November marks Responsible Gambling Month and experts are sounding the alarm over the mental health crisis linked to sports betting in South Africa.
Doctors from the South African Society of Psychiatrists (SASOP) are warning of rising addiction, depression and suicide risks as gambling continues to surge.
According to the National Gambling Board (NGB) 2024/25 annual report, the global boom in sports betting has triggered a sharp increase in mental health issues, including depression, substance abuse, addiction and heightened risks of suicide and domestic violence.
The report revealed a staggering 623% increase in calls to the National Responsible Gambling Programme (NRGP) toll-free helpline, climbing from 140 000 to more than one million year-on-year. Problem gambling rates have soared to 31%, up from less than 6% in 2017, while referrals for counselling and treatment rose by 55%. Treatment among people aged 18 to 35 more than doubled – from 787 to 2 034 in 2025.
SASOP member Dr Aakifah Issak, who consults at Ribumed Behavioural Centre in Ballito, warns that financial losses are just one of the many consequences of gambling.
“For many, gambling offers the excitement of competition and risk-taking, social connections, escape from daily stress and the hope of quick financial gain,” said Issak.
“The fast-changing, technologically driven landscape of online gambling and betting is driving a rapid rise in both the prevalence of gambling and problematic gambling, particularly among South Africa’s youth.”
Research shows that sports betting is now the largest and fastest-growing form of gambling in the country, with a 76% year-on-year increase. South Africans wagered R761-billion on sports events, primarily through online and mobile platforms – accounting for two-thirds of all gambling activity.
Issak cautions that the normalisation and glamourisation of betting, especially through sports sponsorships and social media advertising, heightens the risk of irresponsible gambling.
“Research evidence from people negatively affected by gambling points to workplace problems and job losses, damaged relationships with partners, families and communities, higher rates of domestic violence and detrimental impacts on physical and mental health,” she said.
Need help?
Contact the NRGP helpline at 0800 006 008 or WhatsApp ‘help’ to 076 675 0710.
The service is free, confidential and available 24/7.
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