Internet Gaming Disorder and the Incidence of Suicide-Related Ideation and Behaviors in College Students.
Journal
Journal of addiction medicine
ISSN: 1935-3227
Titre abrégé: J Addict Med
Pays: Netherlands
ID NLM: 101306759
Informations de publication
Date de publication:
04 Jun 2024
04 Jun 2024
Historique:
medline:
4
6
2024
pubmed:
4
6
2024
entrez:
4
6
2024
Statut:
aheadofprint
Résumé
The longitudinal associations between DSM-5 Internet Gaming Disorder (IGD) and suicide-related ideation and behaviors have not been explored. In this study, we therefore seek to examine the association between baseline IGD and incident suicide ideation, plans, and attempts. This is a prospective cohort study of 2586 Mexican college students followed up from September 2018 to June 2022. We estimated hazards ratios modeling incidence of suicide ideation, plans, and attempts by fitting proportional hazards Cox models with person-time scaled in years. Among 2140 students without suicide ideation at baseline, there were 467 incident cases in 3987.6 person-years; ideation incidence rates were 179 cases per 1000 person-years among students with IGD and 114 cases per 1000 person-years among those without IGD. Incidence rates for suicide plans were 67 and 39 per 1000 among IGD and non-IGD students, and 15 and 10 per 1000, respectively for attempts. After controlling for age, sex, and mood, anxiety, and substance use disorders, IGD was associated with an 83% increased risk of suicide ideation. Although incidence rate estimates for plans and attempts were higher among students with IGD, results were not statistically significant. This study helps to raise awareness of the increased risk of at least suicidal ideation in people experiencing IGD. Clinicians treating patients with IGD may encounter complaints of suicide ideation over time, and even reports of suicidal behavior that should not be disregarded. Identifying these patients and treating/referring them for underlying suicidality should form part of IGD treatment.
Identifiants
pubmed: 38832680
doi: 10.1097/ADM.0000000000001331
pii: 01271255-990000000-00327
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024 American Society of Addiction Medicine.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
Références
APA. Diagnostic and Statistical Manual of Mental Disorders DSM-5-TR. Washington, DC: American Psychiatric Association, 2022.
King DL, Delfabbro PH. The concept of "harm" in Internet gaming disorder. J Behav Addict. 2018;7(3):562–564.
Borges G, Orozco R, Benjet C, et al. DSM-5 Internet gaming disorder among a sample of Mexican first-year college students. J Behav Addict. 2019;8(4):714–724.
Benjet C, Orozco R, Albor YC, et al. A longitudinal study on the impact of Internet gaming disorder on self-perceived health, academic performance, and social life of first-year college students. Am J Addict. 2023;32(4):343–351.
Borges G, Benjet C, Orozco R, et al. Internet gaming disorder does not predict mood, anxiety or substance use disorders in university students: a one-year follow-up study. Int J Environ Res Public Health. 2023;20(3):2063.
Kiraly O, Koncz P, Griffiths MD, et al. Gaming disorder: a summary of its characteristics and aetiology. Compr Psychiatry. 2023;122:152376.
Balhara YPS, Singh S, Yadav Z. Media reporting on deaths due to suicide attributed to gaming in digital news: a case of misrepresentation and missed opportunities. Asian J Psychiatr. 2022;68:102955.
Vidua RK, Bhargava DC, Chouksey VK, et al. Suicide linked to PUBG video gaming: a case report. Med Leg J. 2020;88(4):220–222.
Erevik EK, Landro H, Mattson AL, et al. Problem gaming and suicidality: a systematic literature review. Addict Behav Rep. 2022;15:100419.
Byeon G, Park JE, Jeon HJ, et al. Associations between game use and mental health in early adulthood: a nationwide study in Korea. J Affect Disord. 2022;297:579–585.
Cheng YS, Tseng PT, Lin PY, et al. Internet addiction and its relationship with suicidal behaviors: a meta-analysis of multinational observational studies. J Clin Psychiatry. 2018;79(4):17r11761.
Nock MK, Borges G, Bromet EJ, et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry. 2008;192(2):98–105.
Hygen BW, Skalicka V, Stenseng F, et al. The co-occurrence between symptoms of Internet gaming disorder and psychiatric disorders in childhood and adolescence: prospective relations or common causes? J Child Psychol Psychiatry. 2020;61(8):890–898.
