Men’s mental health: ‘Man up’ is not the answer

Published

2 years ago

April 21, 2023

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Surveys from around the world find that males everywhere are reluctant to talk about their mental health and are more likely to die by suicide than females. Heres why this may be happening and how some healthcare professionals and researchers are trying to address it. Share on Pinterest Rick Gayle/Getty Images

Across the globe, among many races, ethnicities, and income brackets, males often avoid getting help for their psychological issues.

According to the World Health Organization (WHO), males die by suicide at twice the rate of females. And high income countries have the highest suicide rates among males.

In the United States, males make up nearly 80% of all deaths by suicide, report the Centers for Disease Control and Prevention (CDC). Males die by suicide four times more often than females do.

Mental health professionals diagnose depression more often in women than in men, according to the nonprofit Mental Health America (MHA). At the same time, the organization adds, more than 6 million American men experience symptoms of depression annually and most go undiagnosed.

Situational stressors also play a major role in suicide deaths among males, many of whom do not have a documented mental health history, according to a 2021 analysis from the CDC.

These stressors can include anything from relationship troubles to arguments, but all indicate a need for support during stressful transitions, explains a press release from UCLA, the professional home of one of the reports co-authors.

Men are less likely than women to receive formal mental health support of any kind.

Recent research explains why this could be happening and suggests ways to remedy the situation. A note about sex and gender

Sex and gender exist on spectrums. This article will use the terms male, female, or both to refer to sex assigned at birth. Click here to learn more.Was this helpful? Share on Pinterest Illustration by Diego Sabogal Stigma around mens mental health

On a daily basis, many males find themselves grappling with prescriptive, antiquated ideas about gender and this struggle can contribute to their mental health issues.

It also explains why so many males have a difficult time admitting that they need help and pursuing it.

Sex differences in mental health typically emerge across late childhood and adolescence, wrote Simon Rice, an Australian mental health expert, in The Lancet Public Health in 2021. This time is also when gender norms become entrenched, persisting into later life, whereby they continue to shape mental health and help-seeking.

In 2022, the American Journal of Public Healthpublished a review of studies dealing with the societal stigma surrounding mental illness. It found that men who internalized that stigma were less likely to get help for their psychological issues and more likely to face challenges and a heightened risk for severe mental illness.

Research shows that people who are treated for depression or suicidal thoughts (whether through therapy or medication) are far less likely to think about or attempt suicide.

Sometimes, difficulty with money or other practical issues is linked to suicidal ideation. In times of personal hardship, getting material or emotional support from others has also been shown to reduce these thoughts.

For more research-backed information and resources for mens health, please visit our dedicated hub.Was this helpful? Stumbling blocks for men of color

Men of color and those with diverse racial and ethnic backgrounds face additional challenges when it comes to looking after their mental health.

The National Alliance on Mental Health notes that just 1 in 3 Black adults with mental illness receives treatment, despite the fact that they are more likely to experience emotional distress than white adults. Generational racial trauma and violence against people of color, as played out in the news media, intensify this distress.

Members of the Black community may also have difficulty trusting healthcare professionals.

According to MHA, Historical dehumanization, oppression, and violence against Black and African American people has evolved into present-day racism structural, institutional, and individual and cultivates a uniquely mistrustful and less affluent community experience.

Suicide rates have gradually risen among Black and Hispanic adults in recent years, while steadily dropping among white adults, notes the CDC.

American Indian and Alaskan Native individuals have the highest suicide rate of any demographic group. In surveys, members of these groups are 60% more likely than white individuals to say that everything is an effort, all the time. Trauma and lack of resources are contributing factors.

Octavio Martinez, Jr., MD, the executive director of the Hogg Foundation for Mental Health, says men of color are more likely to face poverty and violence, higher rates of incarceration, and fewer employment opportunities.

The effect of such disparities on their mental health is a double whammy, he emphasizes.

All of these issues, taken together, act as a further barrier to people of color seeking care for their mental health when they need it. Men may have different symptoms

The same mental health issues can manifest differently in males and females. This is thought to be a possible side effect of their divergent views on mental health.

Males with depression may exhibit higher levels of anger, aggression, and irritability, or showcase their distress in other culturally acceptable ways. Females with depression may display signs of low mood instead.

Symptoms of depression in males can be physiological, such as a racing heart, digestive issues, or headaches. Males may be more likely to see their doctor about physical symptoms than emotional symptoms, says the National Institute of Mental Health.

The organization notes that men who experience depression may self-medicate with alcohol and other substances. However, this can exacerbate their issues and put them at risk of other health conditions.

So what can mental health professionals and policymakers do to ensure that men feel confident and comfortable seeking support, and receive appropriate care?Better mental health education

The first step in addressing mental health issues, researchers say, is expanding general awareness and education around the topic itself.

In a 2016 Canadian Family Physician essay, researchers suggested breaking down the stigma by launching national campaigns that make seeking help a sign of strength and a necessary part of caring for ones overall health.

Community-based programs can help counter risk factors for mental health problems, particularly among elderly men, who may feel isolated and are more likely to attempt and die by suicide than younger men.

