Men's mental health: are your employees being left out in the cold?
Men’s changing attitudes to mental healthcare – and how employers can help

Despite efforts to break down society’s stigma surrounding mental health, stark figures show men die by suicide at twice the rate of women globally.1 Many of us may assume that this may be because men are more reluctant than women to seek mental health support from loved ones or professionals. But research increasingly questions whether that’s actually the case.2
With World Mental Health Day on 10 October and International Men’s Day (a day that often looks at raising awareness of men's health issues), on 19 November, multinationals can take this opportunity to try and tap into men’s changing social attitudes to seeking help with their mental health.
What causes mental health problems and how can you spot them?
When someone has an angry outburst at work, what’s really happening? Is this about work? Is it a sign of something going on personally that they need support with?
Imagine you have a colleague – let’s call him 'Daniel’. He seems suddenly stressed and has started lashing out at colleagues. He always quickly apologises and regrets his behaviour, but it’s too little late for some on his team who report they are finding him difficult to work with, and as a result they’re avoiding collaborating with him on difficult projects.
This is obviously not ok. But maybe there’s more to the story – what may seem like a workplace problem could well be a personal one or the warning signs of a mental health problem. We’ll come back to Daniel later.

Multinationals who want to help must first understand that there are many causes of poor mental health, and it’s important to recognise that not all conditions are triggered by one event.
Psychologists already know that many of us are genetically predisposed to mood disorders like anxiety or depression, as well as major psychiatric conditions, which include bipolar disorder or schizophrenia, while researchers are still working to understand what genetic, social, and environmental factors put people at risk of mental health issues.3
And there is an ongoing discussion around men and mental health.
Mental health and men
“Men are advantaged in every aspect of our society, yet we have worse health outcomes for most of the things that will kill you. We tend not to prioritise men’s health, but it needs unique attention, and it has implications for the rest of the family. It means other members of the family, including women and children, also suffer.”
-Derek Griffith, director of Georgetown University’s Center for Men’s Health Equity in the Racial Justice Institute.4
Why do men have worse health outcomes? Some theorists argue pressure to appear “manly” and not show emotion can drive poor mental and physical health from a young age.2
But how does this translate to men’s mental health later in life? What you see on the surface may totally differ from what’s going on inside, as men try to mask both their emotions and health problems. So, let’s come back to ‘Daniel’. How can his employer begin to understand how to help him?
Researchers say some men who struggle to talk about their feelings might bottle up emotions, while others may lash out. A Swedish study found women suffering from poor mental health showed greater ability to articulate their emotions, and they tended to focus on feelings of guilt and shame. On the other hand, men were more likely to hold back from talking about their distress and more likely to show it in the form of aggression.5

Sometimes, though, these feelings are completely hidden. Men who seem to be doing ok on the outside may be very good at hiding how they’re really feeling when they’re at work. But that doesn’t mean they don’t need support, especially as ignoring their needs could bring problems further down the track.
An Australian study found both men and women masked negative emotions by distracting themselves from thinking about a problem. But men, in particular, described avoiding distress by taking part in numbing or escapist behaviour – such as drinking alcohol – leading to a ‘build-up’ that escalated later into aggression toward themselves and others.6
Here we see the potential link to the shocking statistic around men’s suicide rates we’ve already mentioned.
The Men’s Health Network in the United States highlights how some psychologists call anger the “male emotional funnel system,” suggesting that it’s one of the few emotions societies have permitted men to show openly. As a result, men may convert other negative emotions – like fear, pain, loss, anxiety, or feeling vulnerable – into expressions of anger, hiding the underlying problem.
Many multinationals may have a ‘Daniel’ among their ranks right now who could use some professional help to work out what’s driving the anger. But do you have the resources in place to support the ‘Daniels’ in your workplace?

It’s a long list, isn’t it? It’s easy to see how most of the men in your workplace will face at least one of these problems during their life, and sometimes more than one at a time.
But the good news is that evidence increasingly suggests the taboo around men talking about their mental health may be starting to shift and they are more willing to reach out for help than they were in the past.
Do fewer men seek employers' support?

MAXIS’ claims data shows a significant spike in mental health claims across the world in recent years, following the outbreak of the COVID-19 pandemic.
So, while the pandemic might have caused a spike in mental health conditions, it might also have helped to break the taboo and encouraged more people to seek out the help they need.
But, with mental health claims on the rise globally and signs of a stressed workforce, is there still a gender split when it comes to seeking help?
Data from our global wellness partner ICAS World shows that significantly more women than men currently use its employee assistance programme (EAP) services. And while this gender gap may be smaller, companies might need to focus on communicating the support available specifically to the men in their organisation.

