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gambling in alberta - Research Services - University of Lethbridge

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Another approach is to establish the rate <strong>of</strong> attempted suicides to completed suicides. With an<br />

average <strong>of</strong> 450 documented suicides <strong>in</strong> 2000 and 2001 <strong>in</strong> Alberta, the ratio <strong>of</strong> reported<br />

attempted suicides <strong>in</strong> that time period (8,816) to completed suicides is approximately 19.6.<br />

This is fairly consistent with the World Health Organization’s (WHO) estimate <strong>of</strong> 20 attempts to<br />

1 completion (WHO, 2002). Thus, with this ratio applied to the estimated 1,079 problem<br />

gamblers who reported attempt<strong>in</strong>g suicide <strong>in</strong> 2008/2009, this would predict 55 <strong>gambl<strong>in</strong>g</strong>related<br />

suicides each year.<br />

Obviously, this estimated number is very much predicated on the accuracy <strong>of</strong> the attempted<br />

suicide to completed suicide ratio. Other Canadian research exam<strong>in</strong><strong>in</strong>g hospitalization for<br />

suicide attempts has found the ratio to be 6 to 7 hospitalized suicide attempts for every<br />

complete suicide (Langlois & Morrison, 2002). Another problem concerns the fact that<br />

Canadian completed suicide statistics are an underestimate <strong>of</strong> the true number <strong>of</strong> suicides as<br />

they do not <strong>in</strong>clude accidents where suicidal <strong>in</strong>tent could not be unambiguously established<br />

(e.g., s<strong>in</strong>gle occupant motor vehicle accidents). A f<strong>in</strong>al issue is that a large proportion <strong>of</strong><br />

problem gamblers experience associated, and to some extent, <strong>in</strong>dependent problems <strong>in</strong> the<br />

areas <strong>of</strong> mental health, substance abuse, relationships, and employment that are contributors<br />

to suicidality. If these associated problems had not been present then the likelihood <strong>of</strong><br />

<strong>gambl<strong>in</strong>g</strong> problems lead<strong>in</strong>g to a suicide attempt would have been lessened.<br />

These predicted numbers <strong>of</strong> <strong>gambl<strong>in</strong>g</strong>-related suicides are considerably higher than the <strong>of</strong>ficial<br />

number <strong>of</strong> <strong>gambl<strong>in</strong>g</strong>-related suicides <strong>in</strong> Alberta as reported by the Office <strong>of</strong> the Chief Medical<br />

Exam<strong>in</strong>er. These latter statistics are also presented <strong>in</strong> Table 50. However, it is important to<br />

recognize that these numbers are recognized as significant underestimates, as the Medical<br />

Exam<strong>in</strong>er <strong>in</strong> Alberta only records <strong>in</strong>formation about <strong>gambl<strong>in</strong>g</strong> if a relative or friend mentions it,<br />

or if there is other evidence <strong>of</strong> <strong>gambl<strong>in</strong>g</strong> at the scene <strong>of</strong> the death (e.g., suicide note).<br />

Similar to the earlier noted decl<strong>in</strong>es <strong>in</strong> treatment and helpl<strong>in</strong>e calls, it appears that rates <strong>of</strong><br />

<strong>gambl<strong>in</strong>g</strong>-related suicides have decl<strong>in</strong>ed s<strong>in</strong>ce 2000.<br />

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