Association Between Andropause Symptoms and Suicidal Ideation in Japanese Men: A Rural Community-Based Study.

Abstract

This study aimed to investigate the association between andropause symptoms and suicidal ideation among Japanese men using community-based data. We conducted a survey anonymously in Akita, Japan, in July 2024. In total, 577 men aged ≥19 years completed the questionnaire, including demographic data, and items, such as andropause symptoms, health habits, and suicidal ideation. Andropause symptoms as an exposure variable were measured. The outcome variable was suicidal ideation in the previous month. We estimated the odds ratio (OR) and 95% confidence interval to examine the association between andropause symptoms and suicidal ideation. Severe andropause symptoms according to the Aging Male's Symptoms scale and suicidal ideation were noted in 63 men (10.9%) and 18 men (3.1%), respectively. Multivariate logistic regression analysis revealed a significant positive association between severe andropause symptoms and suicidal ideation. This association remained unchanged even when andropause symptoms were divided into the somatic, psychological, and sexual scales. Additionally, even among participants aged ≥40 years, the OR for the severe group was significantly higher at 8.72. Severe andropause symptoms are associated with suicidal ideation among Japanese men. These findings suggest the importance of focusing on andropause as a new perspective for suicide prevention in men.