A changing world: what can multinationals do to help?
We live in a changing world, and assumptions that men would rather stay silent than speak to a professional are beginning to become outdated. But this progress isn’t universal.
Mental health charity MIND’s 2020 report found men in the UK were three times more likely to see a therapist when worried or low than a decade earlier, and equally as willing as women to see a doctor, despite being less willing before.7
This may signal changing notions of masculinity in Britain, as more men feel ok about asking for help. But despite the rise in claims, it seems that in some countries mental health remains a taboo.
For example, mental health accounted for just 0.3% of insurance claims in Latin America in our 2022 data (globally it’s 233% higher).11 Research showed there is still a stigma associated with poor mental health in Latin America, where stigma around mental health issues bringing “disgrace” to a family playing a key role in many not seeking treatment.
And a 2020 survey in Ireland found that despite a majority of people holding accepting views of others suffering with mental health issues, 63% believed that Irish society in general would view receiving treatment as a sign of personal failure. 12
Multinationals might need to think about a more regionalised approach to mental health benefits and how they communicate about the services they offer their people.
How to change minds

So, you want to offer the men in your workplace proactive support. There are steps you can take to break down taboos and engage your people with mental health support tools.
Consultants McKinsey highlighted the explosion of digital wellbeing apps as an opportunity for employers to tap into the popularity of the technology to promote workers’ mental health.13 This is an especially popular strategy among the youngest group in today’s workforce as Generation Z workers rate mental health as a top concern.14
Compared to older age groups, Gen Zs report the highest use of healthcare and wellbeing technologies provided by employers – such as telehealth services and mental health support apps – as the most valuable benefits and will consider these carefully when choosing a new role.12
And while Gen Zs have grown up these apps, they’re not the only ones who appreciate a tech-first approach. Four of out of five workers across all generations said that technology helped them, and a majority highly rated workplace wellbeing resources as a factor in why they would choose an employer.
Bridging the mental health cover gap
Despite a general trend toward ending stigma over men seeking mental health help and growing interest in workplace wellbeing resources, the reality is those services aren’t always there to meet the demand.
According to brokers Mercer Marsh Benefits, 16% of insurers globally in 2023 reported they don’t provide plans that cover mental health services at all.15
So, what can you do to join the ranks of multinationals who are helping people like ‘Daniel’ in need of mental health support?


