Simon M Rice

• PhD, MPsych, Grad Cert Clin Epi, BSc(Hons), BBSc
• Professor at University of Melbourne

Aim: Conformity to traditional masculine gender norms may deter men's help-seeking and/or impact the services men engage. Despite proliferating research, current evidence has not been evaluated systematically. This review summarises findings related to the role of masculinity on men's help-seeking for depression. Method: Six electronic databases...

Background The physical impacts of elite sport participation have been well documented; however, there is comparatively less research on the mental health and psychological wellbeing of elite athletes. Objective This review appraises the evidence base regarding the mental health and wellbeing of elite-level athletes, including the incidence and/or...

Men's help seeking for depression continues to gain focussed research and clinical attention. In this study, 125 men (M = 39.02 years) provided data on perceived barriers to mental health help seeking, and self-reported depression at baseline, and 15 weeks. Longitudinal depression caseness was used to investigate group differences in perceived barr...

Background Clinical reports indicate that men tend to engage in a range of externalising behaviours in response to negative emotional states. Such externalising behaviours have been theorised to reflect a male sub-type of depression that is inconsistent with current diagnostic criteria, resulting in impeded detection and treatment rates of depresse...

While research on mental health and wellbeing in elite sports has increased, there are few studies regarding models of care for responding to mental health needs in this population. The Australian Institute of Sport established the Mental Health Referral Network (MHRN) service in 2018, initially focused on mental health care for elite athletes only...

Objective The need for clear and actionable guidelines for the promotion and protection of mental health in organised community sport has previously been identified. This study aimed to provide guidelines to promote and protect mental health in organised community sport in Australia. Methods Guideline development was informed by (1) systematic rev...

Objectives Very little is known about the role of self-compassion on performing artists’ mental health. This project had two primary aims. First, was to examine the relationship between self-compassion and mental health among performing artists in dance, music, and acting. Second, was to test a brief compassion-based intervention to establish proof...

Objectives Masculine norms of toughness and self-reliance can discourage help-seeking among elite athletes who are men. Effective ways to leverage masculine norms for help-seeking is a relatively unexplored area in athlete mental health. The study aimed to investigate how masculine health-related values measured by the Intentions Masculine Values S...

Background Since the mid-20th century, mental illness has become a leading cause of health burden, particularly among adolescents and emerging adults, with most disorders emerging before the age of 25. Over the past two decades, mental ill health has surged to alarming levels, with evidence confirming that the increase is not just due to better awa...

Background In Australia and internationally, it is men who predominately die by suicide. Men are less likely than women to seek help for their mental health difficulties and this may contribute to their higher suicide rates. We created a 4-minute music video encouraging Australian men to seek help for mental health difficulties (Boys Do Cry). We ai...

Introduction Major depressive disorder (MDD) causes significant disease burden and functional impairment during adolescence and young adulthood. While most young people recover from their first episode, around two-thirds will experience one or more relapses, which can become more severe and treatment-resistant with each episode. To address relapse...

Tailored language and communication strategies underpin men's engagement with public health initiatives. The aim of this study was to explore men's preferences for language and communication in mental health promotion and provide recommendations for current and future programs. A sequential mixed-methods design was used including five focus groups...

Emotional intimacy is key to intimate partner relationship quality and satisfaction. For sexual minority men, queer and feminist theorists consistently link emotional intimacy to diverse sexual practices and partnership dynamics formulated within the relationship. This Photovoice study adds to those insights by drawing on individual photovoice inte...

Background There is increasing recognition of the prevalence and risk factors for mental health symptoms and disorders among adult elite athletes, with less research involving elite youth athletes. This scoping review aimed to characterise the mental health and well-being of elite youth athletes who travel internationally and compete for their spor...

Background Inclusive research has sidelined discussion of theoretical issues with researchers with intellectual/learning disabilities. This is a situation which the Big Ideas initiative sought to change. Between 2021 and 2023, the Open University, Leipzig University and the University of Koblenz organised nine workshops to explore influential theor...

