I Treat Men Every Day. This is Why They’re Afraid to Ask for Help.

Men are four times more likely to die by suicide than women, and yet it’s hard for medical experts to find them

Michael Richardson
Elemental

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Photo: Adam Lister/Getty Images

MMay is the month of family barbecues and holiday weekends. It’s also Mental Health Awareness Month — because it happens to be the month with the highest suicide rates in the United States. As a family physician, a large part of my job is recognizing depression and preventing the consequences of unchecked mental health in my patients. Sifting through the emotional turmoil of depression and identifying people who will actually pursue suicide is a challenge, but there is one patient population that has consistently demonstrated an increased risk for suicide: men.

Men are four times more likely than women to die of suicide, but are less likely to be diagnosed with internalizing disorders such as depression. The devastating effects of depression in men have been well documented in scientific literature, but it wasn’t until late 2018 that the American Psychological Association released new guidelines that articulated how masculinity affects mental health — along with recommendations on how to tailor treatment to the specific needs of men.

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Michael Richardson
Elemental

Family medicine physician and Medical Director at One Medical. Serves on the board of directors for the Massachusetts Academy of Family Physicians.