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suicide
Why Male Suicide Prevention Requires Policy, Not Just Awareness
On this Suicide Prevention Day, the question is whether we will stop treating male suicide as a seasonal headline and start treating it as a preventable epidemic.
Sep 10, 2025
Today is September 10, World Suicide Prevention Day. The hashtags are already out. Politicians are tweeting about “awareness.” Nonprofits are posting hotline numbers. News outlets will run a few stories, maybe a profile of a grieving family or a segment on rising youth anxiety. Communities will hold vigils and light candles. And then, as happens every September, Congress will return to debating budgets that cut the very services that keep people alive.
Suicide has become an annual ritual of shock, treated as if it were a hurricane that blew in unannounced instead of a slow-moving crisis we have been measuring for decades.
Suicide is not weather. It is not random. It is patterned, predictable, and preventable. Rates climb where jobs collapse and housing becomes unstable. They spread where guns are plentiful and mental healthcare is scarce. They grow in cultures that equate vulnerability with weakness. And they accelerate when elected officials strip away the programs that keep people from falling over the edge.
I know the consequences of silence. My father died by suicide when I was young. For more than a decade, I did not know how he died. My family believed silence could protect me. But silence also isolates, leaving questions that cannot be asked and grief that cannot be named. That fog never fully lifts. It is a reminder that behind every statistic is a family that carries loss forward, often without words for it.
That loss is now multiplied across nearly 50,000 American families each year. Almost 50,000 people died by suicide in 2022—the highest number ever recorded—and nearly 50,000 again in 2023. That is one death every 11 minutes. Three out of four were men. Men are half the country yet nearly 80% of its suicides. The rate for men over 85 is the highest of any group, 15 times higher than women of the same age. Middle-aged men follow close behind, especially in rural counties where work has dried up, institutions have withered, and guns are everywhere. Even among younger men, suicide remains a leading cause of death.
The methods matter. More than half of suicides now involve a firearm. Men are far more likely than women to use a gun, and that choice often makes the difference between an attempt and a death. A gun is immediate and almost always fatal. A moment of despair becomes permanent because the tool at hand was designed to be permanent. Where lethal means are easy and care is scarce, brief despair turns irreversible. States with higher gun ownership have higher suicide rates. The connection is not mysterious. It is arithmetic.
Suicide is not inevitable. It rises when supports are stripped and stigma is reinforced.
Economics tell the same story. Men who lose jobs, homes, or the ability to provide are at higher risk. One national study found that more than 1 in 5 men aged 45 to 64 who died by suicide had recently lost a job, faced eviction, or been buried by debt. When a man’s sense of worth is tied to being a provider, losing that role can feel like losing his reason to live. Economists Anne Case and Angus Deaton called these “deaths of despair,” and the label fits. But despair is not destiny. Raise the minimum wage, expand tax credits, stabilize housing, and suicides among working-class men decline. Let wages stagnate, strip away safety nets, and suicides rise. If despair tracks wages and rent, then budgets decide who lives long enough to get help.
Budgets are moral documents. In 2025, the Trump administration proposed cutting more than a billion dollars from the nation’s main mental health agency. That means fewer clinics, fewer treatment teams, fewer crisis counselors. The same budget threatened to scrap parts of the 988 crisis line, including its LGBTQ youth service. At the Department of Education, $1 billion in school counselor grants was pulled back, leaving rural districts that had finally hired mental health staff facing layoffs. Insurance rules that would have forced companies to cover therapy on par with physical health were paused. On homelessness, the administration reversed Housing First, vowing instead to sweep encampments, force treatment, and “bring back asylums.” Each of these choices falls hardest on men. When Medicaid is cut, when housing supports vanish, when community clinics close, the men most in need are left to cycle through emergency rooms, jails, or morgues.
Policy failures meet cultural stigma. Only about a third of men say they would seek professional help if depressed, compared to nearly 60% of women. The rest say they would handle it on their own, or not at all. That reluctance is reinforced by leaders and influencers. US President Donald Trump once suggested veterans with PTSD “aren’t strong.” Andrew Tate tells millions of young men that “depression isn’t real.” Jordan Peterson blames despair on feminism and political correctness. These voices frame pain as weakness, recast systemic causes as personal failings, and tell men that asking for help makes them lesser. For someone already on the edge, that message can be lethal.