Dr Leena Johns, MAXIS Chief Health & Wellness Officer, said: "Providing mental health services is a crucial step for multinationals today looking to care for their people and attract and retain top talent.
“Building a culture of openness and effectively communicating what support is available to your people can help break down taboos about seeking help – and let men know that it is ok to ask for support.
“It’s also important to check whether counselling and inpatient psychiatric care are excluded from your health insurance cover. In many markets, employees seeking help face both inadequate mental healthcare provision from their public health system and from their health insurance.
"If cover isn't available locally, technology can help you cover the gap. By partnering with digital-first resources like EAPs and mental health helplines, employers can offer services in markets it might not have been available before.
“There is an opportunity for multinationals today to respond to men’s changing attitudes to seeking mental healthcare. You can help your people mend that gap, by reviewing your EB offering, and exploring cover that doesn’t leave men open to seeking help out in the cold.”
Mental health is a topic that should be high on the corporate agenda. While everyone can experience mental health crises, and the gender gap for seeking help may be closing in some markets, a specific strategy focused on men could help to close the gap further.
What are you doing to support people like ‘Daniel’ and promote positive mental health in the workplace this World Mental Health Day?
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[1] Anon. World Health Organization. Suicide worldwide in 2019: global health estimates. Available from: https://www.who.int/publications/i/item/9789240026643
(Sourced: September 2023)
[2] Ridge, D., et al. Understanding how men experience, express and cope with mental distress: where next? Sociology of Health & Illness. Volume 22, issue 1. January 2011 https://onlinelibrary.wiley.com/doi/full/10.1111/j.1467-9566.2010.01266.x?casa_token=IbpZRCqjWu8AAAAA%3AWFOh1Lf69tbMWTEF0CfuEVU9gghFKJDmKUwMOQHUkbx-wJkyYtu_521A4TOe5Pm_9ThjS1Hdiz_9sQ#b64 (Sourced: September 2023)
[3] Rudolf, U. and Zwicker, A. Etiology in psychiatry: embracing the reality of poly‐gene‐environmental causation of mental illness. World Psychiatry. 2017 June. Volume 16, issue 2. June 2017. (Sourced: September 2023)
[4] Parker-Pope, T. and Gilbert, C. A silent crisis in men’s mental health gets worse. The Washington Post. April 17, 2023. https://www.washingtonpost.com/wellness/2023/04/17/mens-health-longevity-gap/
(Sourced: September 2023)
[5] Danielsson, U, and Johansson, E. Beyond weeping and crying: a gender analysis of expressions of depression. October 2024. Scandinavian Journal of Primary Health Care. https://www.tandfonline.com/doi/full/10.1080/02813430510031315 (Sourced: September 2023)
[6] Brownhill, S. et al. ‘Big build’: Hidden depression in men. October 2005. Volume 39, issue 10. Australian and New Zealand Journal of Psychiatry. https://pubmed.ncbi.nlm.nih.gov/16168020/ (Sourced: September 2023)
[7] Anon. MIND. Get it off your chest. 2020. https://www.mind.org.uk/media/6771/get-it-off-your-chest_a4_final.pdf (Sourced: September 2023)
[8] Brott, A. and the Advisory Board. Your Head: An Owner’s Manual. Understanding and Overcoming Depression, Anxiety, and Stress. 2008. Men’s Mental Health Network. https://menshealthnetwork.org/wp-content/library/ownersmanual.pdf (Sourced: September 2023)
[9] MAXIS proprietary data. (Sourced: September 2023)
[10] ICAS World proprietary data. (Sourced: September 2023)
[11] Anon, MAXIS GBN https://maxis-gbn.com/knowledge-centre/whitepapers/the-global-private-healthcare-landscape-%E2%80%93-a-story-told-by-maxis-claims-data/ (Sourced: September 2023)
[12] Coe. E, et al. McKinsey Health Institute. April 28, 2023. Gen Z mental health: The impact of tech and social media. https://www.mckinsey.com/mhi/our-insights/gen-z-mental-health-the-impact-of-tech-and-social-media (Sourced: September 2023)
[13] Anon. St Patrick’s Mental Health Services. 2020. Stigma Survey 2020: Results of our survey on attitudes to mental health. https://www.stpatricks.ie/campaigns/stigmasurvey (Sourced: October 2023)
[14] Anon. Mercer. Rethinking what we need from work. 2023. Inside Employee Minds. https://www.mercer.com/assets/uk/en_gb/shared-assets/local/attachments/pdf-2023-rethinking-what-we-need-from-work.pdf (Sourced: September 2023)
[15] Anon. Mercer Marsh Benefit. MMB Health Trends 2023. https://www.mercer.com/insights/total-rewards/employee-benefits-optimization/mmb-health-trends-2023/ (Sourced: October 2023)
[16] Young, E. Willis Towers Watson. August 30, 2022. 9 ways employers can combat the stigma of mental health issues (Sourced: October 2023)
This document has been prepared by MAXIS GBN and is for informational purposes only – it does not constitute advice. MAXIS GBN has made every effort to ensure that the information contained in this document has been obtained from reliable sources but cannot guarantee accuracy or completeness. The information contained in this document may be subject to change at any time without notice. Any reliance you place on this information is therefore strictly at your own risk.
The MAXIS Global Benefits Network (“Network”) is a network of locally licensed MAXIS member insurance companies (“Members”) founded by AXA France Vie, Paris, France (“AXA”) and Metropolitan Life Insurance Company, New York, NY (“MLIC”). MAXIS GBN, a Private Limited Company with a share capital of €4,650,000, registered with ORIAS under number 16000513, and with its registered office at 313, Terrasses de l’Arche – 92727 Nanterre Cedex, France, is an insurance and reinsurance intermediary that promotes the Network. MAXIS GBN is jointly owned by affiliates of AXA and MLIC and does not issue policies or provide insurance; such activities are carried out by the Members. MAXIS GBN operates in the UK through its UK establishment with its registered address at 1st Floor, The Monument Building, 11 Monument Street, London EC3R 8AF, Establishment Number BR018216 and in other European countries on a services basis. MAXIS GBN operates in the U.S. through MAXIS Insurance Brokerage Services, Inc., with its registered office located at c/o Katten Muchin Rosenman LLP, 50 Rockefeller Plaza, New York, NY, 10020-1605, a NY licensed insurance broker. MLIC is the only Member licensed to transact insurance business in NY. The other Members are not licensed or authorised to do business in NY and the policies and contracts they issue have not been approved by the NY Superintendent of Financial Services, are not protected by the NY state guaranty fund, and are not subject to all of the laws of NY. MAR01294/1023