Men and suicide risk

This is a hard topic, and an important one. Talking about it openly, rather than avoiding it, is one of the most protective things we can do.

What it is

Suicide risk refers to the presence of thoughts, plans or behaviours that indicate someone may attempt to end their life. Research consistently shows that men are at significantly higher risk of dying by suicide than women, even though women may report suicidal thoughts more often. This gap is linked to factors like reluctance to seek help, more lethal means being used, and a tendency to hide distress until it becomes a crisis rather than reaching out earlier.

Signs to notice

• Talking about being a burden, having no way out, or not wanting to be here.
• Giving away possessions, or putting affairs unusually in order.
• Sudden calm after a period of visible distress.
• Increased alcohol or substance use.
• Withdrawing from friends, family and usual activities.
• Reckless or risk-taking behaviour, or a noticeable disregard for safety.
• Direct or indirect statements about death or ending things.

What helps

• Ask directly. Asking someone if they're thinking about suicide does not plant the idea - it opens a door they may be desperate for.
• Listen without trying to fix it immediately. Let the person talk. Take what they say seriously, always.
• Remove access to means where possible. If there's a specific risk, safely limiting access to firearms, medication or other means saves lives.
• Don't leave someone at risk alone. Stay with them, or arrange for someone else to, until professional help is reached.
• Follow up. Check in again the next day, and the weeks after - risk can ease and return.
• Look after yourself too. Supporting someone through this is heavy; you deserve support as well.

When to reach out for help

Reach out immediately, for yourself or someone else, if there are thoughts of suicide, a plan, or access to means. This is always urgent, and it always warrants professional support, even if it feels like it will pass.

Getting help in South Africa

• SADAG Suicide Crisis Helpline (24h): 0800 567 567 or SMS 31393.
• SADAG Mental Health Line: 011 234 4837.
• SAPS emergency: 10111. Ambulance: 10177.
• Cleared Mind's EAP counsellors are available confidentially to support you or help you support someone else through this.

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If you or someone else is in immediate danger, reach out now. SADAG Suicide Crisis Helpline (24h): 0800 567 567 or SMS 31393. SAPS 10111, ambulance 10177, GBV Command Centre 0800 428 428.