Blind box over-engagement and suicide risk among adolescents and young adults: Results of a large-scale survey

作者：Yinan Duan, Shicun Xu, Yinzhe Wang, Yinzhe Wang, Yanwen Zhang, Yuanyuan Wang, Yuanyuan Wang, Runsen Chen · 发表于：EClinicalMedicine · 年份：2022 · DOI：10.1016/j.eclinm.2022.101575 · 被引用次数：21 · 研究领域：Gambling Behavior and Treatments、Suicide and Self-Harm Studies、Substance Abuse Treatment and Outcomes

Background Gambling appears to be an independent risk factor for suicide among the young population worldwide. Blind boxes are collectable toys packed randomly in the box, which share certain similarities with gambling and are popular among the young population. This is the first study that examined the association between blind box engagement and suicide risk in the young population, the leading consumption group of blind boxes. Methods This study is part of a large-scale, cross-sectional study using convenience sampling conducted Oct 26 to Nov 18, 2021, which covered all the university and college students in the Jilin province, China. A total of 73,206 participants completed the survey with valid data for the current study (male: N = 28,762; female: N = 44,444; Mean age = 19·59). Participants' blind box engagement, suicide risk, depression, anxiety, alcohol use, smoking habit, and sociodemographic characteristics were assessed. First, we used univariate and multivariable binary logistic regression models to examine the relationship between blind box engagement and suicide risk in all participants. Second, we tested whether depression and anxiety would mediate the association between blind box engagement and suicide risk. Third, we analysed the association between "Frequency (i.e., frequency of blind box engagement)," "Bet (i.e., expenditure on the blind box that exceeds affordability)," "Tolerance (i.e., level of addiction)," "Borrowed (i.e., the amount of money borrowed f...