ArticleBJPsych open2025
Gambling, suicide and mental health treatment utilisation in Wales: case-control, whole-population-based study.
Article in BJPsych open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Psychometric Evaluation of the Bilingual Russian-Kazakh Problem Gambling Severity Index: Item-Level Response Patterns and Behavioral Factors Associated with Gambling-Related Harm.Behavioral sciences (Basel, Switzerland) · 2026Article
- Suicidal thoughts, problem gambling severity and utilisation of health care and social services: A population-based study in Finland.Addictive behaviors reports · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGambling-related harm is a global public health concern. Suicide mortality is increased among people who experience gambling harm, and people who die by suicide often have contact with mental health treatment services in the months preceding their death.
aimsTo assess via a case-control study how gambling diagnosis predicts suicidal death and mental healthcare utilisation using linked routinely collected healthcare data.
methodWe linked the Welsh Longitudinal General Practice Dataset, Annual District Death Extract, Patient Episode Database for Wales, and Outpatient Appointments Dataset Wales using the Secure Anonymised Information Linkage (SAIL) Databank. A sample of individuals with gambling diagnosis who died by suicide and an age- and sex-matched comparator group of all-cause decedents between 1993 and 2023 were extracted. Predictors of suicidal death, including mental health diagnosis and treatment contacts, were analysed using binary logistic regression models and chi-squared tests.
resultsA matched cohort of 92 individuals diagnosed with a gambling diagnosis (mean age 61.5 years, s.d. 13.1; 71% male) who died by suicide and 2990 comparators were identified. Gambling diagnosis status was a significant predictor of suicide (odds ratio 30.94; 95% CI 3.57-268.28;
conclusionsHistorical diagnosis of gambling harm is a significant predictor of suicidal death and mental health treatment utilisation. Improved screening and coding practices would facilitate greater data linkage research on gambling-related suicide and suicide prevention.
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