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Male Suicide: Finland Acted, America Shrugs,
Part 3 - Finland’s Legacy — Lessons for the World
September 15, 2025
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Finland’s Legacy — Lessons for the World

Post 3 in a series on what the world can learn from Finland’s suicide prevention efforts


In the first two posts of this series, we traced Finland’s extraordinary journey: from confronting its suicide crisis head-on with unprecedented research, to building a nationwide prevention strategy that saved lives and changed culture. (plus an intro post)

By the mid-1990s, the results were visible. Suicide rates, which had climbed for decades, had finally begun to fall. Hunters were talking to their mates about mental health. Army officers were watching out for vulnerable conscripts. Teachers, clergy, and even journalists had taken on new roles in prevention.

But Finland didn’t stop there. They did something few governments ever do: they invited outsiders in to judge their work.


The External Evaluation (1999)

In 1999, an international team of experts released their assessment of Finland’s National Suicide Prevention Project. Their job was not to pat Finland on the back, but to weigh the evidence: had the ten-year gamble worked?

The answer was a resounding yes.

The reviewers noted that suicide rates had fallen by about 20% from their 1990 peak, reversing what had seemed an unstoppable upward trend. They praised Finland’s creativity and breadth: more than 40 subprogrammes, dozens of guidebooks and training manuals, and a public conversation that no longer treated suicide as taboo.

They were candid about shortcomings. The elderly had been largely overlooked. Firearm restrictions — an obvious lever in a country where hunting rifles were common — had not been seriously addressed. And some of the project’s ideas had not been fully anchored in municipal governments, raising questions about long-term sustainability.

But the overall conclusion was clear: “The achievements of the project greatly outweighed its shortcomings.”

For the first time in history, a country had launched a research-based, nationwide suicide prevention program, implemented it across society, and then subjected it to systematic internal and external evaluation. Finland hadn’t just lowered its suicide rate. It had created a model the rest of the world could learn from.


The Nordic Ripple Effect

Finland may have been the first to take suicide prevention to this scale, but it didn’t remain alone for long. Its bold experiment caught the attention of its Nordic neighbors.

By the early 2000s, Norway, Sweden, Denmark, and Iceland had all developed their own national suicide prevention strategies. Each looked different, shaped by local politics and culture, but the family resemblance was clear:

  • Multisectoral involvement — bringing schools, healthcare, media, and workplaces into the effort.

  • Government backing — strategies tied to official health policy, not just isolated projects.

  • Focus on high-risk groups — men, youth, those with mental illness or substance use issues.

  • Community-level adaptation — prevention designed to fit local contexts.

This Nordic wave turned suicide prevention from a fringe idea into a mainstream policy goal. Finland’s willingness to declare suicide a preventable public health problem gave other countries the courage to do the same.

And while no nation copied Finland exactly, the influence was unmistakable. What began as one country’s desperate attempt to save its men became a regional movement — and, eventually, part of a global shift in how we think about suicide.


Beyond Suicide — Open Dialogue

While the National Suicide Prevention Project was reshaping public health, another Finnish innovation was quietly revolutionizing psychiatric care. It was called Open Dialogue, and it began in the remote region of Western Lapland in the 1980s.

Open Dialogue grew out of the same spirit that drove Finland’s suicide work: the belief that mental health crises should be faced directly, in context, with honesty and community. Instead of isolating patients in institutions, Open Dialogue brought treatment into their living rooms, with their families and friends present.

Its core principles were deceptively simple:

  • Immediate response — no long waits for care.

  • Include the social network — every meeting included family and close supporters.

  • Transparency — no secret discussions; all decisions were made in front of the patient.

  • Continuity — the same care team stayed with the person throughout.

The results were extraordinary. In Western Lapland, outcomes for psychosis — one of the most severe and stigmatized mental health conditions — improved dramatically. Hospitalization rates plummeted. Long-term disability dropped. Many people recovered fully, without lifelong medication. And suicide risk, so often bound up with psychotic crises, declined as well.

