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Association Between Andropause Symptoms and Suicidal Ideation in Japanese Men: A Rural Community-Based Study
Fumiya Tanji1,2, Syohei Miyamoto2
1Department of Nursing, Akita University Graduate School of Health Sciences, Akita, Japan.
Journal of Primary Care & Community Health
|August 29, 2025
Summary
Severe andropause symptoms are linked to suicidal thoughts in Japanese men. This research highlights andropause as a crucial factor for male suicide prevention strategies.
Area of Science:
- Men's Health
- Psychiatry
- Public Health
Background:
- Andropause, or late-onset hypogonadism, affects men's physical and mental well-being.
- Suicidal ideation is a significant public health concern, particularly among men.
Purpose of the Study:
- To investigate the association between andropause symptoms and suicidal ideation in Japanese men.
- To explore the relationship using community-based data.
Main Methods:
- A cross-sectional survey was conducted with 577 Japanese men aged 19 years and older.
- Andropause symptoms (Aging Males' Symptoms scale) and suicidal ideation were assessed.
- Multivariate logistic regression analysis was used to determine the odds ratio (OR) and 95% confidence interval.
Main Results:
- 10.9% reported severe andropause symptoms, and 3.1% reported suicidal ideation.
- A significant positive association was found between severe andropause symptoms and suicidal ideation.
- This association persisted across somatic, psychological, and sexual symptom domains and was pronounced in men aged 40+ (OR=8.72).
Conclusions:
- Severe andropause symptoms are significantly associated with suicidal ideation in Japanese men.
- Andropause should be considered a potential new perspective for suicide prevention initiatives targeting men.
- Early identification and management of andropause symptoms may play a role in reducing suicidal ideation.
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