The Big Gamble: The need for a comprehensive research approach to understanding the causes and consequences of gambling harm in Australia

Problem gambling is now recognised as a major public health issue, with some gambling products posing significant burdens for individuals, families and communities. While gambling has attracted significant political and media attention, governments have been largely unwilling to implement a comprehensive approach to gambling reform. This article reviews the evidence base associated with gambling harm and advocates for a shift in focus away from initiatives that focus on responsible gambling, towards an approach that recognises the mutual obligation between industry, individuals, governments and the general community to engage in practices that prevent the development of gambling-related harm.