title: A counselling line for problem and pathological gambling in South Africa: Preliminary data analysis.
abstract: OBJECTIVE
  Various countries and states have established telephone counselling lines for people with pathological or problem gambling. Data from such services may contribute to describing systematically the nature of gambling problems in a particular area. To date, however, few data have been published on such a telephone counselling line in a low or middle income country.
  
  
  METHODS
  Data on calls to the telephone counselling line of the National Responsible Gambling Foundation of South Africa were captured over a 6-month period. Such data include socio-demographic variables, the primary reason for calling, the source of the referral, preferred method of gambling, impairment as a consequence of gambling, and history of treatment for psychiatric disorders, comorbid alcohol abuse and illicit drug use.
  
  
  RESULTS
  Calls were received from a broad range of people; the mean age of callers was 37 years, the majority were male (62%) and many were married (45%). Primary reasons for calling included the feeling of being unable to stop gambling without the help of a professional (41%), financial concerns (32%), legal problems (13%), pressure from family (10%), and suicidal thoughts (2%). The majority of callers contacted the counselling line after having heard about it by word of mouth (70%). The most common forms of gambling were slot machines (51%) and casino games (21%). Fourteen percent of callers reported having received help for other psychiatric disorders, 11% reported alcohol use disorders and 6% illicit drug use.
  
  
  CONCLUSIONS
  These data from South Africa are consistent with prior research indicating that pathological and problem gambling are seen in a range of socio-demographic groups, and that such behaviour is associated with significant morbidity and comorbidity. More work is needed locally to inform younger gamblers, gamblers using the informal gambling sector, and unemployed gamblers of the existing telephone counselling lines.
authors.affiliation: Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa ; National Responsible Gambling Programme, South African Gambling Foundation, South Africa.
authors.forename: Heidi
authors.initials: H
authors.lastname: Sinclair
authors.affiliation: National Responsible Gambling Programme, South African Gambling Foundation, South Africa.
authors.forename: Adele
authors.initials: A
authors.lastname: Pretorius
authors.affiliation: Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa.
authors.forename: Dan J
authors.initials: DJ
authors.lastname: Stein
keywords: South Africa; behaviour addictive/therapy; comorbidity; counselling; gambling/psychology