However, no intervention is complete until it accounts for groups that face systematic marginalization, such as men of color and those of diverse ethnic and racial backgrounds.

Specialists suggest that Black males in the U.S. may be more likely to seek support in informal settings, such as places of worship or barbershops and they benefit from coming together and talking as a group.

Dr. Martinez promotes interventions that encourage men and boys of color and those with diverse backgrounds to connect on a personal level.

Stigma fades when men and boys see resilience and mental health self-care modeled by their fathers, brothers, teachers, faith leaders, and friends, he says. Takeaway

Males are much more likely than females to die by suicide. This disparity may be due, in part, to the greater reluctance among males to seek mental health treatment and internalized expectations around masculine behavior.

Males who experience suicidal thoughts should know that help is available. Therapy, medication, community interventions, and real-world assistance can lessen suicidal ideation and help address depression.
Suicide preventionIf you know someone at immediate risk of self-harm, suicide, or hurting another person:Ask the tough question: Are you considering suicide?Liten to the person without judgment.Call 911 or the local emergency number, or text TALK to 741741 to communicate with a trained crisis counselor.Stay with the person until professional help arrives.Try to remove any weapons, medications, or other potentially harmful objects.

If you or someone you know is having thoughts of suicide, a prevention hotline can help. The 988 Suicide and Crisis Lifeline is available 24 hours a day at 988. During a crisis, people who are hard of hearing can use their preferred relay service or dial 711 then 988.

Click here for more links and local resources.Was this helpful?

Entertainment

Sean ‘Diddy’ Combs attempting to obstruct justice from jail, prosecutors say

Published

47 mins ago

November 18, 2024

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Sean 'Diddy' Combs attempting to obstruct justice from jail, prosecutors say

Sean “Diddy” Combs has attempted to contact prospective witnesses from jail in a bid to sway public opinion ahead of his upcoming sex trafficking trial, prosecutors have claimed.

The accusations were made in a Manhattan federal court filing in which the prosecution opposes the 55-year-old rapper‘s latest $50m (£39m) bail proposal. A bail hearing is scheduled for next week.

Combs pleaded not guilty to charges that he coerced and abused women for years with the aid of a network of associates and employees, while silencing victims through blackmail and violence, including kidnapping, arson and physical beatings.

He says his sexual relationships were consensual, and strenuously denies all wrongdoing.

In the latest step of the ongoing case, prosecutors say a review of recorded jail calls made by Combs shows he has asked family members to reach out to potential victims and witnesses and has urged them to create “narratives” to influence the jury pool.

They say he has also encouraged marketing strategies to influence public opinion.

The filing said: “The defendant has shown repeatedly – even while in custody – that he will flagrantly and repeatedly flout rules in order to improperly impact the outcome of his case.

“The defendant has shown, in other words, that he cannot be trusted to abide by rules or conditions.”

Prosecutors wrote that it could be inferred from his behaviour that Combs wants to blackmail victims and witnesses into silence or into providing testimony helpful to his defence.

Read more: What is Sean Combs charged with?

It is alleged that Combs began breaking rules almost as soon as he was detained at the Metropolitan Detention Center in Brooklyn, New York City, after his arrest in September.

Two judges have concluded he is a danger to the community and at risk of fleeing, rejecting two previous bail requests.

In Combs’s latest request, his lawyers cited changed circumstances, including new evidence, which they said made it sensible to release him ahead of his trial next year.

But prosecutors said defence lawyers created their latest bail proposal using some evidence prosecutors turned over to them, and the new material was already known to defence lawyers when they made previous bail applications.

In their submission to a judge, prosecutors said Combs’s behaviour in jail shows he must remain locked up.

They cited examples including Combs enlisting family members to plan and carry out a social media campaign around his birthday earlier this month, “with the intention of influencing the potential jury in this criminal proceeding”.

They say he encouraged his seven children to post a video to their social media accounts showing them gathered to celebrate his birthday.

Afterwards, they say he allegedly monitored the analytics, including audience engagement, from inside the jail and “explicitly discussed with his family how to ensure that the video had his desired effect on potential jury members in this case”.

Prosecutors also alleged Combs made clear his intention to anonymously publish information that he thought would help his defence team.

“The defendant’s efforts to obstruct the integrity of this proceeding also includes relentless efforts to contact potential witnesses, including victims of his abuse who could provide powerful testimony against him,” they wrote.

Sky News has contacted Combs’s lawyer for comment.

Combs is currently in custody in Manhattan. His criminal trial is scheduled for 5 May 2025.

Politics

Row over how many farms will be affected by inheritance tax policy – as PM doubles down ahead of farmers protest

Published

47 mins ago

November 18, 2024

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Row over how many farms will be affected by inheritance tax policy - as PM doubles down ahead of farmers protest

Sir Keir Starmer has insisted the “vast majority of farmers” will not be affected by changes to Inheritance Tax (IHT) ahead of a protest outside parliament on Tuesday.

It follows Chancellor Rachel Reeves announcing a 20% inheritance tax that will apply to farms worth more than £1m from April 2026, where they were previously exempt.

