6). Depression can lead to suicidal thoughts or actions, especially after losing an excessive amount of money at the casino. According to Hjelmeland, a middle-aged mother overdosed on antidepressants after a big financial loss. He states: “. . . The number of problem gamblers represents only one to three percent of all adult Americans, but for those affected and their families, problem gambling is undoubtedly a serious problem. (78) Not only does this cause internal personal problems, but it also affects those around the player, because