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Commercial stakeholders believe that harms are experienced by a minority of gamblers only. The first major theme related to the sources of gambling harm. Commercial stakeholders believed the causes of harmful gambling are complex and could be due to co-morbidities or a tendency toward addiction. Non-commercial stakeholders thought that harms are caused directly by gambling products and gambling environments. Stakeholders mostly discussed harms caused by gambling in general terms (without mentioning any specific harm).
The excess costs of harmful gambling (direct financial cost to government plus societal value of health impacts) were estimated to be between £1.05 and £1.77 billion for England. But we expect that the true costs are higher because the lack of evidence meant that it was not possible to cost all types of harms or the wider harms to individuals or society. These estimates are likely to continue to change with further evidence. There was one low quality qualitative study that looked at gaming in people aged 11 to 24 years old. The young people felt gambling-like activities in gaming (such as loot boxes and skin betting) were addictive.
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While a high-quality meta-analysis of problem gambling risk factors in the general adult population has been published since our review was completed, this also relied heavily on cross-sectional studies. Two quantitative studies (of moderate and high quality) reported that deaths from suicide were significantly higher among https://www.telegraph.co.uk/betting/casino-reviews/ adults with gambling disorder or problems compared to the general adult population. One of these found that some participants, particularly women, had already experienced suicidal events before starting to gamble. This suggests that gambling may trigger suicidal events in some people already prone to suicidal ideation.
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