Sadag warns of silent struggle
Sadag says many men only seek help when they are already in crisis, highlighting the need for earlier conversations and greater awareness around mental health.
Many South African men wait until they reach crisis point before seeking help, a trend that continues to concern the South African Depression and Anxiety Group (Sadag).
According to Sadag operations director Cassey Chambers, men account for a disproportionately high number of suicide deaths, with South African men four times more likely to die by suicide than women. “Many men grow up with messages that they must be strong and cope on their own. Talking about emotional struggles is often seen as weakness, and that prevents many from seeking help early.”
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Sadag’s national network of 30 mental health helplines regularly receives calls from men dealing with depression, anxiety, financial stress, unemployment, relationship difficulties, substance abuse, and feelings of hopelessness. Economic pressures are among the most common themes. Chambers said many men carry the burden of being providers and often link their self-worth to their ability to support their families.
The organisation also raised concerns about the impact of cyberbullying and social media pressures, particularly among teenagers and young adults. “Social media can create unrealistic expectations and constant comparisons, affecting self-esteem and increasing loneliness and anxiety.”

Sadag’s substance use co-ordinator Tebogo Ramadiro stressed that asking someone directly whether they are having suicidal thoughts does not increase the risk. “Having a compassionate and open conversation can be life-saving.”
Also read: Mental health awareness
The organisation encourages families, schools, and communities to play an active role in creating environments where people feel safe to speak about mental health. “Reaching out for help is not a sign of weakness; it is an act of courage. Even when things feel overwhelming, support is available and recovery is possible.”
Sadag offers free 24-hour crisis support, WhatsApp services, support groups, and referrals to mental health professionals across South Africa.
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