Prevalence of Suicidal Behavior and Associated Clinical Correlates in Patients with Behavioral Addictions

Addictive disorders are characterized by severe consequences, including suicidal events, but most studies investigating the association between addiction and suicidal risk have focused on substance use disorders and gambling disorder at the expense of the rest of behavioral addictions. This study examined the prevalence and the associated clinical correlates of suicidal ideation and suicide attempts in a sample of patients with a diagnosis of behavioral addiction. The total sample consisted of 4404 individuals: 4103 of these patients with gambling disorder, 99 with gaming disorder, 44 with sex addiction, and 158 with buying–shopping disorder. All of them were assessed consecutively at a specialized hospital unit for the treatment of behavioral addictions. Participants attended two clinical interviews and completed self-reported questionnaires to explore clinical features of behavioral addictions, personality traits, psychopathological symptomatology, suicidal behavior, and sociodemographic variables. The highest prevalence of suicidal ideation was found in patients with gambling disorder (22.9%), followed by buying–shopping disorder (18.4%), sex addiction (18.2%), and gaming disorder (6.1%). The highest prevalence of suicide attempts was registered for sex addiction (9.1%), followed by buying–shopping disorder (7.6%), gambling disorder (6.7%), and gaming disorder (3.0%). Female gender and unemployment constituted two relevant sociodemographic factors associated with suicidal risk in gambling disorder, gaming disorder, and buying–shopping disorder. Lack of family support appeared as a relevant risk factor, except for gaming disorder. These results pointed out that suicide is a prevalent behavior in behavioral addictions, and clinicians and researchers need to pay particular attention to the specificities of each behavioral addiction when assessing suicidal risk.

Validation and Psychometric Evaluation of the Italian Version of the Bergen–Yale Sex Addiction Scale

Excessive problematic sexual behavior in the form of compulsive sexual behavior disorder (CSBD), hypersexuality (HS), and sex addiction has gained increasing credibility in recent years and has led to the development of various psychometric instruments to assess such behavior. However, there is still considerable controversy over the operational definition of such concepts and whether they can be used interchangeably to describe the behavior. One recently developed tool is the Bergen–Yale Sex Addiction Scale (BYSAS) based on the “components model of addiction.” The present study validated the Italian version of the BYSAS. The BYSAS was administered to a large Italian-speaking sample of Italian adults [N = 1230, aged 18 to 67 years] along with psychometric instruments assessing the “Big Five” personality traits, self-esteem, depression, and two other measures of addictive sexual behavior (i.e., PATHOS and Shorter PROMIS Questionnaire–Sex Subscale). Confirmatory factorial analysis supported a one-factor solution. Furthermore, the scale had good internal consistency (Cronbach’s α = 0.787). The BYSAS was positively associated with extroversion, openness to experience, depression, and problematic sexual behavior, and negatively associated with self-esteem, conscientiousness, emotional stability, agreeableness, and age. Based on the findings, the BYSAS is a brief, psychometrically reliable and valid measure for assessing sex addiction among Italian adults.

“not conducive for sobriety”: Sex Addiction and Neoliberal Masculinity in Don Jon and Thanks for Sharing

Thanks for Sharing (2012) and Don Jon (2013), share similarities in their representation of the lives of unmarried men who are all approaching midlife, and who are all struggling to build meaningful, monogamous, long term attachments with women. In Thanks for Sharing, Adam (Mark Ruffalo) is addicted to brief encounters with numerous partners in contexts devoid of emotional intimacy, while a fellow member of his sex addicts support group, Neil (Josh Gad), struggles with a compulsion to touching strangers in public locations. In counterpoint, Don Jon charts the protagonist’s insatiable consumption of online pornography, since Jon believes that the virtual domain provides a far superior sexual experience than anything, he could find in real life encounters with women. This article is concerned with the relationship between sex addiction and masculinity, and how neoliberalism is imbued in the characters’ embodiment of masculinity regardless of their divergent social backgrounds.

Disgraced of the West, Deserted of the East: Men in the Films Shame and Issız Adam (Alone)

Apart from being shot in almost the same decades, Shame (Steve McQueen, 2011) and Issız Adam (Çağan Irmak, 2008) have other analogies that require to study on. Even though both men live in different cultures and have different relationship models, they struggle in life concurrently. While Steve McQueen’s Shame focuses on uncompromising sex addiction that overthrows a man’s life, Çağan Irmak’s Issız Adam takes it on a romantic level and presents a lonely man who cannot attach women. Though it seems an ordinary attachment problem on the surface, both men have deep social, sexual, familial problems that force them to be left alone. In consideration of adult romantic attachment theory of Hazan and Shaver (1987), both male characters will be examined under the topics of adult loneliness and love, romantic incest and sex addiction to analyze the reasons and the results of the bond that both male characters cannot have built.

Correction to: The psychometric properties of the Bergen–Yale sex addiction scale for the Iranian population

An amendment to this paper has been published and can be accessed via the original article.

Sex addiction in Turkey: A large-scale survey with a national community sample

Prior studies on sex addiction have mostly relied on a narrow range of risk factors among small and heterogeneous samples. The purpose of the present study was to examine the psychological markers related to sex addiction in a large-scale community sample of Turkish adults. A total of 24,380 individuals completed a survey comprising the Sex Addiction Risk Questionnaire, the Brief Symptom Inventory, the Positive and Negative Affect Schedule, the Personal-Wellbeing Index Adult Form, the Toronto Alexithymia Scale, and the Experiences in Close Relationships-Revised (50% males; mean age = 31.79 years; age range = 18 to 81 years). Utilizing hierarchical regression analysis, sex addiction was associated with being male, being younger, having a lower education level, being single, being an alcohol and nicotine user, psychiatric distress, low personal wellbeing, positive and negative affect, alexithymia, and anxious attachment. This study suggests that socio-demographic factors and aforementioned detrimental psychological factors exacerbate higher engagement in addictive sexual behaviors among the Turkish community. However, more studies are needed to better understand the factors associated with sex addiction in Turkey.