Background: Social media is an integral part of adolescents’ lives and has a strong influence on development and wellbeing. Research examining adolescent social media use and wellbeing is confusing as findings are inconsistent, inconclusive and contradictory. To address this issue, digital wellbeing scholars recommend that researchers adopt a theor...

Background Crisis telephone helplines are an integral part of community suicide prevention. Despite high male suicide rates, men’s experiences of these services are poorly understood. The current study explored men’s perspectives of their interactions with helpline counsellors to understand how their engagement on helplines can be enhanced. Method...

Peer support has a long history of helping people navigate mental health challenges and is increasingly utilized within men’s mental health promotion initiatives. Despite considerable research conceptualizing and evaluating peer support in various contexts, little is known about the gendered dimensions of men’s peer support and mutual help for ment...

Objectives This study aimed to compare talent development athletes to community-level athletes in Australian Rules Football across various markers of healthy youth development. Methods Survey data were collected from 363 youth athletes (126 women, 232 men, 5 not reported; Mage=18.69 years, SDage=2.62 years, age range 16–25 years) playing Australia...

Previous studies have reported that males frequently suffer from major depression. However, due to the norms of masculine roles, in which emphasis is placed in displaying strength, invulnerability, and control, the ways that some men exhibit depression may differ from traditional diagnostic symptoms of major depressive disorder. To this end, the Ma...

Aim Lithium, even at low doses, appears to offer neuroprotection against a wide variety of insults. In this controlled pilot, we examined the safety (i.e., side-effect profile) of lithium in a sample of young people identified at ultra-high risk (UHR) for psychosis. The secondary aim was to explore whether lithium provided a signal of clinical effi...

The transition into elite-level sport can expose young athletes to risk factors for mental ill-health, including increased performance expectations, stressors associated with becoming increasingly public figures, and changes in lifestyle demands, such as diet, training loads and sleep. Successful integration into elite-level sport requires athletes...

Background We are a research team of clinical, academic and advocacy‐based researchers with and without learning disabilities, working on the Humanising Healthcare (for people with learning disabilities) project. The project is dedicated to finding and sharing healthcare practices that enhance the lives of people with learning disabilities. As part...

Understanding and positively influencing athlete mental health have become key goals for researchers and sporting stakeholders (e.g. coaches, support staff, clubs and governing bodies). In this article, we outline a novel perspective for tackling these challenges, drawing on an influential theory of group processes. This social identity approach ca...

As interest in animal-assisted therapy (AAT) and canine-assisted psychotherapy (CAP) grows, there are increasing calls for the management of related health, safety, and welfare concerns for canines, providers, and clients. Existing health and safety guidelines lack empirical support and are, at times, contradictory. Welfare is increasingly prioriti...

Adolescence marks a challenging confluence, with the frequent onset of both offending behaviour and mental ill-health. Although repeated offending behaviour is limited to a small minority of young people, it is disproportionately associated with poorer life course outcomes, social costs, and community concerns. Each year, around 30 million people a...

Background Elite-level coaches are exposed to multiple performance, organisational and personal stressors which may contribute to reduced mental health and wellbeing. This systematic scoping review examined the current body of evidence to explore what is known about the mental health of elite-level coaches (i.e. wellbeing and mental ill-health), th...

Background Digital tools have the capacity to complement and enhance clinical care for young people at risk of suicide. Despite the rapid rise of digital tools, their rate of integration into clinical practice remains low. The poor uptake of digital tools may be in part due to the lack of best-practice guidelines for clinicians and services to safe...

Context Participation in sports during youth is typically beneficial for mental health. However, it is unclear whether elite sport contexts contribute to greater risk of psychological distress or disorder. The aims of this paper are to highlight conceptual issues that require resolution in future research and practice, and to examine the key factor...

Introduction: Canine-assisted psychotherapy (CAP) is an emerging field that is largely unregulated and at times fragmented. Despite this, CAP shows promise as an innovative intervention for improving adolescent mental health. To ensure safe, ethical interventions incorporating dogs, providers need minimum standards to guide intervention development...