And when suicide is mentioned in politics, it is often weaponized rather than addressed. Commentators invoke male suicide to claim that society only cares about women or minorities. Lawmakers cite “what’s happening to our boys” while voting against Medicaid expansion or school mental health funding. Grievance substitutes for prevention. The fire is pointed to, then the water is cut.
The alternative is straightforward, if not simple. Treat the 988 crisis line like 911: permanent, funded, universal. Expand Medicaid and enforce insurance parity so therapy is covered like any other medical need. Keep counselors in schools. Invest in housing with voluntary supports. Build mobile crisis teams so despair meets a trained counselor, not a police squad. And meet men where they are: union halls, barber shops, job sites, veterans’ groups.
We know this works. In Colorado, “Man Therapy” has used humor and direct language to reach men who would never otherwise consider counseling. Veterans’ peer networks reduce stigma and improve follow-through on care. In Australia, the “Men’s Shed” movement has built thousands of local spaces where older men gather, work on projects, and informally support one another—a model credited with reducing isolation and depression. These are not small-scale experiments. They are blueprints for national policy.
Suicide is not inevitable. It rises when supports are stripped and stigma is reinforced. It falls when care is reachable, affordable, and treated as normal. My father’s death remains a personal loss. But the broader crisis is a collective choice. We know the patterns. We know the risks. We know the solutions. What remains is whether policymakers are willing to act on them.
On this Suicide Prevention Day, the question is not whether we will keep raising awareness. It is whether we will stop treating male suicide as a seasonal headline and start treating it as a preventable epidemic. If policymakers can count the dead, they can also count the votes that decide whether men keep dying at this scale. The choice is not between silence and hashtags. It is between burying another 50,000 next year—or building a country where men live long enough to be heard.
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Suicide Rates Among Young Men Are On the Rise; Toxic Masculinity May Be To Blame
Masculine representations rooted in ideals that reward toughness, emotional suppression, and dominance are quietly accelerating a mental health crisis among young men.
Sep 02, 2025
According to the Centers for Disease Control and Prevention, suicide is now the second leading cause of death among males aged 15-29, and suicide rates among young men in the US have risen by roughly a third since 2010. Across much of Africa, where I work as a public health and gender equality practitioner, men make up the vast majority of suicide deaths, and in Lesotho, the country with the highest suicide rate globally, men are dying at three times the rate of women.
Rigid gender roles may be to blame. Masculine representations rooted in ideals that reward toughness, emotional suppression, and dominance are quietly accelerating a mental health crisis among young men. These rigid norms don’t simply discourage boys from seeking help; they actively shame vulnerability, equate emotional expression with weakness, and isolate those who are struggling. In cultures where being “a real man” means staying silent, mental distress festers in the dark. Unless we confront and transform these harmful ideals, any global response to youth mental health will be incomplete—and too late for many.
In many parts of Africa, young men grow up under intense pressure to become providers, protectors, and problem-solvers. These roles and expectations are deeply tied to their perceived worth. But when systemic barriers like poverty, unemployment, or lack of education make these ideals unreachable, the emotional toll can be devastating. With mental health services scarce and stigma-free spaces almost nonexistent, many suffer in silence.
Instead of seeking support through therapy or confiding in someone they trust, many young men cope with inner distress by turning to alcohol, aggression, or silent withdrawal. These internalized ideals of “staying strong” act like slow-burning fuses. Left unaddressed, emotional strain builds until it erupts often into breakdowns, which spiral into isolation, and eventually, into tragedy. Many of these young men appear perfectly “fine” on the surface, attending school, church, or work, making it easy for their pain to go unnoticed, even by those closest to them. While many girls and young women are increasingly accessing mental health resources even in under-resourced settings, young men remain notably absent from these services. In Rwanda, a study revealed that girls are more likely to utilize youth health friendly services than their counterpart boys. This disparity is not unique to Rwanda; similar trends are observed in west African regions, where mental health services for adolescents are limited, and boys often do not seek help due to societal expectations and stigma.
