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Health promotion and public health
Precision suicide prevention programme may help reduce the suicidality of males without known mental health problems
  1. Shaminder Singh1,
  2. Sumeeta Kapoor2
  1. 1 School of Nursing and Midwifery, Faculty of Health, Community and Education, Mount Royal University, Calgary, Alberta, Canada
  2. 2 Acute Pain Services, Department of Anesthesia, Alberta Health Services, Foothills Medical Centre, Calgary, Alberta, Canada
  1. Correspondence to Dr Shaminder Singh, School of Nursing and Midwifery, Faculty of Health, Community and Education, Mount Royal University, Calgary, AB T3E 6K6, Canada; ssingh2{at}

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Commentary on: Fowler KA, Kaplan MS, Stone DM, et al. Suicide among males across the lifespan: an analysis of differences by known mental health status. Am J Prev Med 2022; doi: 10.1016/j.amepre.2022.02.021.

Implications for practice and research

  • Developing suicide prevention tools targeting males without known mental health conditions (KMHC) may help reduce their risk of suicidality.

  • Qualitatively exploring mechanisms of decisive suicidal behaviour among males without KMHCs may help develop their tailored suicide prevention programmes.


Suicide is potentially preventable yet, contributes significantly to premature death, killing 43 375 people in the USA in 2018.1 Compared with females, males experience fewer known mental health issues,2 engage in fewer suicidal thoughts and plans and make lesser suicide attempts, yet use more lethal means, thereby more frequently killing themselves.2 This disparity is attributed to males’ relatively lesser help-seeking tendencies, more impulsive responsiveness to life situations and higher access to lethal means such as firearms than females.2 However, we …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.