Open Dialogue was not designed as a suicide prevention program, but it turned out to be one. By treating people with dignity, involving their communities, and responding quickly in moments of despair, it reduced the very conditions that so often lead to suicide.

Over the years, Open Dialogue spread far beyond Finland. Today, it has inspired projects in 20+ countries, from the UK and Denmark to Italy, Australia, and the United States. In Boston and Atlanta, pilot trials are exploring how it might transform American mental health care.

If Finland’s suicide prevention project showed how to mobilize whole societies, Open Dialogue showed how to humanize psychiatric care. Together, they represented a double legacy: a country rethinking both the prevention of suicide and the treatment of mental illness itself.


The Contrast with the United States

Set Finland’s story alongside that of the United States, and the difference is almost painful to see.

In Finland, suicide was treated as a national emergency. The government gathered data on every case, identified high-risk groups, and then designed interventions that met people where they were — in hunting clubs, army barracks, schools, and village churches. Prevention became everyone’s business: teachers, clergy, journalists, even hunters were mobilized. Men were not ignored; they were named as a priority.

In the United States, by contrast, suicide prevention remains fragmented and underfunded. National data are often shallow, slow, and rarely translated into targeted local strategies. Middle-aged men in rural areas — the group most likely to die by suicide — are treated as a tragic inevitability rather than a challenge to be solved. The refrain is familiar: “men won’t seek help.” And then the conversation stops.

Where Finland built systems that carried help into the everyday lives of men, the U.S. still waits for men to find their way into psychiatric clinics — a threshold many will never cross. Instead of designing support around real lives and communities, America has largely outsourced suicide prevention to crisis hotlines and awareness slogans.

The contrast is not just policy. It is philosophy. Finland chose to look directly at suicide, however uncomfortable, and act with precision. The U.S. continues to look away, resigned to the loss of tens of thousands of men each year.


What the World Can Learn Today

Finland’s story carries a message the world can no longer afford to ignore: suicide is not inevitable. It responds to culture, to policy, and to whether a society is willing to face hard truths.

The lessons are clear:

  1. Do the research. Prevention begins with knowing who is dying, where, and why. Finland’s psychological autopsy study remains a gold standard for how to understand suicide in context.

  2. Tailor interventions. Generic slogans don’t save lives. Finland designed specific responses for hunters, soldiers, farmers, drinkers, and suicide attempters.

  3. Use whole communities. Suicide prevention is not just for psychiatrists. Teachers, clergy, journalists, co-workers, and peers can all play a role.

  4. Address men directly. Male suicide is not an afterthought; it is central. Finland dared to say so, and designed interventions with men in mind.

  5. Sustain the effort. Short-term projects can spark change, but long-term structures anchor it. That remains one of Finland’s unfinished tasks — and one of the biggest lessons for others.

For the United States — and for every country still wringing its hands over “men not seeking help” — Finland offers a blueprint. You don’t wait for men to come to you. You go to them. Into their workplaces, their social clubs, their barracks, their communities. You make prevention part of everyday life.

Finland’s achievement wasn’t only lowering its suicide rate by 20% in a decade. It was proving, for the first time, that suicide is a preventable public health problem. And that societies willing to look directly at despair can bend the curve of death.

That is Finland’s legacy. And it is a challenge to all of us: if a small country on the edge of Europe could do it, what excuse do we have not to try?

Men Are Good

Update: Dr. Partonen sent me the latest figures for male suicides in Finland, showing that the rates for men were 52.6 per 100,000 in 1990 and had dropped to 20.3 by 2023 — a stunning 61% decrease.

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Why Is Men's Pain So Hard to See?
An excerpt from The Way Men Heal (Second Edition)




Today I’d like to begin sharing portions of The Way Men Heal (Second Edition).

 

When I wrote Swallowed by a Snake more than thirty years ago, there was remarkably little research explaining why so many men seemed to grieve differently than women. Much of what I understood came from listening carefully to grieving men and from studying grief rituals in cultures around the world.

Since then, an enormous amount of research has emerged. We now know much more about stress, testosterone, moral typecasting, empathy, precarious manhood, and the different ways many men and women respond to emotional pain.

