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Committee of 

Environment, Public Health, and Food Safety II

Men’s Mental Health - Men live on average 6.1 years shorter than women. They are more likely to die from alcohol and drugs abuse, or to commit suicide, and are far less likely to seek help in case of mental health issues compared to women. What can the European Union do to help tackle mental health issues of its male population?

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Introduction

On an average, men are less likely to seek help for mental health issues and to be prescribed psychotropic drugs as treatment. Research have shown that no mental disorder is gender specific. However, findings have also shown that men suffer more frequently from disorders such as alcohol and drug abuse as well as impulsive and mood disorders. Statistically, 15.3 out of 100,000 men in the European Union committed suicide in 2015, as opposed to 4.3 out of 100,000 women the same year. In most Member States, suicide is ranked as the second most common cause of death in the age group 15-34 years. Combined with these high numbers and the lack of conversation about the topic, suicide is often called the “silent killer of men”. In a society where gender equality is the focus of many topics, why is this silent killer affecting men so much more than it is affecting women?

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It’s believed that the cause of this may be machismo as well as the expectations placed on men by society. Traditionally, masculinity includes being strong and dependable as well as being able to provide for your family. Although there is very little research as to the causes of men’s mental illness, the most recent research tells us that men’s high suicide rates are directly linked to risk factors such as history of being abused, failed relationships and difficulties with their economy. Expectations on both genders are creating difficulties and standards impossible to meet, thus taking its toll on the general public’s mental health.

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Furthermore, a study made by the Institute for Health Metrics and Evaluation in 2010 showed that male life expectancy at birth rose from 56.4 to 67.5  years during a 40-year period from 1970 to 2010. Women’s life expectancy at birth, however, rose from 61.2 to 73.3 years during the same period. They concluded that the gender gap in life expectancy at birth had widened to the men’s disadvantage. The WHO European Region concluded that this gap can be partly blamed on behaviours associated with male norms and masculinity as well as the fact that men are less likely to see a doctor when being ill. Combined with socio-economic developments, such as the general increase in the economic standard of living and the increasing general acceptance and knowledge of mental illnesses during 1970 to 2010, it would be sensible to make the hypothesis that the gender specific life expectancy gap would have decrease. Since this is not the case, the topic is extremely relevant and important for discussion.

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Mental Health

According to the US National Library of Medicine, mental health is being able to recognise one’s full potential, deal with the ordinary stresses of life as well as work productively and contribute to one's community. This encompasses economic, psychological and social wellbeing.

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Stigma

Refers to the ideas and beliefs around a certain topic that leads people to fear, isolate and/or avoid people who are perceived as different.

Key terms 

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Mental Disorder

Mental disorders are “generally characterised by some combination of abnormal thoughts, emotions, behaviours and relationships with others”.

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Hegemonic Masculinity

The European Institute for Gender Equality defines hegemonic masculinity as a “cultural norm that continuously connects men to power and economic achievements

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Stereotypes

Defined as a set of ideas about what a particular person, or group of people, should act, feel and think. These ideas are usually incorrect.

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Others

Risk Factor - Any attribute, characteristic or exposure that increases a person’s likelihood of developing a disease or injury.

Peer Pressure - The process of being pressured or influenced by a group of people.

Psychotropic - Medicines that affects a person’s mental state.

Main conflicts

Both genders are today facing unfair expectations from family, friends and the rest of society. Many parents expect their sons to be strong and masculine, this includes not expressing one’s mental issues or feelings. By this upbringing young boys may be deterred and pressured into not showing emotion and avoiding subjects like mental health issues. Men seek less professional help than women, but men also feel less comfortable to approach a friend or family member about their mental health issues. In another study men indicated that the use of psychotropic medicine was a sign of loss of autonomy. This also connects to pressures from society and the idea of masculinity.

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The symptoms for mental health issues are vast, and pinpointing the core problem may be difficult. But even when showing identical symptoms, doctors are more likely to treat depression in women than in men. This trend of under-diagnosed and under-treatment of men is directly linked to the higher suicide rates. Do doctors have the sufficient measures and tools to recognise mental health issues in men? And are doctors also influenced by the societal view of men and mental health?

