Major depression and male mental health

Mental health issues affect millions of men worldwide. However, men are less likely than women to get treatment. The published statistics speaks for itself: Depression and suicide are amongst the leading causes of death among men, about six million men in the U.S. suffer from depression every year, and men die by suicide at a rate four times higher than women. Men are reported to likely abuse drugs two to three times more than women. Furthermore about 62,000 men die annually from alcohol-related causes compared to 26,000 women in the U.S. These statistics certainly provide a warning and a call to action to address the issue of mental health in men.

Implementing group psychotherapy in South Africa: Strategies to overcome the obstacles

Why group psychotherapy? 

South Africa is an upper-middle-income country based on the current 2024 fiscal year GNI per capita calculation of the World Bank. South Africa spent 8.58% of its GDP on healthcare in 2020. The South African healthcare system is divided into a public sector and a private sector and, while the healthcare spend is divided roughly equally between the two sectors, the private sector treats around 18% of the population and the public sector the remainder. Strategies to optimise healthcare delivery are therefore needed.

How to treat Major Depressive Disorder

Major depressive disorder (MDD) is a significant contributor to the prevalence of psychiatric conditions worldwide. The average lifetime prevalence is 12%. The prevalence rate is seen to be approximately double for women than for men. The average age of onset is 40 years old with an onset in younger age due to substances and alcohol. Increased prevalence occurs with psychosocial factors including the absence of close relationships, divorce, separation or widowed and comorbid physical and medical illnesses. There is no difference described due to socio-economic status or race. Comorbidity exists with other psychiatric conditions including: Substance use disorders, panic disorder, social anxiety disorder and obsessive compulsive disorder which may increase the risk of suicide.


Health Professions Council of South Africa


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Psych Science Vol 6 No 3 - 2023