Those discoveries inspired me to revise and update The Way Men Heal. This second edition includes many of those newer insights while remaining true to the simple goal of the original: to help men in crisis—and the people who love them—better understand how many men heal.

Today’s excerpt is available to everyone. Future installments will be reserved for paid subscribers. If you’ve been thinking about becoming a paid subscriber, I hope you’ll consider joining us. Your support allows me to continue researching, writing, and sharing these ideas each week.

I also hope you’ll use the comments section as we go. One of the great advantages of sharing the book here is that we can actually discuss it together. If a chapter raises questions, reminds you of your own experiences, or even if you disagree with something I’ve written, I’d love to hear from you. It’s very helpful to hear your thoughts.

Rather than beginning on page one, I’d like to begin with one of the questions that has fascinated me for decades:

Why is men’s emotional pain so often invisible?


A Man’s Pain Is Taboo

(pages 19-22)
When I first began working with men, I assumed I had no real bias about men and emotional pain. But the longer I worked, the more I came to see that I did have biases, and that they were affecting my work.

Over time I developed a simple exercise that can help people see this bias in themselves.

Imagine you are being seated at your favorite restaurant. As you walk toward your table, you notice a woman in the corner crying, her head in her hands. What is your first reaction?

I have asked this question to thousands of people in my workshops. The most common responses are things like, “She is upset,” “Poor thing,” or “She needs some support.” The woman’s pain is usually read as understandable and worthy of care.

Now erase that image and imagine the same restaurant, the same corner table, but this time it is a man who is crying.

What is your first reaction now?

In my workshops, the responses often shift dramatically. People become wary. “Something is wrong with him.” “He must be drunk.” “I’d stay away from him.” The woman’s pain evokes sympathy. The man’s pain evokes unease, suspicion, or avoidance.

That difference tells us something important.

A woman’s emotional pain is often treated as a call to care. A man’s emotional pain is more likely to be treated as a disturbance, a threat, or a violation of expectation. In that sense, male pain functions almost like a cultural taboo.

Peter Marin captured this problem beautifully in an article about men and homelessness. He wrote, “To put it simply: men are neither supposed nor allowed to be dependent. They are expected to take care of others and themselves. And when they cannot or will not do it, then the assumption at the heart of the culture is that they are somehow less than men and therefore unworthy of help. An irony asserts itself: by being in need of help, men forfeit the right to it.” Marin put his finger on the powerful and often invisible double standard men face around dependency. When women appear dependent, people are more likely to move toward them with care; when men appear dependent, people are more likely to pull back, judge, or devalue them. And it is important to remember that it is nearly impossible to express emotional pain without appearing, at least to some degree, dependent.

Modern psychological research may help explain why my workshop attendees were more likely to respond with compassion to the woman than to the man. One useful concept here is moral typecasting. (See Going Deeper: Moral Typecasting) This research suggests that we tend to cast women more readily as sufferers and men more readily as agents. Women are more easily seen as those to whom bad things happen. Men are more easily seen as those who cause things, control things, or should be able to handle things. When a woman cries, people often see vulnerability. When a man cries, people are more likely to wonder what is wrong with him, what he has done, or whether he is unstable. The moral typecasting studies help explain why men’s grief is so often misread: a grieving man is less likely to be seen simply as someone in pain and more likely to be viewed as someone who should keep himself together, get back to functioning, and ask little of others.

There is also a broader cultural force at work that I would call gynocentrism—a tendency to place women’s needs, suffering, and perspectives closer to the moral center of our concern, while placing men second. John Barry and Martin Seager describe a similar pattern in their research using the term gamma bias: female suffering is more readily magnified, while male suffering is more easily minimized or overlooked. (See Going Deeper: Bias and Perception) Together, these ideas point to the same underlying reality: our culture tends to center women’s pain more readily than men’s, and most people do not even notice they are doing it. These dynamics help explain why male pain is not only hidden by men, but also frequently misread by the culture around them.

