4 ms·
> "Emergency room visits for gambling disorders" Huh? > "More than 70 per cent of gambling disorder emergency department visits involved another mental health
by BugsJustFindMe 17d ago
> "Emergency room visits for gambling disorders"
Huh?
> "More than 70 per cent of gambling disorder emergency department visits involved another mental health condition or heavy substance use and almost one-third of the visits led to hospital admission."
Ok, so I assume they mean that these emergency visits were for things like drug overdoses and psychotic episodes in people led to by their gambling disorders, not for the gambling disorders themselves. What a strange way of writing this up. A gambling disorder is a chronic problem, not an acute one.
There's a difference between "emergency visit for X" where you treat X and "emergency visit (for Y) because of X" where you treat Y proximal to X, and people could learn to be more discerning in their use and interpretation of language.
- redsocksfan45 17d ago[dead]
- MBCook 17d agoYeah, that was kind of odd. Maybe they also mean suicidality after ending up in a ton of debt? Or just other self-harm because of it? Personally, I really don’t like the expansion of legalized gambling. I’m not surprised it’s causing serious issues. I would at least be more OK if it happened but advertising was heavily restricted/banned in context. The fact that every professional sport seems to be nothing but a thin wrapper around gambling ads now can’t possibly be good for us as a society.
- pas 17d ago> emergency department visits in which a gambling disorder was recorded as either the main or a contributing reason for the visit.
- ghostbrainalpha 17d agoI wonder how many were for suicide attempts after a huge loss specifically.
- pas 17d ago> emergency department visits in which a gambling disorder was recorded as either the main or a contributing reason for the visit. from the study > An ED visit for a gambling disorder was defined on the basis of the clinical judgement of the treating team and was identified when ICD-10 codes F63.0 (pathological gambling) or Z726 (gambling or betting problems) were coded as the main or contributing reason for the visit. > In 29.3% of these ED visits, a gambling disorder was listed as the primary cause of the visit,
- BugsJustFindMe 17d agoContributing reason, sure, but main reason makes no sense.
- pas 17d agoapparently there's an ICD code for it i guess if someone gets a meltdown (mental breakdown) after losing a lot of money
- BugsJustFindMe 17d agoThat definitely still seems like contributing. Also, the ICD ontology specifically exists for billing purposes and isn't the same as patient diagnostic classification, though there is overlap and people do mistakenly use it as such sometimes. But there's a difference between "emergency visit for X" (treat X) and "emergency visit because of X" (treat Y proximal to X). (I also edited my original comment to include this last part, since it seems likely to create confusion)
- pas 17d agothere's a difference in semantics between clinical reason and billing, agreed, though it seems that the news article did not sensationalize the study, and the study uses at least one valid code that can be a primary reason for a visit, and while I'm absolutely just a random dog on the internet, for me the overlap in meaning seems significant to warrant the use of this term. https://icdlist.com/icd-10/F63.0 https://icdlist.com/icd-10/F63.0 https://icdlist.com/icd-10/Z72.6 https://icdlist.com/icd-10/Z72.6 "The code is not accepted as a principal diagnosis "
- autoexec 17d agoThe paper lists the mental health conditions as "anxiety disorder, bipolar disorder, major depressive disorders, self-harm, acute stress reaction and other". I'm surprised that multiple people went into the ER to seek treatment for a gambling addiction without being flagged for anything else. It seems like there should be a better place for people looking for help to go.