Personal experiences of suicidality in women with gambling disorder – A qualitative interview study

Background: Gambling disorder is associated with increased suicidality, especially in women who also are more likely to have psychiatric comorbid disorders and more often have experiences of traumatic life events. Although suicidality is increased and several risk factors have been identified, knowl...

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Bibliographic Details
Published in:Journal of behavioral addictions 2023-06, Vol.12 (2), p.510-521
Main Authors: Karlsson, Anna, Hakansson, Anders, Hansson-Nylund, Helena
Format: Article
Language:English
Subjects:
Behaviorism
Clinical Medicine
Comorbidity
Development and progression
Female
Gambling - psychology
gambling disorder
guilt
Health and medicine and law
Humans
indebtedness
Individual Psychology
Klinisk medicin
Medical and Health Sciences
Medicin och hälsovetenskap
Psychiatry
Psykiatri
Risk Factors
Social aspects
stigma
Substance abuse and addiction
Suicidal behavior
Suicidal Ideation
suicidality
Suicide
Suicide, Attempted
women
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Summary:Background: Gambling disorder is associated with increased suicidality, especially in women who also are more likely to have psychiatric comorbid disorders and more often have experiences of traumatic life events. Although suicidality is increased and several risk factors have been identified, knowledge of the suicidal process is lacking, especially for women. Aim: To explore the lived experiences of suicidality in women with gambling disorder and to investigate potential factors involved in the development of suicidality. Method: Semi-structured interviews were held with seven women with experiences of gambling disorder and suicidality in Malmö, Sweden between November 2021 and June 2022, when saturation was reached. Interviews were audio-recorded, transcribed, and coded in NVivo. Qualitative content analysis was used to build categories and themes. Results: Several women had experienced suicidality before developing gambling disorder and gambling-related suicidality. However, for some, suicidality had appeared seemingly only due to the gambling disorder. Suicidality ranged from ideation to severe suicide attempts. Three themes of factors modulating suicidality related to gambling were found; a) guilt shame and self-stigmatization, b) loss of control/chaotic life circumstances, and c) social consequences/fear of guilt and shame from others. Conclusion: More research on the experience of suicidality in women with gambling disorder is needed. Attempts to address self-stigmatization, guilt, and shame in women with gambling disorder and society at large as well as aiding women to regain a sense of control over their economy and gambling may be ways to reduce suicidality.
ISSN:2062-5871
2063-5303
DOI:10.1556/2006.2023.00024