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When something is taboo, people learn to hide it. Men are not simply failing to express pain. Many are doing their best to keep that pain out of sight because they know how it will likely be received.
———————————————————-

if you are looking for the book on amazon be sure this is the cover, The first edition will sometimes pop up when the title is searched link to amazon

 
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June 29, 2026
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Why Caitlin Clark Became a Target
The overlooked psychology behind one of the biggest stories in sports.



There is an old saying from Australia:

“Tall poppies get cut down.”

The expression refers to the tallest flower in the field. Rather than celebrating its beauty, someone cuts it off so that it is no taller than the rest.

Psychologists have spent decades studying this phenomenon. They have given it several names: Tall Poppy Syndrome, the Black Sheep Effect, female intrasexual competition, and indirect or relational aggression.

Although each focuses on a different aspect of human behavior, they all point toward a similar observation.

Groups do not always reward excellence.

Sometimes they punish it.

Researchers such as Anne Campbell have argued that women historically competed quite differently than men. Physical aggression carried enormous risks for ancestral women, especially during pregnancy and child-rearing. Instead of fists and open confrontation, competition more often took the form of gossip, exclusion, reputation damage, coalition-building, and social isolation.

Tracy Vaillancourt and others have likewise shown that women are especially skilled at what psychologists call indirect​ or relational aggression—forms of competition that damage a rival without requiring physical conflict.

Interestingly, these patterns have been documented across a remarkable range of social settings. Researchers have observed them among schoolchildren, university students, summer camps, workplaces, parent groups, politics, entertainment, and increasingly on social media. The specific behaviors vary, but the underlying dynamic remains strikingly consistent. Wherever social relationships help determine status, competition often takes relational rather than physical forms.

Classic studies by psychologist Ritch Savin-Williams are especially revealing. His summer camp research showed that even groups of adolescents who had just met quickly formed stable dominance hierarchies. Among girls, those hierarchies were maintained largely through verbal and relational tactics rather than physical confrontation. The lesson was clear: human groups naturally establish social rankings, but the methods used to compete for status often differ between the sexes.

Another body of research examines what is known as the Black Sheep Effect. Groups often react more harshly toward members of their own group who violate expectations than toward outsiders. The person who rises too far above the group, receives too much attention, or appears to disrupt the existing social order can become the target of surprisingly intense hostility.

Perhaps the most remarkable feature of relational aggression is not the aggression itself but its invisibility.

Unlike physical violence, relational aggression is often designed to leave little evidence. Gossip is whispered rather than shouted. Social exclusion leaves no bruises. Reputation attacks are disguised as concern. Coalitions form quietly. Each individual act may appear trivial—even accidental—but together they can profoundly alter a person’s standing within a group.

This invisibility may help explain why relational aggression is so often overlooked. Victims know something is happening, yet observers struggle to identify any single event worth condemning. Even authority figures can miss the larger pattern because they evaluate each incident in isolation rather than seeing the cumulative effect.

That brings us to Caitlin Clark.

By any objective measure, Clark has transformed the WNBA.

She fills arenas.

Television ratings have exploded.

Merchandise sales have soared.

Many fans who never watched women’s basketball now tune in specifically to watch her play.

One might expect such a player to be celebrated almost universally.

Instead, she has often been met with unusually hard fouls, dismissive comments, resentment, and a remarkable reluctance among some players ​to acknowledge what she has accomplished.

The fouls themselves are obvious enough, although even the obvious ones often seem to be missed by the referees.

That pattern is typical of relational aggression, which is frequently overlooked by school officials, HR departments, and even informal social groups. Researchers have long noted that women’s relational aggression often goes unrecognized by those in positions of authority.

The fouls against Caitlin Clark are physical, but they also share important characteristics with relational aggression. They are easily hidden within behavior that appears normal: “I play hard basketball. Sometimes it gets rough.” They also come with built-in plausible deniability: “I didn’t mean to do that.” “It’s just a foul.”

The deeper question, then, is not whether these are simply hard basketball plays. It is whether they are better understood as the physical expression of a broader social dynamic.

A hard foul is easy to dismiss. Two hard fouls are still just basketball. But when the same player repeatedly becomes the target of ​v​iolent play, persistent criticism, social distancing, and efforts to minimize her accomplishments, the research suggests we should at least consider the possibility that we are witnessing something larger than ordinary athletic competition.

