title: Factors associated with suicidal risk among a French cohort of problem gamblers seeking treatment.
abstract: Compared to general population, pathological gamblers are 3.4 times more likely to attempt suicide. Our objective was to identify specific profiles of problem gamblers (PGs) with suicidal risk according to sociodemographic, clinical and gambling characteristics. The PGs cohort, called "EVALJEU" , consists in the inclusion of any new PG seeking treatment in our Department. Patients underwent a semi-structured clinical interview and completed self-report questionnaires. The "suicidal risk module" of the Mini International Psychiatric interview (MINI) allowed to constitute two groups of patients that were compared, according to the presence of a suicidal risk. A logistic regression was performed to identify factors related to suicidal risk in PGs. In our sample (N=194), 40.21% presented a suicidal risk. A history of major depression and anxiety disorders were predictors of suicidal risk as well as the perceived inability to stop gambling. Suicidality is a significant clinical concern in PGs. Therefore, three specific predictors, identified by our study, must be assessed.
authors.affiliation: CHU de Brest, Department of Addictive Disorders, Brest, France; Université de Bretagne Occidentale, ERCR SPURBO, Brest, France.
authors.forename: Morgane
authors.initials: M
authors.lastname: Guillou-Landreat
authors.affiliation: Université de Nantes, EA 4275 SPHERE "MethodS for Patients-Centered Outcomes and HEalth REsearch", Nantes, France.
authors.forename: Alice
authors.initials: A
authors.lastname: Guilleux
authors.affiliation: CHU de Nantes, Clinical Investigation Unit "Behavioral Addictions/Complex Affective Disorders", Addictology and Psychiatry Department, Nantes, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Sauvaget
authors.affiliation: CHU de Nantes, Clinical Investigation Unit "Behavioral Addictions/Complex Affective Disorders", Addictology and Psychiatry Department, Nantes, France.
authors.forename: Lucille
authors.initials: L
authors.lastname: Brisson
authors.affiliation: CHU de Nantes, Clinical Investigation Unit "Behavioral Addictions/Complex Affective Disorders", Addictology and Psychiatry Department, Nantes, France.
authors.forename: Juliette
authors.initials: J
authors.lastname: Leboucher
authors.affiliation: Université de Nantes, EA 4275 SPHERE "MethodS for Patients-Centered Outcomes and HEalth REsearch", Nantes, France; CHU de Nantes, Clinical Investigation Unit "Behavioral Addictions/Complex Affective Disorders", Addictology and Psychiatry Department, Nantes, France.
authors.forename: Manon
authors.initials: M
authors.lastname: Remaud
authors.affiliation: Université de Nantes, EA 4275 SPHERE "MethodS for Patients-Centered Outcomes and HEalth REsearch", Nantes, France; CHU de Nantes, Clinical Investigation Unit "Behavioral Addictions/Complex Affective Disorders", Addictology and Psychiatry Department, Nantes, France.
authors.forename: Gaëlle
authors.initials: G
authors.lastname: Challet-Bouju
authors.affiliation: Université de Nantes, EA 4275 SPHERE "MethodS for Patients-Centered Outcomes and HEalth REsearch", Nantes, France; CHU de Nantes, Clinical Investigation Unit "Behavioral Addictions/Complex Affective Disorders", Addictology and Psychiatry Department, Nantes, France. Electronic address: marie.bronnec@chu-nantes.fr.
authors.forename: Marie
authors.initials: M
authors.lastname: Grall-Bronnec
mesh_terms: D000328:Adult; D001007:Anxiety / Q000523:psychology; D016739:Behavior, Addictive / Q000523:psychology; D003865:Major Depressive Disorder / Q000523:psychology; D005260:Female; D005602:France; D005715:Gambling / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology; D012307:Risk Factors; D057566:Self Report; D013405:Suicide / Q000523:psychology*
keywords: Anxiety disorder; Cognitive distortions; Depressive disorder; Problem gambling; Suicide