Ma Z, Wang D, Zhao J, et al. Longitudinal associations between multiple mental health problems and suicidal ideation among university students during the COVID-19 pandemic. J Affect Disord. 2022;311:425–431.
Kasal A, Kuklova M, Kagstrom A, et al. Suicide risk in individuals with and without mental disorders before and during the COVID-19 pandemic: an analysis of three nationwide cross-sectional surveys in Czechia. Arch Suicide Res. 2023;27(2):671–685.
Benjet C, Gutierrez-Garcia RA, Abrego-Ramirez A, et al. Psychopathology and self-harm among incoming first-year students in six Mexican universities. Salud Publica Mex. 2019;61(1):16–26.
Cuijpers P, Auerbach RP, Benjet C, et al. The World Health Organization world mental health international college student initiative: an overview. Int J Methods Psychiatr Res. 2019;28(2):e1761.
Nock MK, Holmberg EB, Photos VI, et al. Self-injurious thoughts and behaviors interview: development, reliability, and validity in an adolescent sample. Psychol Assess. 2007;19(3):309–317.
Benjet C, Borges G, Miah S, et al. One-year incidence, predictors, and accuracy of prediction of suicidal thoughts and behaviors from the first to second year of university. Depress Anxiety. 2022;39(12):727–740.
Petry NM, Rehbein F, Ko CH, et al. Internet gaming disorder in the DSM-5. Curr Psychiatry Rep. 2015;17(9):72.
Kessler RC, Santiago PN, Colpe LJ, et al. Clinical reappraisal of the Composite International Diagnostic Interview Screening Scales (CIDI-SC) in the Army study to assess risk and resilience in servicemembers (Army STARRS). Int J Methods Psychiatr Res. 2013;22(4):303–321.
Rothman KJ, Greenland S, Lash TL. Modern Epidemiology. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2008.
Hosmer DW, Lemeshow S, May S. Applied Survival Analysis: Regression Modeling of Time-to-Event Data. 2nd ed. Hoboken, NJ: John Wiley & Sons, 2008.
Valliant R, Dever JA. Adjustment for nonresponse. In: Valliant R, Dever JA, eds. Survey Weights: A Step-By-Step Guide to Calculation. 1st ed. College Station, TX: Stata Press, 2018.
StataCorp. Stata Survival Analysis Reference Manual. Release 18. College Station, TX: Stata Press, 2023.
StataCorp. Stata Statistical Software: Release 18. College Station, TX, 2023.
Xie Y, Yang Q, Lei F. The relationship of Internet gaming addiction and suicidal ideation among adolescents: the mediating role of negative emotion and the moderating role of hope. Int J Environ Res Public Health. 2023;20(4):3375.
Kim DJ, Kim K, Lee HW, et al. Internet game addiction, depression, and escape from negative emotions in adulthood: a nationwide community sample of Korea. J Nerv Ment Dis. 2017;205(7):568–573.
Fox KR, Franklin JC, Ribeiro JD, et al. Meta-analysis of risk factors for nonsuicidal self-injury. Clin Psychol Rev. 2015;42:156–167.
Whitmore LM, Smith TC. Isolating the association of sleep, depressive state, and other independent indicators for suicide ideation in United States teenagers. Arch Suicide Res. 2019;23(3):471–490.
Ohayon MM, Roberts L. Internet gaming disorder and comorbidities among campus-dwelling U.S. university students. Psychiatry Res. 2021;302:114043.
OECD. Education at a Glance 2019. Paris: OECD Publishing, 2019.
Amaya-Amaya A, Huerta-Castro F, Flores-Rodríguez CO. Big Data, una estratégica para evitar la deserción escolar en las IES. Revista Iberoamericana de Educación Superior. 2020;11(31):166–178.
Hernan MA. The hazards of hazard ratios. Epidemiology. 2010;21(1):13–15.
Greenland S. Response and follow-up bias in cohort studies. Am J Epidemiol. 1977;106(3):184–187.
Hernan MA. Invited commentary: selection bias without colliders. Am J Epidemiol. 2017;185(11):1048–1050.
Szklo M, Nieto FJ. Epidemiology: Beyond the Basics. 4th ed. Burlington, MA: Jones & Bartlett Learning, 2019.