If so, the referees face a​ tough task. They are trained to officiate individual fouls, not invisible social hierarchies. A referee can call a shove. He cannot call status competition. He can penalize an elbow. He cannot penalize a coalition.

Perhaps Clark is not merely a great player.

She is a tall poppy.

Her extraordinary success has disrupted an existing hierarchy.

The research suggests that when someone suddenly rises far above her peers, she may trigger forms of indirect aggression designed—not consciously in most cases, but socially—to pull her back toward the group.

Again, this is not an excuse.

It is an explanation.

The interesting part comes when we compare this with men’s sports.

Consider Michael Jordan.

Jordan entered the NBA as an extraordinary talent. Opposing teams hit him hard. They challenged him physically. They tried to stop him.

But something else happened.

As his greatness became undeniable, players increasingly admired him. Young athletes wanted to imitate him. Rivals measured themselves against him. He became the standard by which excellence itself was judged.

The competition remained fierce.

The respect grew alongside it.

That difference is fascinating.

Male hierarchies often appear to resolve competition through rank. Once someone proves himself to be the best, others continue trying to defeat him, but they also acknowledge his position.

Female hierarchies often seem to operate somewhat differently. Because relationships and coalition membership play a larger role, someone who rises dramatically above the group may be experienced not simply as the best performer, but as someone disrupting the balance of the group itself.

Human behavior is almost always influenced by multiple factors—personality, cliques, incentives, race, culture, coaching, individual history, and circumstance. It would be a mistake to attribute what we are seeing to any single cause. My suggestion is simply that relational aggression deserves consideration as one contributing factor among many.

What is remarkable is that psychology has spent decades documenting phenomena such as Tall Poppy Syndrome, relational aggression, stable dominance hierarchies, and the Black Sheep Effect, yet almost no one seems willing to ask whether these well-established patterns might help us understand what we are witnessing today.

Sometimes the best way to understand a controversy is not to ask who is good and who is bad.

It is to ask what kind of human behavior we are looking at.

If Caitlin Clark were a man playing in a men’s league, would we be seeing the same social dynamics?

That may be the most interesting question of all.

​Men Are Good.


Tall Poppy Syndrome
N. T. Feather’s classic work: Attitudes towards the high achiever: The fall of the tall poppy.
Also useful: BPS overview on tall poppies, deservingness, and schadenfreude. https://www.researchgate.net/publication/229782141_Attitudes_towards_the_high_achiever_The_fall_of_the_Tall_Poppy

Relational Aggression
Crick & Grotpeter’s foundational 1995 paper: Relational Aggression, Gender, and Social-Psychological Adjustment. https://pubmed.ncbi.nlm.nih.gov/7789197/

Black Sheep Effect
Marques, Yzerbyt & Leyens’ original 1988 paper: The “Black Sheep Effect”: Extremity of judgments towards ingroup members as a function of group identification. https://pubmed.ncbi.nlm.nih.gov/7789197/

Dominance / Status Hierarchies
Good overview: Dominance in humans — useful for distinguishing dominance from prestige/status.
Also relevant: Cheng et al. on dominance and prestige as routes to social status.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8743883/

Hierarchy Stability
Knight & Mehta: Hierarchy stability moderates the effect of status on stress and performance.
https://www.pnas.org/doi/10.1073/pnas.1609811114

Savin-Williams, R. C., & Vrangalova, Z. (2013).
Mostly heterosexual as a distinct sexual orientation group: A systematic review of the empirical evidence.
Developmental Review, 33(1), 58–88.
https://doi.org/10.1016/j.dr.2013.01.001

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June 23, 2026
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What the Researchers Missed About Boys
The Boys Sounded Familiar


A recent Australian study examined masculinity attitudes among 650 boys attending an all-boys school. The researchers also surveyed parents and staff in an effort to understand how boys develop their views about masculinity.

The findings were fascinating.

