Young Men Are Dying by Suicide at Alarming Rates — Is Toxic Masculinity to Blame?

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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.

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 use 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.