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Exploring the relationship between gambling behaviour, suicidality, and treatment and support

Author: Maria David, Florence Trégan, Hannah Brearley-Bayliss, Eddie Cohen, Claudia Nashef, Imogen Martin, Alice Stephens, Sokratis Dinos, Gregory White Published: January 2026

Summary

This report explores the relationship between gambling behaviour and suicidal thoughts and attempts, exploring the critical points of intervention to improve the current provision for gambling harms treatment and support. It explores what demographic groups are more likely to be at risk alongside what types of gambling participation are associated with a higher risk of suicidality.

Topics covered

  • The relationship between gambling, mental health and suicidality
  • Demographic and contextual factors impacting experiences with suicidality
  • Experiences of treatment and support with suicidality
  • Treatment and support needs among people experiencing suicidality
  • Recommendations for improving service provision

Key findings

  • Overall, one in five (22%) people who reported high levels of problems with gambling (PGSI 8+) had attempted suicide in their lifetime, and most of this group (66%) linked their latest suicide attempt to gambling.
  • The pattern of gambling participation most associated with suicidality among people who reported gambling in the last 12 months was a combination of gaming (e.g., bingo, casino games, poker) and ‘other’ gambling (e.g., lotteries, loot boxes, and miscellaneous gambling types).
  • Identifying as lesbian, gay, bisexual or another sexual orientation, or having a disability were associated with an increase in the odds of lifetime experience of suicidality among people who gamble.
  • Efforts to stop or reduce gambling could be a high-risk point for experiencing suicidality as these experiences could lead people to feel hopeless, trapped and worried about the future.
  • Restarting gambling again after going through sometimes long periods of treatment could also relate to feelings of being defeated or lonely which was also a key risk point for suicidal ideation or actions.
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