Experiences and Needs of Healthcare Providers Supporting Males with Suicidal Thoughts

OBJECTIVE: Males are at increased risk for suicide, yet less likely to seek and maintain professional help. This discrepancy suggests that current healthcare services may not be adequately tailored to males' needs. This study explores the experiences, barriers, and needs of healthcare providers (HCPs) in supporting males with suicidal ideation and behaviors to inform gender-sensitive mental healthcare practices. METHODS: A mixed-method design was used, combining quantitative data from questionnaires, with qualitative data from focus groups, interviews and open-ended questionnaire responses. RESULTS: A total of 128 HCPs from diverse professions and settings in Flanders (Dutch-speaking part of Belgium) filled in the questionnaires, eight participated in interviews or focus groups. The findings revealed gender differences in various aspects of treatment. HCPs reported more difficulty discussing suicidal ideation (59.4%) and underlying emotions (77.1%) with males. Males were perceived to prefer practical, goal-oriented interventions and to require more motivational interviewing (46.9%) and psychoeducation (46.9%). Qualitative analyses provided further insight into possible mechanisms behind these gender differences, emphasizing the influence of societal stigma and traditional gender norms on males' socialization and emotional expression. HCPs noted that males often sought care only during acute suicidal crises. CONCLUSIONS: This mixed-method study provides valuable insights into the needs and experiences of HCPs in supporting males with suicidal thoughts. The findings underscore the importance of gender-responsive practices in mental healthcare to address systemic barriers faced by males with suicidal ideation. Tailored interventions, destigmatization efforts, and enhanced HCP training are essential to improve engagement and outcomes for this high-risk group.