There is a relationship between problem gambling and self-harm. The negative consequences associated with problem gambling may cause someone to engage in behaviours related to self-harm. However, it is also possible that self-harm is a result of poor mental health that may precede problem gambling. The aim of this study was to identify research studies that had examined the relationship between self-harm and problem gambling. The authors identified 21 articles. The authors conducted two meta-analyses on the effect of problem gambling on suicide ideation and suicide attempts. The results indicated that people with problem gambling are more likely to have suicide ideation and to attempt suicide.