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The stigmatisation of mental illness often lead to demonisation of the people who suffer from mental illnesses. This is due to mental health victims being viewed as a danger to society, a view that is strongly strengthened by the media’s portrayal. Victims are often alienated from friends and families that do not understand their situation and troubles. Stigmatisation is sometimes taken even further as shown in a survey done in Scotland in 2006, where only 85% of participants answered “yes” when asked if “people with a mental health problem should have the same rights as anyone else”.

Stakeholders

Measures in place 

  1. The WHO European Mental Health Action Plan 2013-2020 is an action plan focusing on 7 interlinked objectives in order to improve mental health and well-being. This plan has been developed closely with the Member States, experts and NGOs while being guided by the Standing Committee of the WHO Regional Committee for Europe. Examples of the objectives included are:

    1. Objective 1: People with mental health problems are citizens whose human rights are fully valued, respected and promoted.

    2. Objective 4: People are entitled to respectful, safe and effective treatment.

    3. Objective 7: Mental health governance and delivery are driven by good information and knowledge.

  2. The European Framework for Action on Mental Health and Wellbeing was created in January 2016 as a result of the The Joint Action on Mental Health and Well-being. The framework aims to offer support and guidance to Member States in their review and improvement of policies. Following this, the EU-Compass for action on mental health and well-being was created. This is an online platform that holds information in order to assist in the implementation of the fore-mentioned framework. This is also a collaboration with an EU-Group of governmental experts and non-governmental actors.

  3. Furthermore, Horizon 2020 is a work programme that urges Europe to invest in research, technology and innovation in the field of mental health and well-being. This is to be built on the concept of “openness”, including “open science, open innovation and open to the world the societal challenge”. Sex differences and gender aspects are incorporated in this work programme “where relevant”.

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FEAM is an umbrella organisation that is both a political and a scientific association that represents the medical section of Academies of Science and Engineering as well as medical academics in Europe. Currently, it consists of 17 members from different Academies. FEAM’s objective is to promote cooperation between the national Academies of Medicine as well as the political and administrative authorities within the European Union. FEAM assists the EU with biological, physical, engineering and social sciences in order to correctly construct policies.

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The European Union

The overall improvement of the mental health of its population is in the unions interest as it contributes to the region’s prosperity. The EU can implement legislatures and set guidelines, however only  complementing national legislature. in order to improve the mental health in the region. It can help its Member States achieve common aims in fields such as prevention and granting equal chances and accessibility to healthcare for  everybody.

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The World Health Organization is a specialised agency of the United Nations that is concerned with international public health. It was established on 7 April 1948 and is headquartered in Geneva, Switzerland. The WHO is a member of the United Nations Development Group and its aims are to provide leadership, to shape research agenda, as well as monitor the “health situation and assess health trends” world-wide. The World Health Organization can, in consultation with other states, develop plans and policies regarding mental health.

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Society as a whole is affected in many ways by mental illnesses. It concerns people personally, since a mental illness can have immense impact on the quality of life and the wellbeing of not only the patient themselves, but also their friends and family. Furthermore, mental illness is a cost for society through reduced productivity and medical treatment.

Key Questions & Further Research

  • Are men more prone to act out in anger when faced with mental health issues, as a coping mechanism? Could this lead to misdiagnosis of anger management among men?

  • How well does alcohol and drug abuse treatments recognise the need for parallel treatment of mental health issues?

  • Is there enough efficient assessment tools specialised to recognise mental illnesses in young boys?

  • How can the EU raise the level of mental health amongst all member states, as the level tends to fluctuate drastically between member states?

The State of Men’s Mental Health in Europe:

https://ec.europa.eu/health/sites/health/files/state/docs/men_health_extended_en.pdf

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Mental Health in Europe: a gender perspective:

http://www.eu-wmh.org/PDF/FactSheet_Gender.pdf

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We Need to Talk about Male Suicide, Steph Slack, Ted Talks:

https://www.youtube.com/watch?v=Q3WDw-DBKLA&t=440s

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