Background There is a frequent occurrence of gambling disorder (GD) in patients with major depressive disorder (MDD). Psychiatric comorbidities can present more severely in patients diagnosed with pathological gambling. There is limited information on symptom trends in MDD patients with GD, particularly in association with suicidality. Objectives Our primary aim was to compare baseline characteristics […]

Gambling disorder and suicide: An overview of the associated co-morbidity and clinical characteristics

Context: A high prevalence of suicide and attempted suicide in relation to gambling disorder is in increasing evidence in current scientific data. The objective of this review was to explore if there was a primary correlation between psychiatric co-morbidities and gambling and/or a secondary correlation with suicide acts. Evidence Acquisition: We performed a critical analysis […]

Gambling disorder, increased mortality, suicidality and associated comorbidity: A longitudinal nationwide register study

Background and aims: Gambling disorder (GD) appears to be an independent risk factor for suicide, and all-cause mortality has been sparsely studied in patients with GD. This study aims to explore mortality and suicide rates in individuals with GD compared to the general population as well as explore risk factors associated with all-cause mortality and suicide […]

Do addictive behaviors matter for college students’ depression and suicidal ideation?

Previous research has shown that depression is an important predictor for suicidal ideation and that depression, addictive behaviors, and suicidal ideations are highly associated with each other. However, no studies have specifically investigated the role of addictive behaviors (i.e., alcohol use, gambling) as moderators on the association between depression and suicidal ideation among Korean college […]

Self-reported gambling-related suicidality among gambling helpline callers.

Problem gamblers often attribute suicidal ideation or attempts to their gambling. Logistic regression analyses were applied to data from problem gamblers (N = 986) calling a helpline. Problem gamblers reporting gambling-related suicidality (n = 252; 25.6%) were more likely than those denying it (n = 734; 74.4%) to acknowledge family, financial, legal, and mental and […]

Suicidal ideation and lifetime attempts in substance and gambling disorders.

Suicidality is more commonly reported among individuals with addictions relative to the general population, though data from Asian countries remain scarce. The medical records of 2187 Singaporean patients with drug (n=879), alcohol (n=754) or gambling (n=554) disorders entering an outpatient treatment service were examined to explore differences in suicidal ideation and lifetime attempts between substance […]

Suicidal ideation and suicide attempts in five groups with different severities of gambling: Findings from the National Epidemiologic Survey on alcohol and related conditions.

Problem and pathological gamblers show high rates of suicidal behavior. However, previous research of suicide among this population has been inconsistent. Discrepancies may stem from methodological issues, including variable use of suicide nomenclature and selection bias in study samples. Furthermore, earlier research has rarely examined gambling severity aside from problem or pathological categories. This study […]

Adolescent gambling and problem gambling in Alberta: Summary report.

A major objective of this study is to identify the prevalence of gambling and problem gambling within the 12 to 17-year-old population in Alberta.

Treating gambling/substance abusing clients: A literature survey.

Research has repeatedly shown a strong correlation between chemical dependency and pathological gambling. Study results show the percentage of pathological gamblers who also have substance abuse problems ranges from 10.15% to as high as 39-528 (Slavik, 1993). Within AADAC, CMS data for three quarters of 1996 indicate 20% of clients discharged from inpatlent treatment programs […]

Characteristics of black and white callers to a gambling helpline.

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Clinical and neurocognitive markers of suicidality in young adults.

Suicide represents a leading cause of death in young people, yet relatively little is known regarding the neurobiological sequelae of preceding suicidal thoughts and behaviours. Although some studies have reported cognitive deficits associated with suicidality, very few studies have been undertaken in young people, especially from non-clinical contexts. Impaired decision-making exists in young people with […]

Reward signals, attempted suicide, and impulsivity in late-life depression.

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Mental Health and Suicide Among Adult Problem Gamblers

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Gambling as an emerging health issue on campus

Objective: The authors documented the prevalence of gambling and correlates to health among undergraduates. Methods: The authors analyzed data from a health-habit questionnaire (gambling questions included) given to students enrolled in a university-required course. Results: Gambling and problems with gambling were more frequent among men than women regardless of venue. Athletes more frequently bet on […]

A Psychological Autopsy Study of Pathological Gamblers who Died by Suicide

By examing a series of 17 suicides with evidence of pathological gambling prior to death, the authors sought to generate hypotheses for the further study of this problem. Psychological autopsy interviews were conducted with proxy respondents for suicide & control subjects aged 15-59 years in Hong Kong. Of the 150 suicides & 150 controls examined, […]