Gambling Harm in Great Britain Often Interconnected, Study Finds
A qualitative study based on interviews with participants from the Gambling Survey for Great Britain (GSGB) reveals how gambling-related harm often develops through a complex web of financial, emotional, and social consequences that reinforce each other over time.

Financial Harm Often Comes First
For many participants, financial harm was the first visible consequence of gambling. These ranged from smaller compromises – cutting back on non-essentials or groceries – to more severe outcomes such as job loss or becoming unhoused. Some participants described the financial impact as manageable, while others reported deep frustration, guilt, and growing debt that they could no longer control.
Alongside financial strain, participants discussed deteriorating relationships and worsening mental health. Several reported spending less time with family, arguing more with partners, or withdrawing socially. Emotional effects included stress, anxiety, depression, poor sleep, and unhealthy eating habits. These consequences often fed into each other. For some, losing money triggered depression, which in turn led to more gambling as a coping mechanism, creating a self-perpetuating cycle.
Harm Emerges in Varied and Nonlinear Ways
Participants described different trajectories into harm, shaped by personal history, external stressors, and social environment. Some traced their introduction to gambling back to childhood or adolescence, often through family members who gambled. Others started later but progressed quickly into high-risk behaviour.
Journeys were rarely linear. Some individuals described worsening harm followed by recovery, while others experienced long periods with little change. Shifts were often linked to external factors – new employment, a pay rise, or conversely, unemployment and financial stress. These influences shaped gambling behaviour in complex ways. For example, higher income sometimes increased gambling by providing more disposable cash, but in other cases, it reduced gambling because financial need was no longer a motivation.
Other contributing factors included peer influence, parenting responsibilities, mental health conditions, migration, and exposure to gambling marketing.
Participants reported that different types of harm – financial, emotional, relational – often occurred together or triggered one another. In some cases, the consequences happened all at once with no clear sequence. In others, one problem led to another, creating a chain reaction. Several interviewees found themselves caught in feedback loops where gambling led to harm, which in turn led to more gambling.
Support and Prevention Efforts Remain Uneven
Awareness of gambling support tools varied widely. Some participants knew little about available help, while others had used a mix of self-help resources, operator-provided tools, or support from family and friends. In most cases, individuals only sought help after experiencing significant negative consequences. Self-imposed controls, budgeting techniques, and external support were among the most common strategies used to manage gambling behaviour.
The findings underscore that gambling harm cannot be viewed in isolation. Personal vulnerability, environmental factors, and the actions of the gambling industry all contribute to the development and persistence of harm. The report highlights the need for holistic, person-centred approaches that address not just financial losses but also the emotional and relational damage that often follows.