Public Significance StatementStatus loss due to the COVID-19 pandemic, particularly among men with strong endorsement of traditional masculinity ideologies, may play a critical role in understanding the elevated suicide rates in the aftermath of the most acute phase of the COVID-19 pandemic. Health care policy should specifically target men with experienced status loss due to the COVID-19 pandemic in suicide prevention programs and swiftly design mental health care campaigns tailored to the group of men with strong endorsement of traditional masculinity ideology.

Background: The COVID-19 pandemic is causing extensive job loss leading to a loss of social status in many men. Endorsement of traditional masculinity ideology may render some men particularly sensitive to status loss and thereby to an increased risk for suicidality.Methods: In this anonymous online survey conducted in German-speaking European countries, 490 men completed questionnaires regarding loss of social status due to the pandemic, suicidal ideation and past-month suicide attempt. Furthermore, prototypical and male-typical externalizing depression symptoms, self-identified masculine gender orientation, endorsement of traditional masculinity, and gender role conflict were measured.Results: Out of a total of 490 men, 14.7% of men reported experiencing a status loss due to the pandemic. These men were more than twice as likely to report suicidal ideation during the past two weeks, and more than four times as likely to have attempted suicide in the past month than men not reporting a status loss. Depression symptoms, self-identified masculine gender orientation, endorsement of traditional masculinity, but not gender role conflict were positively associated with status loss. Suicidal ideation and suicide attempt were associated with prototypical and male-typical externalizing depression symptoms, but not masculinity- related constructs.Conclusion: Status loss emerges as risk factor for suicide and is associated with depression symptoms, higher masculine gender orientation and endorsement of traditional masculinity. Men with high levels of traditional masculinity and status loss due to the pandemic are at increased risk for suicide.