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Gambling Addiction Recognised as a Growing Mental Health Disorder in South Africa,with Potential Links to Suicide

Updated: Nov 4

The number of South Africans seeking help for problem gambling has grown substantially in recent years, with a concerning number admitting to having attempted or contemplated suicide.

Gambling addiction, also known as disordered gambling, is increasingly recognized as a serious mental health condition across the world and as such it is listed as a medical and mental condition in the Diagnostic and Statistical Manual (DSM-5-TR), affecting a number of individuals:

  • DSM 5-TR- The recently released DSM-5 TR includes gambling disorder (GD) in the category of Addictions and Related Disorders.

  • This shift in classification reflects the clinical and neurobiological similarities between GD and substance-related addictions


It shares many similarities with substance abuse disorders, including compulsive behaviour, psychological dependence, loss of control, emotional distress, and significant impacts on daily functioning.


“Punters often experience emotional distress, including anxiety, guilt, and depression, particularly after significant losses. Many also display cognitive distortions, such as believing they can control gambling outcomes or waiting for a lucky streak, which perpetuates their addiction,” says Sibongile Simelane-Quntana, Executive Director at the South African Responsible Gambling Foundation (SARGF).


According to the SARGF’s National Responsible Gambling Programme (NRGP), there has been a concerning number of problem gamblers reporting either attempted suicide or suicidal thoughts.


Between April and June 2024 (Q1), the NRGP received 1025 referrals, of which 784 were identified as problem gamblers. Of these 784 individuals, 222 indicated they had either attempted suicide or experienced suicidal ideation—representing 28.32% of problem gamblers who exhibited (severe) mental health challenges related to gambling addiction.


As October marks global Mental Health Awareness Month, the SARGF emphasises the importance of understanding that problem gambling is not merely a financial issue, but a behavioural addiction with symptoms similar to substance use disorders. These often-overlooked psychological factors play a critical role in fuelling the cycle of gambling, making it difficult for individuals to seek help and, tragically, leading to serious mental health challenges.


"Many of our patients express feelings of hopelessness and despair, driving them to gamble more in an attempt to recover their losses," says Nyanisa Gqwede, Counselling Treatment Social Services Manager at the SARGF.


Gambling addiction in South Africa may often exist alongside other mental health conditions such as depression, anxiety, and substance abuse. It is therefore crucial for people to realise that gambling addiction is not just an issue related to money but rather a complex mental health condition that requires professional intervention and comprehensive care.


Through the NRGP, the SARGF is committed to supporting individuals struggling with problem gambling and their families. The programme offers treatment options such as cognitive behavioural therapy (CBT), support groups, and public awareness campaigns designed to provide support and raise awareness.


“We urge anyone struggling with gambling addiction to reach out for help,” says SARGF.


For more information on the SARGF and its programmes, visit www.responsiblegambling.org.za

Contact: National Responsible Gambling Programme

Email the NRGP Helpline: helpline@responsiblegambling.org.za

Toll Free Counselling Phone: 0800 006 008


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