A1 Refereed original research article in a scientific journal
Suicidal thoughts, problem gambling severity and utilisation of health care and social services: A population-based study in Finland
Authors: Latvala, Tiina; Heiskanen, Maria; Marionneau, Virve; Lind, Kalle; Grönroos, Tanja; Castrén, Sari
Publisher: Elsevier BV
Publication year: 2026
Journal: Addictive Behaviors Reports
Article number: 100658
Volume: 23
ISSN: 2352-8532
eISSN: 2352-8532
DOI: https://doi.org/10.1016/j.abrep.2025.100658
Publication's open availability at the time of reporting: Open Access
Publication channel's open availability : Open Access publication channel
Web address : https://doi.org/10.1016/j.abrep.2025.100658
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/508999015
Self-archived copy's licence: CC BY
Self-archived copy's version: Publisher`s PDF
BackgroundPersons harmed by problem gambling have an increased risk of suicide and suicidal thoughts. Social and health care services have an important role in recognising and supporting persons harmed by gambling problems and suicidal thoughts.MethodsWe analyse population-based survey data from the Healthy Finland survey of permanent Finnish residents aged 20 years or older (n = 28,154). We study associations between gambling and suicidal thoughts, and use of health care and social services among individuals engaged in gambling and experienced suicidal thoughts in the past year. The analysis uses χ2 tests and logistic regression models.ResultsOf persons harmed by problem gambling (PGSI score ≥ 8) 31 % had suicidal thoughts. Among persons harmed by problem gambling and having suicidal thoughts, utilization of health care and social services was more common compared to non-gamblers with suicidal thoughts. Individuals who engaged in gambling and experienced suicidal thoughts in the past year but had not utilized health care services were more often young, male, and excessive alcohol users. On the contrary, those who had used social services, engaged in gambling and had suicidal thoughts were experiencing more often long-term illnesses and severe psychological distress.ConclusionsSuicidal thoughts are prevalent among persons harmed by problem gambling. Social and health service systems need to better recognise the association between gambling and co-occurrent suicidal thoughts. In addition, services need to be developed to offer effective treatment and support with high levels of integration.
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Funding information in the publication:
The study was funded by the Ministry of Social Affairs and Health, Finland, within the objectives of the §52 Appropriation of the Lotteries Act. Daily work of the authors TL, TG, MH, SC and KL at the Finnish Institute for Health and Welfare, was also funded by the Ministry. The Ministry had no role in the study design, analysis, or interpretation of the results of the manuscript or any phase of the publication process.
