SUNDAY, Nov. 19 (HealthScout) -- Divorced or
separated men are more than twice as likely to kill themselves as
men who remain married.
On the other hand, a marital split is not a significant risk
factor for suicide among women.
These are the findings of a recent study of suicide and divorce
that reveal a surprising gender gap on the issue.
"We knew from past research that divorce was linked to increased
risk of suicide," says Augustine Kposowa, the author of the study
that appeared in The Journal of Epidemiology and Community
Health. "What we didn't know was the difference between men and
women in this respect."
Kposowa, an associate professor of sociology at the University of
California at Riverside, based his findings on death statistics
compiled in the National Longitudinal Mortality study, which tracks
causes of death. He analyzed the cause of death for almost 472,000
men and women over a nine-year period, starting with 1979. In that
group, 432 men and 113 women had committed suicide.
Kposowa says the link between divorce and suicide in men holds
true even after adjusting for other factors associated with suicide
risk, including age, income and level of education. Race is also a
factor, with 50 percent more white than black men committing
suicide.
For women, he found, age is a stronger factor than marital
status. The suicide rates were higher for women over 65.
The medical director of the American Foundation for the
Prevention of Suicide, Dr. Herbert Hendin, says it's been widely
known that men are more than four times as likely to commit suicide
as women.
But their heightened suicide risk after divorce or separation
could involve a host of variables, Hendin, a professor of psychiatry
at New York Medical College, adds.
More than half of those who commit suicide have substance-abuse
problems, which are more common in men and often lead to marital
breakups, he says.
Trying to cope with loss of control
Control can also be an issue for some men who insist on being the
ones who decide what happens and when in their lives, he adds. They
can feel particularly threatened when their wives file for divorce.
Hendin speculates that the findings concerning divorced women and
suicide may reflect a change in women's attitudes. In the past, he
says, women may have had their self-esteem more closely tied to
their marriages and were devastated when that relationship failed.
"We're probably seeing that women are more able to deal with life
on their own now," he says.
Kposowa's own theories, which he intends to test through further
research, include the link between men and their children, which he
says is often severed because the woman is usually awarded custody.
"A man may not get to see his children, even with visitation
rights," Kposowa says. "As far as the man is concerned, he has lost
his marriage and lost his children and that can lead to depression
and suicide."
Kposowa next says he intends to compare suicide rates of divorced
fathers with those of divorced men with no children.
Another possible explanation for the gender gap in post-divorce
suicide risk is that women cope better because they are more likely
to have supportive networks of friends and family, Kposowa says.
That rings true to Dr. Michael Meyer, a clinical professor in the
department of psychiatry at the University of British Columbia in
Vancouver and author of the book, Men and Divorce.
"Men tend not to talk to their male friends that easily about
personal problems in their lives," Meyer says. "And, they also tend
not to go to their primary care physicians as easily as women for
anything or seek psychiatric help of any kind. The result can be a
very scary sense of isolation."
What To Do
If you are a man going through a divorce, you should talk to
someone about it -- a primary care physician, counselor or
psychiatrist -- as soon as possible.
The American Foundation
for Suicide Prevention answers frequently asked questions about
suicide and provides information about community-based screening
programs for depression.
And you can read more about depression at the National
Institute of Mental Health's site.