Problem Gambling and Attempted Suicide are Associated in a National Survey in Canada

S Newman, A Thompson
2006 American Journal of Epidemiology  
and WI). NVDRS implements a multi-source data collection model, utilizing complementing sources of information. For data analysis was through descriptive statistics. In participating states there were 7,367 suicide deaths, which corresponds to an age-adjusted suicide death rate of 10.6 per 100,000 population. In 80.7% of deaths, there was detailed information about circumstances and characteristics of these incidents. The majority of suicide victims were males (77.6%), and white (88.5%). Almost
more » ... 25% of victims disclosed intention to commit suicide to another person. About 18% of victims had made previous suicide attempts. Women had a previous history of suicide attempts 2.4 (95% CI 2.0, 2.8) times more frequently than men. Almost 78% of victims died in their homes. Three types of weapons accounted for 93% of deaths: firearms (53%), hanging, strangulation and suffocation (22.2%) and poisoning (17.9%). About 42% of suicides had at least one documented mental health problem. The most frequent mental health problem was depression/dysthymia (81.3%). 13.9% of deaths involved more than one mental health problem. Among those, the most frequent combination was depression and bipolar disorder (31.5%). About 22 percent of victims had physical problems that precipitated their deaths. In 84.1% of incidents it was reported that at least one of the following contributed to the death: job, finance or school related problems. Victims experienced intimate partner relationship problems in 27.9% of cases. The association between problem gambling and attempted suicide was examined using data from the Canadian Community Health Survey, Cycle 1.2 (CCHS). The CCHS, conducted by Statistics Canada in 2002, interviewed a nationally representative sample of 36,984 subjects aged 15 years or older (response rate 77%). We analyzed CCHS data using logistic regression: the dependent variable was attempted suicide (in the preceding 12 months); the independent variables were age, sex, marital status, education, employment status, household income, geographic region, and (in the preceding 12 months) problem gambling, major depression, alcohol dependence, drug dependence, and health care utilization for a mental health problem. Survey weights and bootstrap methods were used to account for the complex survey design. Problem gambling was diagnosed using the Canadian Problem Gambling Index; major depression, alcohol dependence and drug dependence were diagnosed using DSM-IV criteria. The crude odds ratio for the problem gambling-attempted suicide association was 8.8 (95% confidence interval [CI]: 4.0, 19.2). In the final logistic regression model (which included terms for major depression, alcohol dependence, health care utilization, and several demographic variables) the odds ratio for the problem gambling-attempted suicide association was 3.4 (95% CI: 1.4, 8.6). We concluded that in the CCHS data, problem gambling and attempted suicide are associated. However, it is not possible to say whether this represents a causal realtionship. 928-S SUICIDAL IDEATION AND FAMILY COHESION IN PRE-COLLEGE STUDENTS, LIMA-PERU 2005. *J Munoz, V Pinto, N Napa and H Callata (School of Medicine of the Universidad Nacional Mayor de San Marcos. Lima, Peru) Background: Suicide is now the second most frequent cause of death among 15-to 24-year-old students worldwide. Suicidal ideation is a risk factor for suicidal behaviour; the low family cohesion, for suicidal ideation. Objectives: To assess the prevalence of suicide ideation and its association with levels of family cohesion in pre-college students with ages between 15 and 24 years. Materials and methods: A cross-sectional study was performed. A self-report questionnaire constituted for the subscale of Family Cohesion of the Family Adaptability and Cohesion Evaluation Scale III and five questions about suicide behavior of the Modified Questionnaire of Mental Health for peruvian population was applied. A random sample of 1500 students of 4500 was selected. Results: Lifetime prevalence of passive wishing to die was 48%, while 30% had suicidal ideation, 15% planned suicide, and 9% had attempted suicide. The previous year prevalence of suicidal ideation was 15%, and in the previous month was 6%. According to the family cohesion: 22% of families were disengaged, 32% separated, 31% connected and 15% enmeshed. A significantly increased risk of suicidal ideation was associated with disengaged family (Odds Ratio 2.08, 95% CI 1.23-3.51), but not for enmeshed family (Odds Ratio 0.56, 95% CI 0.21-1.44), other risks factors were identified like the relative suicidal attempt and living alone. Conclusions: There is a high prevalence of suicidal ideation between these students. It has a strong association with low family cohesion.
doi:10.1093/aje/163.suppl_11.s232-b fatcat:62pzoik5qvanvotp3fuzgjslnq