Suicidal thoughts, problem gambling severity and utilisation of health care and social services: A population-based study in Finland
Notice bibliographique
Résumé
• Suicidal thoughts are common among those with problem gambling, even after controlling for sociodemographic factors, excessive alcohol use, severe psychological distress, loneliness, and long-term illness. • Almost all individuals with problem gambling and suicidal thoughts had used some health services in the past year while one-third had used social services. • Those with concurrent suicidal thoughts and problem gambling were more likely to access services than those with suicidal thoughts without gambling. • Individuals who had engaged in gambling and experienced suicidal thoughts in the past year but had not utilized health care services were more often young, male, and excessive alcohol users. • It is important to improve screening and early detection for gambling problems and suicidality in the service network and to integrate services to support people in various needs. Persons harmed by problem gambling have an increased risk of suicide and suicidal thoughts. Social and health care services have an important role in recognising and supporting persons harmed by gambling problems and suicidal thoughts. We analyse population-based survey data from the Healthy Finland survey of permanent Finnish residents aged 20 years or older (n = 28,154). We study associations between gambling and suicidal thoughts, and use of health care and social services among individuals engaged in gambling and experienced suicidal thoughts in the past year. The analysis uses χ 2 tests and logistic regression models. Of persons harmed by problem gambling (PGSI score ≥ 8) 31 % had suicidal thoughts. Among persons harmed by problem gambling and having suicidal thoughts, utilization of health care and social services was more common compared to non-gamblers with suicidal thoughts. Individuals who engaged in gambling and experienced suicidal thoughts in the past year but had not utilized health care services were more often young, male, and excessive alcohol users. On the contrary, those who had used social services, engaged in gambling and had suicidal thoughts were experiencing more often long-term illnesses and severe psychological distress. Suicidal thoughts are prevalent among persons harmed by problem gambling. Social and health service systems need to better recognise the association between gambling and co-occurrent suicidal thoughts. In addition, services need to be developed to offer effective treatment and support with high levels of integration.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».