title: [Sociodemographic Traits and Comorbidities in Pathological Gamblers With a Suicide Attempt in Spain].
abstract: OBJECTIVE
  Suicide is the first cause of non-natural death in Spain. Among addictive disorders, pathological gambling is one the most significant independent risk factors for suicidal behavior. The objective of this study is to describe and compare the sociodemographic traits, comorbidity and attempt characteristics, between suicide attempters who fulfill diagnostic criteria for pathological gambling and those who do not.
  
  
  METHODS
  A total of 345 patients admitted to the emergency department of a University Hospital in Madrid between 1999 and 2004 were interviewed for this study. To describe and compare the demographic characteristics, comorbidity and those related to attempted suicide, using logistic regression models adjusted for sex and age were used.
  
  
  RESULTS
  Suicide attempters who fulfilled diagnostic criteria for pathological gambling were predominantly male, with a low education level, and had more offspring. Furthermore, these patients had more comorbidities, such as: global substance dependence, nicotine, cocaine and opioid dependence.
  
  
  CONCLUSIONS
  The present study suggests that pathological gamblers represent a distinct subgroup among suicide attempters, with particular characteristics, similar to those found in pathological gamblers in the general population.
authors.affiliation: Servicio de Psiquiatría, Fundación Jiménez Díaz, Madrid, España. Electronic address: evvpsiquiatra@gmail.com.
authors.forename: Ernesto José
authors.initials: EJ
authors.lastname: Verdura-Vizcaíno
authors.affiliation: Área de Epidemiología Ambiental y Cáncer, Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, España; Centro de Investigación Biomédica en Epidemiología y Salud Pública (CIBER en Epidemiología y Salud Pública-CIBERESP), Madrid, España.
authors.forename: Pablo
authors.initials: P
authors.lastname: Fernández-Navarro
authors.affiliation: Servicio de Psiquiatría, Fundación Jiménez Díaz, Madrid, España.
authors.forename: Antonio
authors.initials: A
authors.lastname: Vian-Lains
authors.affiliation: Servicio de Psiquiatría, Hospital Ramón y Cajal, IRYCIS, Madrid, España; Universidad de Alcalá, Madrid, España; Centro de Investigación Biomédica en Salud Mental (CIBERSAM), Madrid, España.
authors.forename: Ángela
authors.initials: Á
authors.lastname: Ibañez
authors.affiliation: Servicio de Psiquiatría, Fundación Jiménez Díaz, Madrid, España; Centro de Investigación Biomédica en Salud Mental (CIBERSAM), Madrid, España; Universidad Autónoma de Madrid, Madrid, España; Departamento de Psiquiatría, New York State Psychiatric Institute, Nueva York, Estados Unidos.
authors.forename: Enrique
authors.initials: E
authors.lastname: Baca-García
mesh_terms: D000328:Adult; D015897:Comorbidity; D005260:Female; D005715:Gambling / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D012307:Risk Factors; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology*; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D014029:Tobacco Use Disorder / Q000453:epidemiology
keywords: Addictions; Adicciones; Affective disorders; Comorbidity; Comorbilidad; Juego patológico; Pathological gambling; Suicide; Suicidio; Trastornos afectivos