# Qualitative exploration of gambling harm among UK veterans: normalisation, stigma and postservice escalation

**Authors:** Dana Dekel, Adanma Ekenna, Hillary Engward, Lauren R Godier-McBard, Chris Kay, Thomas Kersey, Matt Fossey, Simon Dymond

PMC · DOI: 10.1136/bmjopen-2025-109458 · BMJ Open · 2026-03-25

## TL;DR

This study explores how UK veterans experience gambling harm, influenced by military culture, emotional coping, and post-service challenges.

## Contribution

The study provides novel qualitative insights into veterans' lived experiences of gambling harm and its normalization within military contexts.

## Key findings

- Gambling is normalized in military and civilian contexts, reinforced by institutional routines.
- Stigma and structural barriers prevent veterans from seeking help for gambling harm.
- Post-discharge isolation and digital gambling access contribute to gambling escalation.

## Abstract

This study explored the lived experiences of UK Armed Forces veterans affected by gambling-related harm. It examined how military culture, institutional practices and life transitions shaped gambling behaviours, barriers to help-seeking and the long-term impact on well-being. While quantitative research has documented elevated gambling-related harm among veterans, little qualitative work has examined how veterans themselves understand, experience and navigate gambling harm across military and post-military contexts.

Reflexive thematic analysis of one-to-one semistructured interviews, covering topics such as the nature of participants’ gambling activities, the impact on their lives, pathways to gambling behaviours and help-seeking.

Participants were UK veterans (n=14), aged 31–60, including one female, from three service branches, all of whom self-identified as having experienced gambling-related harm.

Four interrelated themes were generated: (1) Gambling as normalised in both civilian and military contexts, reinforced by institutional routines and downtime activities; (2) Gambling as an emotional coping mechanism, shaped by institutional norms of stoicism and emotional control; (3) Stigma, silence and structural barriers to help-seeking, including fears of professional repercussions and (4) Escalation postdischarge, driven by isolation, unstructured time, digital gambling access and difficulties adjusting to civilian life. Participants reported concealment, debt and relational breakdowns, with some disclosing suicidal ideation linked to gambling harm.

Gambling harm among UK veterans is shaped by a complex interplay of cultural, emotional and institutional factors. While gambling opportunities are embedded in military life, systems of support remain inconsistent and often punitive. Gambling remains under-recognised as a serious mental health issue within military and veteran care pathways. Findings highlight the need for stigma-free, culturally informed interventions across the military life cycle, including routine screening, gambling harm education and trauma-informed care.

## Full-text entities

- **Genes:** H3-7 (H3.7 histone (putative)) [NCBI Gene 440686] {aka H3-2, H3.7, HIST2H3PS2, p06}, ZHX2 (zinc fingers and homeoboxes 2) [NCBI Gene 22882] {aka AFR1, RAF}
- **Diseases:** heroin addict (MESH:D006556), mental distress (MESH:D012128), cognitive overload (MESH:D003072), violent (MESH:D001523), addiction (MESH:D019966), depression (MESH:D003866), emotional dysregulation (MESH:D021081), Trauma (MESH:D014947), identity loss (MESH:D009105), suicidal ideation (MESH:D001072), Gambling harm (MESH:D005715), difficulty (MESH:D051346), confusion (MESH:D003221), post-traumatic stress disorder (MESH:D013313), mental health (OMIM:603663)
- **Chemicals:** adrenaline (MESH:D004837), alcohol (MESH:D000438), heroin (MESH:D003932), roulette (-)
- **Species:** Homo sapiens (human, species) [taxon 9606], Equus caballus (domestic horse, species) [taxon 9796]

## Full text

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## References

62 references — full list in the complete paper: https://tomesphere.com/paper/PMC13034226/full.md

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Source: https://tomesphere.com/paper/PMC13034226