To be sure, women and girls continue to face serious mental health challenges, often exacerbated by gender-based violence and limited access to care. Recognizing their struggles does not diminish the urgent need to address the silent crisis among young men. Both require focused attention if we are to improve youth mental health across societies. Yet ignoring the silent struggles specific to young men is costing lives worldwide.
To effectively tackle this issue, we must address the needs of all adolescents, with attention to those most at risk. This means introducing gender-transformative education that teaches emotional literacy and normalizes help seeking as strength. We need male-friendly, culturally grounded safe spaces in schools, sports clubs, faith groups, and online where boys can be vulnerable without judgment. Mental health professionals must adopt gender transformative approaches that understand masculinity’s impact on behavior.
Above all, media and storytelling must shift the narrative so boys grow up knowing that feeling is not failure. Imagine a generation of boys brave enough to ask for help, a future where strength includes compassion, and manhood means connection, not isolation. This is the future we owe boys and men. No young man should have to choose between silence and survival.
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'Incomprehensible': Trump Admin To Shut Down LGBTQ+ Suicide Hotline
"This is devastating, to say the least," said one critic of the White House decision to dismantle a program that has served nearly 1.3 million young people in recent years. "Suicide prevention is about people, not politics."
Jun 19, 2025
In the midst of Pride Month, the administration of U.S. President Donald Trump announced that it will shut down the national suicide hotline for LGBTQ+ youth.
Since 2022, the National Suicide Hotline, accessible by dialing 988, allowed users to "press 3" to speak with counselors trained to support LGBTQ+ youth.
According to the Trevor Project, an LGBTQ+ advocacy organization that was contracted to run the hotline, LGBTQ+ youth are four times more likely to attempt suicide than their peers and 41% of them seriously considered suicide in the past year. Now, the service that is meant to help them will be shut down on July 17.
A statement released Tuesday by the Substance Abuse and Mental Health Services Administration said that the hotline "will no longer silo LGB+ youth services," using a hateful and discriminatory abbreviation that excludes transgender and queer individuals, which has become standard for the Trump administration. SAMHSA insisted that it would continue "serving all help seekers, including those" who used the LGBTQ+ hotline.
However, as Adrian Shanker, a senior advisor to the Biden administration on issues related to gender and sexual identity, told Mother Jones, the LGBTQ+ suicide prevention service was created to deal with the exceptionally high influx of calls from people in that community and designed to meet their specific needs. According to SAMHSA data, the hotline has served nearly 1.3 million callers since its creation in 2022.
"This is not about politics. It's not about the political divide on transgender medicine or trans people in the military, or any of the other hot-button political topics," Shanker said. "This is about suicide prevention and crisis intervention for people living at a higher rate of suicide risk."
The legislation that added special counseling for high-risk populations, including LGBTQ+ youth, was signed by President Trump in 2020. But since its passage, far-right attacks on sexual and gender minorities have become a core part of the Republican platform and the second Trump administration.
Since taking office, the administration has introduced measures that seek to erase transgender people from public life. These have included barring people from identifying as their preferred gender on federal documents, stripping the funds from hospitals that provide gender-affirming care, and erasing the history of transgender Americans from government websites. They have described these efforts as part of a crusade to eliminate "radical gender ideology."
In their efforts to shut down the suicide prevention program, members of the administration have invoked age-old stereotypes accusing gay and trans people of abusing vulnerable youth.
Rachel Cauley, a spokesperson for the White House Office of Management and Budget, told NBC News last week that it defended efforts to defund the suicide hotline because "children are encouraged to embrace radical gender ideology by 'counselors' without consent or knowledge of their parents." Another unnamed senior administration official described the organizations who provided this mental health care to vulnerable youth as "radical grooming contractors."
Ironically, rising bigotry has been one of the driving forces of the LGBTQ+ suicide epidemic. A study published by Nature Human Behavior and the Trevor Project last year found that in states that enacted anti-trans laws, the rate of suicide attempts among transgender and non-binary teenagers increased from 7% to 72%.
"This is devastating, to say the least," Trevor Project CEO Jaymes Black said in a Wednesday statement about the closure of the suicide hotline. "Suicide prevention is about people, not politics. The administration’s decision to remove a bipartisan, evidence-based service that has effectively supported a high-risk group of young people through their darkest moments is incomprehensible."
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