International Men’s Day

David Simpson Excerpts

Tuesday 14th November 2017 Westminster Hall

[Jeremy Lefroy]

I totally agree; the hon. Gentleman anticipates what I was about to say. As he says, there is clear evidence that men are less likely than women to seek help when they are sick. That is certainly true of me. I have sometimes been reluctant to go to the doctor in case it turned out that I had something serious, as if the very act of seeking help would make it more serious than it was. I do not think it is just me. I did not want to confront the possibility of having a serious illness.

Good public health work has been done to ease people’s fears of seeking medical help if they think something is wrong—I think the NHS recognises that—but there is a greater need for health education, starting at school, to promote healthy lifestyles and to encourage people to consult their doctor early if they believe something is not quite right. I have recent personal experience; a close friend, who was not yet 50, had his cancer caught too late because, due to the nature of his job, he understandably attributed the symptoms to work-related stress when they were in fact much more serious.

Men should not worry that they will waste valuable NHS resources by going to their GP because they have unusual discomfort in their stomach, a persistent cough or problems passing water. Any NHS professional would prefer to allay their patient’s fears by showing that the problem is not serious—or, if it is serious, to catch it early and hence greatly improve the prospects of cure.

We have a serious problem with mental health among men and boys. Some 76% of all suicides in the UK last year were among men. That is 4,287 lives lost to suicide—more than two and a half times the number of deaths on the UK’s roads. The suicide rate has fallen in the last 35 years, and I welcome that, but the fall has been greater among women than men; it has fallen by 50% for women, which is wonderful, but only 14% for men. Suicide is the leading cause of death of men between 20 and 49.

The Samaritans commissioned research on the issues surrounding male suicide, which I will go into in some detail because they are so important. It found that men from the lowest social class who live in the most deprived areas are up to 10 times more likely to end their lives by suicide than those in the highest social class from the most affluent areas. This is undoubtedly a matter of inequality. Men in mid-life are most at risk, which surprised me. Men compare themselves against a masculine gold standard, to which having a job and providing for the family are essential, especially for working-class men. Men—I speak here from personal experience—are far less positive than women about getting formal emotional support for their problems, and when they do it is at the point of crisis. There is also a well-known link between unemployment and suicide; unemployed people are two to three times more likely than those in work to die by suicide, which is why combating unemployment is an absolute moral mission.

[David Simpson (Upper Bann) (DUP)]

I congratulate the hon. Gentleman on obtaining this debate. I am sure that he agrees that more needs to be done about the mental health of not just older men but young men. In my constituency, suicides have risen dramatically. The youngest person to commit suicide was 12, and one was 15. More needs to be done to help young people, especially those from deprived areas, who have social difficulties.

[Jeremy Lefroy]

I absolutely agree. I will read all six of the Samaritans’ recommendations, because they are so important. The first is to recognise and take on gender and socioeconomic inequalities in suicide risk—to follow the evidence, not the preconceptions. The second is to ensure that suicide prevention policy and practice takes account of men’s beliefs and concerns, and the context of what it is to be a man. The third is to recognise that loneliness is, for men in mid-life, a significant cause of their high risk of suicide, and to enable them to strengthen their social relationships—frankly, women are usually better at doing that than men. The fourth is to ensure explicit links between alcohol reduction and suicide prevention strategies, because often the two are taken apart when they should be much more closely linked. The fifth is to support GPs to recognise the signs of distress in men and ensure that those from deprived backgrounds receive a range of support, not just medication—it seems that men from poorer backgrounds are often given much more medication than counselling and other support. Finally, and very importantly, the sixth recommendation is to provide leadership and accountability at local level, and I congratulate councils who are taking this seriously up and down the country.

I would like to hear from my right hon. Friend the Minister on how he believes we can all work together to tackle suicide in all people, and particularly the tragically high rate of male suicide. I have not gone into great detail on some of the excellent initiatives, whether sports initiatives or peer communicators, which perhaps others or the Minister will refer to, but it would be good to hear more about that.

I turn to the access rights of fathers and children. One of the saddest things I have to confront, on an almost weekly basis, in my surgeries, as I am sure all colleagues have, is the fallout from partnerships and marriages that have gone wrong. The problem is almost inevitably one of two: either a father is neglecting his responsibilities to contribute to the maintenance of his children, or father and children are denied access to each other. The causes are complex, especially in cases of the latter, and I am no expert. However, I have no doubt that, in some I have seen, there has been a deliberate attempt to use all means possible to prevent the father from seeing a child or children, just as I have seen cases in which fathers have used all means possible to avoid their responsibilities to contribute to child maintenance.