Suicidal ideation and history of suicide attempts in treatment-seeking patients with gambling disorder: The role of emotion dysregulation and high trait impulsivity
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BACKGROUND AND AIMS: Gambling disorder (GD) presents high rates of suicidality. The combined influences of emotion dysregulation and trait impulsivity are crucially important (albeit understudied) for developing strategies to treat GD and prevent suicide attempts. The aim of this study is to investigate the association between trait impulsivity, emotion dysregulation, and the dispositional use of emotion regulation (ER) strategies with suicidal ideation and psychopathological symptom severity in GD. METHODS: The sample composed of 249 patients with GD (166 with suicidal ideation) who underwent face-to-face clinical interviews and completed questionnaires to assess psychopathological symptoms, impulsive traits, and ER. RESULTS: Patients with GD who presented suicidal ideation were older and had a later age of GD onset and higher GD severity. Analyses of variance showed higher comorbid symptoms, emotion dysregulation, and trait impulsivity in patients with suicidal ideation. Still, no significant differences were found in the use of ER strategies. SEM analysis revealed that a worse psychopathological state directly predicted suicidal ideation and that both emotion dysregulation and GD severity indirectly increased the risk of suicidal ideation through this state. High trait impulsivity predicted GD severity. Finally, a history of suicide attempts was directly predicted by suicidal ideation. CONCLUSIONS: Patients with GD are at risk of presenting suicidal behaviors. The results of this study revealed the importance of comorbid psychopathology in the occurrence of suicidal ideation and the indirect effect of trait impulsivity and emotion dysregulation on suicidality. Thus, suicidal rates in GD could possibly be reduced by specifically targeting these domains during treatment.
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Several studies did not find statistically significant associations or evidence of emotional dysregulation between patients with and without suicide attempts.
“Several studies did not find statistically significant associations [30,32,35,45] or evidence of emotional dysregulation between patients with and without suicide attempts [44,54,62,63,67].”
From The Role of Emotion Dysregulation in Understanding Suicide Risk: A Systematic Review of the Literature (2024) · cites this paper as [44]
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- Authors
- Mallorquí-Bagué, N., Mena-Moreno, T., Granero, R., Vintró-Alcaraz, C., Sánchez-González, J., Fernández-Aranda, F., Pino-Gutiérrez, A. D., Mestre-Bach, G., Aymamí, N., Gómez-Peña, M., Menchón, J. M., & Jiménez-Murcia, S.
- Affiliations
- 1 Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain
- Instituto de Salud Carlos III (ES)
- Universitat Autònoma de Barcelona (ES)
- Bellvitge University Hospital (ES)
- Venue
- Journal of Behavioral Addictions
- Publisher
- Akademiai Kiado Zrt.
- Published
- 2018-12
- Volume
- 7
- Issue
- 4
- Pages
- 1112-1121
- ISSN
- 2062-5871 (ISSN-L)
- 2063-5303
- PMC
- PMC6376371
- OpenAlex
- W2905681575
- Cited by
- 39
- References
- 59
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 6 · 2023: 4 · 2022: 7 · 2021: 6 · 2020: 6 · 2019: 2
- FWCI
- 4.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Behavioral Addictions (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (publishedVersion, cc-by-nc)
- Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
- Dipòsit Digital de Documents de la UAB (Universitat Autònoma de Barcelona) (submittedVersion, cc-by-nc)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by-nc)
- Funders
- Generalitat de Catalunya
- Ministerio de Educación, Cultura y Deporte (PSI2015-68701-R, FPU16/01453, FPU16/02087, PI17/01167, FPU16)
- Ministerio de Economía y Competitividad (PSI2015‐68701‐R, PI14/, FPU16/02087, FPU16/01453, PSI2011-28349, PSI2011-28349 and PSI2015-68701-R)
- Ministerio de Sanidad, Servicios Sociales e Igualdad (FIS PI14/00290, FIS PI17/01167, FIS PI14/00290, FIS PI17/01167)
- Centro de Investigación Biomédica en Red de Salud Mental
- Agència de Gestió d'Ajuts Universitaris i de Recerca (PSI2011-28349, 2018 FI_B2 00174)
- Instituto de Salud Carlos III (FIS-PI14/00290, PSI2015-68701-R, FIS PI17/01167), PI14/, PSI2011-28349, 2017I067, PI14/00290, FIS PI14/, PI17/01167)
- European Social Fund
- Topics
- Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- gambling addiction, suicidal ideation, suicide attempt history, emotional dysregulation, trait impulsivity, emotion regulation strategies, comorbid psychopathology, suicide prevention
- MeSH terms
- Self-Control, Adult, Affective Symptoms, Mental Disorders, Female, Gambling, Humans, Impulsive Behavior, Male, Middle Aged, Patient Acceptance of Health Care, Personality, Suicide, Attempted, Suicidal Ideation
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