Improved engagement of men in psychotherapy is an essential element in improving male health outcomes. This trial examined whether the Men in Mind intervention improved practitioners’ self-rated clinical competencies to engage and respond to male clients in therapy. A parallel, single-blind, wait-list randomized controlled trial was conducted with...

Arrurle‐nge‐ntyele researchers lhentere areye‐le intelhe‐ilepe‐ileme apmerrke areye‐akerte. Itne akaltye‐arle‐irreke apmerrke areye akwele urreme‐urreme‐irreme, utnenge alhwarrpe awelhemele. Kenhe alhentere nhenhe areye akaltye‐irretyakenhe iwenhenge‐arle apmerrke areye alakenhe anerlte‐aneme. Itne itelaretyakenhe nthakenhe‐arle arne ingkirreke urr...

Background Engaging men in psychotherapy is essential in male suicide prevention efforts, yet to date, efforts to upskill mental health practitioners in delivering gender-sensitized therapy for men have been lacking. To address this, we developed Men in Mind, an e-learning training program designed to upskill mental health practitioners in engaging...

According to self-determination theory competence is a basic psychological need that is crucial for wellbeing. Social contexts strongly influence whether competence is supported or thwarted. Given that social media is a pervasive social context within adolescents’ lives, it can play a crucial role in competence development. Three qualitative method...

Regular sport participation can lead to several known physical and psychological health benefits. However, some sport environments may be contributing to the development of mental health disorders in participants. Elite sporting organisations have introduced several guidelines and position statements to ensure psychologically safe sport environment...

Elite sports contexts are highly pressurised and frequently enforce a win-at-all-costs approach. This narrow focus on performance outcomes can potentially contribute in negative ways to the mental health of those within these environments. In this Current Opinion paper, we propose a model that outlines how key elements contributing to psychological...

This study uses the Delphi expert consensus method to work with lived-experience experts and establish research priorities to advance our understanding of male suicide risk and recovery. Items for the Delphi were generated via findings from two recent quantitative and qualitative systematic reviews on male suicide, a comprehensive gray literature s...

Purpose In Australia and internationally, it is men who predominately die by suicide. Men are less likely than women to seek help for their mental health difficulties and this may contribute to their higher suicide rates. We created a 4-minute music video encouraging Australian men to seek help for mental health difficulties (Boys Do Cry). We aimed...

Introduction Young people use social media to communicate about self-harm and suicide and this is associated with both potential risks and protective effects. The #chatsafe guidelines were originally developed in 2018 to equip young people to communicate safely online about suicide. They were shown to be safe, acceptable, and beneficial; however, t...

Shifts in gender roles, identities and relations since the 1980s are continuing to influence masculinities within intimate partner relationships. Forefront in men's contemporary heterosexual relationships have been calls for gender equality and gender equity as a means to promoting the mental health and well-being of partners and their families. Mo...

Photovoice offers creative participatory action methods for conveying community strengths and challenges with the goal of addressing health inequities. Accelerated by COVID-19 restrictions, photovoice has increasingly become virtual, and this shift has given rise to new considerations including navigating online recruitment and data collection, e-p...

The Psychic Pain Scale (PPS) measures a form of mental pain involving overwhelming negative affect and loss of self-control. Understanding psychic pain among men is needed to advance efforts for preventing male suicide. The present study examined the factor structure and psychosocial correlates of the PPS among 621 online help-seeking men. Confirma...

Background Treatment of major depressive disorder (MDD) in men is complicated by the endorsement of traditional masculinity ideologies (TMI) often leading to reluctance toward psychotherapy, therapy interfering processes, or premature termination. In addition, it has been shown that men with MDD have a significantly increased risk of being hypogona...

Objective: To review the literature on the experiences of boys and men exposed to childhood sexual abuse, and to assess the implications of this literature for trials of interventions and tailored services for this population. Method: We conducted a narrative review of papers pertaining to boys and men exposed to childhood sexual abuse. Implication...

Context: The international sports community is becoming more proactive in clinical mental health practice and research. An athlete-specific psychological distress screening tool can identify potential mental health illness. Design: The Athlete Psychological Strain Questionnaire (APSQ) is a simple screening tool for detecting early signs of athle...