But the prime minister looked to quell fears as he resisted calls to change course.

Speaking from the G20 summit in Brazil, he said: “If you take a typical case of a couple wanting to pass a family farm down to one of their children, which would be a very typical example, with all of the thresholds in place, that’s £3m before any inheritance tax is paid.”

Politics latest: No 10 insists chancellor has been ‘straight’ about her CV

The comments come as thousands of farmers, including celebrity farmer Jeremy Clarkson, are due to descend on Whitehall on Tuesday to protest the change.

And 1,800 more will take part in a “mass lobby” where members of the National Farmers’ Union (NFU) will meet their MPs in parliament to urge them to ask Ms Reeves to reconsider the policy.

Speaking to broadcasters, Sir Keir insisted the government is supportive of farmers, pointing to a £5bn investment announced for them in the budget.

He said: “I’m confident that the vast majority of farms and farmers will not be affected at all by that aspect of the budget.

“They will be affected by the £5bn that we’re putting into farming. And I’m very happy to work with farmers on that.”

Sir Keir’s spokesman made a similar argument earlier on Monday, saying the government expects 73% of farms to not be affected by the change.

Environment, Farming and Rural Affairs Secretary Steve Reed said only about 500 out of the UK’s 209,000 farms would be affected, according to Treasury calculations.

However, that number has been questioned by several farming groups and the Conservatives.

Government figures ‘misleading’

The NFU said the real number is about two-thirds, with its president Tom Bradshaw calling the government’s figures “misleading” and accusing it of not understanding the sector.

The Country Land and Business Association (CLA) said the policy could affect 70,000 farms.

Conservative shadow farming minister Robbie Moore accused the government last week of “regurgitating” figures that represent “past claimants of agricultural property relief, not combined with business property relief” because he said the Treasury does not have that data.

Agricultural property relief (APR) currently provides farmers 100% relief from paying inheritance tax on agricultural land or pasture used for rearing livestock or fish, and can include woodland and buildings, such as farmhouses, if they are necessary for that land to function.

Farmers can also claim business property relief (BPR), providing 50% or 100% relief on assets used by a trading business, which for farmers could include land, buildings, plant or machinery used by the business, farm shops and holiday cottages.

APR and BPR can often apply to the same asset, especially farmed land, but APR should be the priority, however BPR can be claimed in addition if APR does not cover the full value (e.g. if the land has development value above its agricultural value).

Mr Moore said the Department for the Environment, Farming and Rural Affairs (DEFRA) and the Treasury have disagreed on how many farms will be impacted “by as much as 40%” due to the lack of data on farmers using BPR.

Lib Dem MP Tim Farron said last week1,400 farmers in Cumbria, where he is an MP, will be affected and will not be able to afford to pay the tax as many are on less than the minimum wage despite being asset rich.

Politics

Cabinet split over assisted dying as Education Secretary Bridget Phillipson latest to reveal she will vote against bill

Published

47 mins ago

November 18, 2024

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Cabinet split over assisted dying as Education Secretary Bridget Phillipson latest to reveal she will vote against bill

A split is emerging in the cabinet, with Education Secretary Bridget Phillipson revealing she will join several of her colleagues and vote against the bill to legalise assisted dying.

Ms Phillipson told Sky News she will vote against the proposed legislation at the end of this month, which would give terminally ill people with six months to live the option to end their lives.

She voted against assisted dying in 2015 and said: “I haven’t changed my mind.

“I continue to think about this deeply. But my position hasn’t changed since 2015.”

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MPs will be given a free vote on the bill, so they will not be told how to vote by their party.

The topic has seen a split in the cabinet – however, Prime Minister Sir Keir Starmer has yet to reveal how he will vote on 29 November.

Ms Phillipson joins some other big names who have publicly said they are voting against the bill

These include Deputy PM Angela Rayner, Health Secretary Wes Streeting, Justice Secretary Shabana Mahmood and Business Secretary Jonathan Reynolds.

Border security minister Angela Eagle is also voting against the bill.

Senior cabinet members voting in favour of assisted dying include Energy Secretary Ed Miliband, Science Secretary Peter Kyle, Work and Pensions Secretary Liz Kendall, Culture Secretary Lisa Nandy, Northern Ireland Secretary Hilary Benn, Transport Secretary Louise Haigh and Welsh Secretary Jo Stevens.

The split over the issue is said to be causing friction within government, with Sir Keir rebuking the health secretary for repeatedly saying he is against the bill and for ordering officials to review the costs of implementing any changes in the law.

Sky News’ deputy political editor Sam Coates has been told Morgan McSweeney, the PM’s chief of staff, is concerned about the politics of the bill passing.

He is understood to be worried the issue will dominate the agenda next year and, while he is not taking a view on the bill, he can see it taking over the national conversation and distracting from core government priorities like the economy and borders.

Details of the bill were published last week and include people wanting to end their life having to self-administer the medicine.

It would only be allowed for terminally ill people who have been given six months to live.

Two independent doctors would have to confirm a patient is eligible for assisted dying and a High Court judge would have to give their approval before it could go ahead.