Description and assessment of trustability of motives for self-exclusion reported by online poker gamblers in a cohort using account-based gambling data

BMJ Open. 2018 Dec 22;8(12):e022541. doi: 10.1136/bmjopen-2018-022541.

Abstract

Objective: Self-exclusion is one of the main responsible gambling tools. The aim of this study was to assess the reliability of self-exclusion motives in self-reports to the gambling service provider.

Settings: This is a retrospective cohort using prospective account-based gambling data obtained from a poker gambling provider.

Participants: Over a period of 7 years we included all poker gamblers self-excluding for the first time, and reporting a motive for their self-exclusion (n=1996). We explored two groups: self-excluders who self-reported a motive related to addiction and those who reported a commercial motive.

Results: No between-group adjusted difference was found on gambling summary variables. Sessions in the two groups were poorly discriminated one from another on four different machine-learning models. More than two-thirds of the gamblers resumed poker gambling after a first self-exclusion (n=1368), half of them within the first month. No between-group difference was found for the course of gambling after the first self-exclusion. 60.1% of first-time self-excluders self-excluded again (n=822). Losses in the previous month were greater before second self-exclusions than before the first.

Conclusions: Reported motives for self-exclusion appear non-informative, and could be misleading. Multiple self-exclusions seem to be more the rule than the exception. The process of self-exclusion should therefore be optimised from the first occurrence to protect heavy gamblers.

Keywords: impulse control disorders; mental health; public health.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Behavior Control*
  • Behavior, Addictive / psychology*
  • Cohort Studies
  • Databases, Factual
  • Female
  • Gambling / epidemiology
  • Gambling / psychology*
  • Humans
  • Male
  • Middle Aged
  • Motivation
  • Retrospective Studies
  • Self Report
  • Trust / psychology*