The researchers concluded that many boys continue to embrace traditional masculine ideals. They found that boys valued strength, responsibility, resilience, achievement, protection, provision, and earning respect. They also found that many boys felt pressure to live up to these expectations and were influenced by peers and online voices.

Much of the discussion focused on concerns about “traditional masculinity” and the influence of the manosphere.

Yet as I read the boys’ actual responses, I found myself thinking something unexpected: the boys sounded remarkably familiar.

Many decades ago, when I was growing up, boys worried about many of the same things. They wanted to become strong. They wanted their fathers to be proud of them. They wanted to earn respect, succeed, protect the people they loved, and become dependable.

None of this sounded particularly new.

In fact, many of the boys sounded remarkably similar to the men I have worked with over the past thirty-five years as a therapist. They were wrestling with questions that generations of boys have wrestled with:

  • What does it mean to become a good man?

  • How do I earn respect?

  • What responsibilities do I have toward others?

  • How strong do I need to become?

These are ancient questions.

What struck me was not the boys’ answers. It was the researchers’ inability to hear what the boys were actually saying.

Again and again, boys spoke about responsibility, strength, sacrifice, protection, duty, and earning respect. They described wanting to become the sort of men their fathers and grandfathers would admire. They spoke about carrying burdens, protecting loved ones, and becoming dependable. Many readers will recognize these aspirations immediately. They have echoed through generations of boys and men.

Yet throughout the paper, these aspirations are repeatedly translated into the language of pathology:

  • Protection becomes paternalism.

  • Responsibility becomes hierarchy.

  • Strength becomes dominance.

  • Traditional masculine aspirations become evidence of manosphere influence.

Certainly, some boys expressed troubling ideas. Some comments reflected hostility, bullying, and immaturity, and those deserve criticism. What is remarkable, however, is how often the researchers appear unable to distinguish those attitudes from the far more common aspirations toward duty, courage, sacrifice, and responsibility.

The boys say, “I want to be strong.”

The researchers hear, “I want power.”

The boys say, “I want to protect my family.”

The researchers hear, “I endorse gender hierarchy.”

The boys say, “I want my father to be proud of me.”

The researchers hear, “I have internalized restrictive masculine norms.”

The tragedy is not that the researchers disagree with the boys. The tragedy is that they seem unable to see the beauty in what many of the boys are expressing.

The boys are describing a willingness to carry burdens. They are describing obligations, service to others, and sacrifice. Yet these qualities are so thoroughly filtered through the lens of “toxic masculinity” and “manosphere influence” that the researchers largely fail to recognize them as virtues at all.

This blind spot is revealing.

If members of almost any other group spoke about sacrifice, responsibility, service, and devotion, many academics would immediately recognize these qualities as admirable. When boys express these same aspirations, however, they are often viewed primarily as evidence of social conditioning, patriarchy, sexism, or dominance.

The burden disappears. The sacrifice becomes invisible. The obligation is transformed into power.

Perhaps this is one reason so many boys increasingly feel misunderstood.

One of the most revealing findings in the study was the growing gap between boys and the adults around them. Many boys felt that schools, teachers, and even parents did not understand their views. The researchers interpreted this primarily as evidence of peer influence and online influences.

There may be some truth in that. But there is another possibility worth considering.

Perhaps boys are searching for alternative voices because many institutions no longer speak convincingly to the questions they are asking.

The researchers repeatedly point toward the manosphere as an explanation for boys’ beliefs. Yet many of the beliefs they describe long predate Andrew Tate, social media, and the internet itself:

  • The desire to be strong.

  • The desire to protect.

  • The desire to provide.

  • The desire to earn respect.

  • The desire to become a man worthy of admiration.

These are not inventions of the manosphere. They are aspirations that have appeared in boys and men for generations.

The study may have been intended as an examination of modern masculinity, but what I saw was something far older. I saw boys wrestling with the same questions that many of us wrestled with decades ago.

The language surrounding masculinity may have changed. The questions have not.

And until our institutions learn to recognize both the burdens and the beauty that many boys associate with manhood, they will continue to misunderstand the very people they are trying to help.

Boys and Men are Good.

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