In a well-publicized analysis of visitor suicides in three casinoareas (Atlantic City, Las Vegas, and Reno), elevated suicide risk among interstate visitors was attributed to the presence of legalized gambling. A fundamental limitation of the analysis, however, was the absence of estimatesfor at-risk populations. In the present paper, an analysis of 1995 visitor-suicide rates (incorporating estimates for at-risk population) for 310 large UScounties, including places both with and without gambling casinos, yields no evidence to support a gambling-suicide relationship.
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