Gambling involves betting something of value, such as money or chips, on an event whose outcome is determined by chance. It may involve betting on a football match, buying a scratchcard or even taking part in a game of chance with friends. The majority of people who gamble do so in a responsible manner and experience no negative consequences. However, some people develop a gambling disorder which is characterised by excessive and persistent betting behaviour that causes significant distress or impairment.
It is estimated that over $10 trillion is legally wagered annually in the world on gambling. Many people consider gambling to be entertaining and it can offer a good source of income for businesses. It can also be a social activity that brings people together in a friendly setting. In addition, some games like poker or blackjack encourage players to adopt tactics and use teamwork.
Although most people gamble responsibly, a small percentage of individuals develop a gambling disorder which can have serious health, family and financial consequences. This article examines the rationale for evaluating patients’ gambling behavior within primary care settings, reviews the evidence on the relationship between gambling and health, including screening strategies for problem and pathological gambling and discusses current treatments for gambling disorders. It is important to note that it is still dangerous for someone with a gambling disorder to gamble, and they should seek support immediately if they are experiencing suicidal thoughts or feelings.