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Psychiatric Quarterly

, Volume 85, Issue 4, pp 513–522 | Cite as

Suicidality in Non-Treatment Seeking Young Adults with Subsyndromal Gambling Disorder

  • Jon E. Grant
  • Katherine Derbyshire
  • Eric Leppink
  • Samuel R. Chamberlain
Original Paper

Abstract

Gambling Disorder is associated with elevated rates of suicidal thoughts and acts. However, virtually nothing is known about suicidality in people with subsyndromal forms of gambling disorder. A total of 174 non-treatment seeking subjects were recruited for a study of impulsivity and met criteria for a subsyndromal form of DSM-5 gambling disorder (31.0 % females; mean age = 21.7 ± 3.61 years). Subjects were categorized as being ‘at risk of suicide’ or ‘no suicide risk’ based on the Mini-International Neuropsychiatric Interview (MINI). Those with and without suicidality were compared on clinical and cognitive measures. 32 (18.4 %) met MINI criteria for suicidality. Suicidality was significantly associated with mood and anxiety disorders, greater rates of nicotine consumption, and relative impairments in decision-making and cognitive flexibility. These findings suggest that decision-making impairments may be implicated in the development of both gambling problems and suicidality. Future work should address causality, neural correlates, and tailored suicide prevention strategies for people with, or at risk for, disordered forms of gambling.

Keywords

Cognitive dysfunction Cognition Gambling Inhibition Suicide 

Notes

Acknowledgments

This work was supported by a Center of Excellence in Gambling Research grant from the National Center for Responsible Gaming to Dr. Grant.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Jon E. Grant
    • 1
  • Katherine Derbyshire
    • 1
  • Eric Leppink
    • 1
  • Samuel R. Chamberlain
    • 2
    • 3
  1. 1.Department of Psychiatry and Behavioral NeuroscienceUniversity of Chicago, Pritzker School of MedicineChicagoUSA
  2. 2.Department of PsychiatryUniversity of CambridgeCambridgeUK
  3. 3.Cambridge and Peterborough NHS Foundation TrustPeterboroughUK

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