有赌博问题者的自杀倾向:元分析文献综述。

IF 17.3 1区 心理学 Q1 PSYCHOLOGY
Psychological bulletin Pub Date : 2024-01-01 Epub Date: 2023-12-14 DOI:10.1037/bul0000411
Joakim Hellumbråten Kristensen, Ståle Pallesen, Jonas Bauer, Tony Leino, Mark D Griffiths, Eilin K Erevik
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引用次数: 0

摘要

赌博问题一直与自杀有关,包括自杀意念、自杀未遂和自杀。然而,在不同的研究中,这种关系的严重程度有很大差异,赌博问题与自杀之间的潜在因果关系目前尚不清楚。我们进行了一项荟萃分析文献综述,目的是:(a)综合有赌博问题的人的自杀率;(b)确定与没有赌博问题的人相比,有赌博问题的人报告自杀的可能性是否会增加;以及(c)综述有关因果关系和方向性的证据。通过在 Web of Science、APA PsycInfo、APA PsycNet、Medline、CINAHL、ProQuest、Embase 和 Google Scholar 电子数据库中进行检索,发现了 107 项独特的研究(N = 4,691,899),并将其纳入审查范围。只要研究能以任何一种欧洲语言提供,并能为流行率或效应大小的计算提供足够的数据,均可纳入。两名研究人员使用预定义的编码模式(包括纽卡斯尔-渥太华质量评估量表)独立提取数据。随机效应荟萃分析得出,终生自杀意念的患病率为 31.6%(95% CI [29.1%,34.3%]),终生自杀未遂的患病率为 13.2%(95% CI [11.3%,15.5%])。与没有赌博问题的人相比,有赌博问题的人报告终生有自杀倾向(OR = 2.17,95% CI [1.90,2.48])和终生企图自杀(OR = 2.81,95% CI [2.23,3.54])的几率明显增加。有两项研究报告称,病态赌博患者死于自杀的风险增加。元回归分析表明,研究偏差的风险与自杀意念的流行率呈正相关。研究发现,性别比例会降低自杀意念的发生几率,但影响的方向并不一致。就自杀未遂而言,精神病合并症和样本大小分别与流行率呈正相关和反相关。综述表明,自杀倾向在有赌博问题的人群中很常见,因此应由救助机构予以关注。由于缺乏纵向研究,对因果关系和方向性的推断受到影响。(PsycInfo Database Record (c) 2023 APA, 版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Suicidality among individuals with gambling problems: A meta-analytic literature review.

Gambling problems have consistently been linked to suicidality, including suicidal ideation, attempts, and suicide. However, the magnitude of the relationship has varied significantly across studies and the potential causal link between gambling problems and suicidality is currently unclear. A meta-analytic literature review was conducted to (a) synthesize pooled prevalence rates of suicidality among individuals with gambling problems; (b) determine if individuals with gambling problems had an increased likelihood of reporting suicidality compared to individuals without gambling problems; and (c) review evidence on causality and directionality. A search in Web of Science, APA PsycInfo, APA PsycNet, Medline, CINAHL, ProQuest, Embase, and Google Scholar electronic databases identified 107 unique studies (N = 4,691,899) that were included for review. Studies were included if they were available in any European language and provided sufficient data for the calculation of prevalence rates or effect sizes. Two researchers extracted the data independently using a predefined coding schema that included the Newcastle-Ottawa Quality Assessment Scale. Random-effects meta-analyses yielded pooled prevalence rates of 31.6% (95% CI [29.1%, 34.3%]) for lifetime suicidal ideation and 13.2% (95% CI [11.3%, 15.5%]) for lifetime suicide attempts. Individuals with gambling problems had significantly increased odds of reporting lifetime suicidal ideation (OR = 2.17, 95% CI [1.90, 2.48]) and lifetime suicide attempts (OR = 2.81, 95% CI [2.23, 3.54]) compared to individuals without gambling problems. Two studies reported that individuals with pathological gambling had an increased risk of dying by suicide. Metaregression analyses suggested that the risk of study bias was positively related to the prevalence rates of suicidal ideation. Sex proportions were found to moderate the odds of suicidal ideation, but the direction of the effect was inconsistent. For suicide attempts, psychiatric comorbidity and sample size were positively and inversely, respectively, associated with prevalence rates. The synthesis indicates that suicidality is common among individuals with gambling problems and hence should be addressed by help agencies. Inferences on causality and directionality are hampered by a lack of longitudinal studies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
Psychological bulletin
Psychological bulletin 医学-心理学
CiteScore
33.60
自引率
0.90%
发文量
21
期刊介绍: Psychological Bulletin publishes syntheses of research in scientific psychology. Research syntheses seek to summarize past research by drawing overall conclusions from many separate investigations that address related or identical hypotheses. A research synthesis typically presents the authors' assessments: -of the state of knowledge concerning the relations of interest; -of critical assessments of the strengths and weaknesses in past research; -of important issues that research has left unresolved, thereby directing future research so it can yield a maximum amount of new information.
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