ABSTRACT The aim of this study is to understand the family history of people pathologically engaging in gambling in rural Greece along with the factors and effects (suicidal thoughts/attempts) related thereto, according to participants’ perspective. Qualitative in nature, the study was based on 32 semi-structured interviews carried out with adults who attended a Treatment Facility for pathological gambling in Heraklion Crete, in Greece. A past family history of excessive gambling was reported by most of the participants, while in many cases were reported a family history of alcohol misuse. Participants perceived self-characteristics, losses/traumatic experiences, paternal and nuclear family characteristics, work-related problems, peers who also gamble and upbringing practices influenced by culture as principal pathological gambling factors. Participants also reported that pathological gambling has various effects on one’s psychological mood, behavior, and relationship patterns with self and others. Most participants also reported having suicidal thoughts, whereas a few of them mentioned at least one suicide attempt. The study concludes that pathological gambling in the current population is associated with a past family history of excessive gambling or alcohol misuse. Multiple factors also seem to contribute to its manifestation and to such adverse effects, such as suicidal thoughts and attempts.
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