How common is depression in men and why is it missed?

It's common but under-diagnosed, partly because men more often present with irritability, anger, risk-taking, substance use, and physical complaints rather than expressed sadness. Male suicide rates are substantially higher than female rates in most countries.

Men more often present with irritability, anger, risk-taking, overwork or alcohol use than with expressed sadness, which is why it is missed by others and by doctors.

Suicide rates are substantially higher in men in most countries, partly because help-seeking is delayed. Encouraging an early, practical conversation matters.