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

Published

2 years ago

May 2, 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?

Business

Trump finally gets his demand for a US rate cut

Published

2 hours ago

September 17, 2025

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Trump finally gets his demand for a US rate cut

The US central bank has cut interest rates for the first time this year, in a move president Donald Trump will likely declare is long overdue.

Mr Trump has demanded cuts to borrowing costs from the Federal Reserve ever since worries emerged in the world’s largest economy that his trade war would stoke US inflation.

The president – currently in the UK on a state visit – has, on several occasions, threatened to fire the Fed chair Jay Powell and moved to place his own supporters on the bank’s voting panel.

Money latest: Did Oasis tour impact UK inflation?

He was yet to comment on the rate decision.

The fallout from the row has resonated globally, sparking worries about central bank independence. Financial markets have also reflected those concerns.

The bank, which has a dual mandate to keep inflation steady and maintain maximum employment, made its move on Wednesday after a major slowdown in the employment market that has seen hiring ease sharply.

The latest economic indicators have shown caution over spending among both companies and consumers alike.

The Fed said the economy had moderated.

Inflation, while somewhat elevated due to the effects of higher import costs from the trade war, has not taken off as badly as some economists, and the Fed, had initially feared.

Its 12-member panel backed a quarter point reduction in the Fed funds rate to a new range of between 4% to 4.25%.

The effective interest rate is in the middle of that range.

Crucially for Mr Trump, who is trying to inspire growth in the economy, the Fed signalled more reductions ahead despite continued concern over inflation.

Financial markets saw a further two quarter point rate cuts before the year’s end.

The dollar, which has weakened in recent days on the back of expectations of further rate cuts, fell in the wake of the decision and the Fed’s statement.

It was trading down against both the euro and pound. Sterling was almost half a cent up at $1.17.

This Fed meeting was the first with new Trump appointee Stephen Miran on the voting panel.

He was chairman of the president’s Council of Economic Advisers before being handed the role this week.

His was a sole voice in the voting for a half percentage point cut. It is clear, though the identity of participants’ forecasts are not revealed, he was the lone voice in calling for a further five quarter point reductions this year.

Mr Trump has sought to fire a member of the Fed’s board, Lisa Cook, to bolster his position further but that decision is currently subject to a legal challenge.

Politics

MSPs vote to abolish Scottish legal system’s controversial not proven verdict

Published

2 hours ago

September 17, 2025

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MSPs vote to abolish Scottish legal system's controversial not proven verdict

MSPs have voted to abolish Scotland’s controversial not proven verdict.

The Scottish government’s flagship Victims, Witnesses and Justice Reform (Scotland) Bill was passed on Wednesday following a lengthy debate of more than 160 amendments that began the day before.

The new legislation makes a series of changes to the justice system, including scrapping the not proven verdict; establishing a specialist sexual offences court; creating a victims and witnesses commissioner; reforming the jury process to require a two-thirds majority for conviction; and implementing Suzanne’s Law which will require the parole board to take into account if a killer continues to refuse to reveal where they hid their victim’s body.

Following Royal Assent, the legislation will be implemented in phases.

Justice Secretary Angela Constance said: “This historic legislation will put victims and witnesses at the heart of a modern and fair justice system.

“By changing culture, process and practice across the system, it will help to ensure victims are heard, supported, protected and treated with compassion, while the rights of the accused will continue to be safeguarded.

“This legislation, which builds on progress in recent years, has been shaped by the voices of victims, survivors, their families and support organisations, and it is testimony to their tireless efforts to campaign for further improvement.

“I am grateful to those who bravely shared their experiences to inform the development of this legislation and pave a better, more compassionate path for others.”

Not proven verdict

Currently, juries in Scotland have three verdicts open to them when considering the evidence after a trial, and can find an accused person either guilty or not guilty, or that the case against them is not proven.

Like not guilty, the centuries-old not proven verdict results in an accused person being acquitted.

Critics have argued it can stigmatise a defendant by appearing not to clear them, while failing to provide closure for the alleged victim.

Notable cases which resulted in a not proven verdict include Sir Hugh Campbell and Sir George Campbell, who were tried for high treason in 1684 for being present at the Battle of Bothwell Bridge.

The murder of Amanda Duffy, 19, in South Lanarkshire in 1992 sparked a national conversation around the existence of the not proven verdict and double jeopardy rules.

Suspect Francis Auld stood trial but the case was found not proven by a jury and an attempt to secure a retrial failed in 2016. Auld died the following year.

In 2018, a sexual assault case against former television presenter John Leslie was found not proven.

And in 2020, former first minister Alex Salmond was found not guilty on 12 sexual assault charges, while one charge of sexual assault with intent to rape was found not proven.

Victim Support Scotland (VSS) had earlier urged MSPs to put aside party politics and vote “for the intention of the bill”.

Kate Wallace, chief executive of VSS, believes the act is a “solid foundation” on which to build further improvements.

She added: “The passing of this act represents a momentous occasion for Scotland’s criminal justice system.

“It marks a significant step towards creating a system that considers and prioritises the needs of people impacted by crime.”

VSS worked with the families of Arlene Fraser and Suzanne Pilley to spearhead Suzanne’s Law.

Ms Fraser was murdered by estranged husband Nat Fraser in 1998, while Ms Pilley was killed by David Gilroy in 2010. To date, the women’s bodies have never been recovered.

Before the bill, parole board rules dictated that a killer’s refusal to disclose the information “may” be taken into account.

The new legislation means parole boards “must” take the refusal to cooperate into account.

Carol Gillies, sister of Ms Fraser, and Gail Fairgrieve, sister of Ms Pilley said: “We have done everything possible to make this change to parole in memory of Arlene and Suzanne, and for other people who have lost their lives in such a horrific way.

“For our families, the passing of this act and the change to parole are momentous.”

Read more from Sky News:
Why next year’s Scottish elections could get messy

The Scottish Conservatives and Scottish Labour voted against the bill.

Although in support of the abolition of the not proven verdict, the Scottish Tories said they had been left with no alternative but to oppose the bill after the SNP rejected a series of amendments.

The party had called for a Scotland-only grooming gangs inquiry; wanted victims to be told if a decision was taken not to prosecute an accused; and for all victims to be informed if a plea deal was struck between defence and prosecution lawyers.

They also wanted Suzanne’s Law to be strengthened, which would have compelled killers to reveal the location of their victim’s body or risk having their parole rejected – ensuring “no body, no release”.

MSP Liam Kerr, shadow justice secretary, said: “This half-baked bill sells the victims of crime desperately short.

“By ignoring many of the key demands of victims’ groups, the SNP have squandered the chance for a long overdue rebalancing of Scotland’s justice system.

“The Scottish Conservatives’ common sense amendments would have given this legislation real teeth but, by rejecting them, the nationalists have delivered a victims’ bill in name only.

“While we back the abolition of the not proven verdict, the SNP’s intransigence on a number of key issues meant we could not support this bill in its final form.”

UK