Current evidence indicates that elite-level coaches encounter a range of performance, organizational, and personal stressors that may influence or compromise mental health. With exposure to these stressors, supports need to be established to protect and preserve the mental health of elite-level coaches. Given the paucity of evidence available, this...

Background: Digital interventions have potential applications in promoting long-term recovery and improving outcomes in first-episode psychosis (FEP). This study aimed to evaluate the cost-effectiveness of Horyzons, a novel online social therapy to support young people aged 16-27 years following discharge from FEP services, compared with treatment...

Background: Clinical trials suggest long-chain omega-3 polyunsaturated fatty acids (n-3 PUFA; 'fish oil') may reduce depressive symptoms in adults with MDD. Hence, n-3 PUFA may be a potential treatment for depression in youth. Methods: Participants were aged 15-25 years with MDD who sought care in one of three government-funded mental health ser...

Objective: To describe key considerations for working with men experiencing distressed and disrupted intimate partner relationships. Methods: Individual Zoom interviews were conducted with help-seeking men (n = 25) who had experienced an intimate partnership break-up, and health service providers (n = 30) working with men in the relationships sp...

This study aimed to evaluate depression, anxiety, and stress prevalence and correlates among professional football team medical and allied health staff (MAHS) in Turkey. An online survey was sent to all MAHS (n = 865) attending the professional development accreditation course organized at the end of the 2021-2022 football season in Turkey. Three s...

Background Self-harm behaviour is prevalent among young people and online communication about self-harm is frequent. These online communications are associated with potential harms and potential benefits. To date, few studies have explored the motivations and mechanisms involved in youth online communication about self-harm. Objective This study a...

Justice-involved young people experience greater rates of mental illness than their peers in the general population. They also commonly belong to marginalised and disadvantaged groups and/or have histories of significant developmental adversity, amplifying their needs and increasing the likelihood of multi-agency involvement. While most mental diso...

Background: Young people are more likely to be affected by suicide contagion, and there are concerns about the role social media plays in the development and maintenance of suicide clusters or in facilitating imitative suicidal behavior. However, social media also presents an opportunity to provide real-time and age-appropriate suicide prevention...

BACKGROUND Engaging men in psychotherapy is essential in male suicide prevention efforts, yet to date efforts to upskill mental health practitioners in delivering gender-sensitised therapy for men have been lacking. To address this, we developed Men in Mind, an e-learning training program designed to upskill mental health practitioners in engaging...

Background: Although studies have reported a significant inverse association between meaning in life and psychological distress, little is known about this association, specifically among men, or its potential underlying mechanisms. Accordingly, this study investigated prospective pathways connecting meaning in life to men's psychological distress...

Background: Elite-level coaches are exposed to multiple performance, organisational and personal stressors which may contribute towards reduced mental health and wellbeing. This systematic scoping review examined the current body of evidence to explore what is known about the mental health of elite-level coaches (i.e. wellbeing and mental ill-healt...

Autonomy development is an important process in adolescence and is central to a successful transition to adulthood. Social contexts play a crucial role in supporting and suppressing autonomy. Considering social media is a salient and important context for mid-adolescents it has the potential to strongly influence autonomy development. This study ap...

Anxiety is the most prevalent mental disorder experienced by young men, and when untreated, is predictive of co-morbid mental health challenges and suicide. Despite the rising prevalence, there is a conspicuous absence of qualitative research to distil and theorise young men's anxiety. Twenty-five young Australian men (15-25 years), who had been di...

Objective: To investigate the clinical characteristics of tertiary students and non-students attending a specialist clinic for severe mood disorders. Method: Medical record audit of clients discharged from the Youth Mood Clinic (YMC). Data extracted included depressive symptomatology, suicidal ideation, self-harm, suicide attempt, tertiary educa...

Men’s intimate partner relationship services have focused on correcting the behaviors of male perpetrators of intimate partner (IPV) and/or domestic violence (DV). There is a need to advance IPV and DV prevention efforts by better equipping men with relationship skills. This study explores service providers’ and stakeholders’ perspectives about the...

Queer men (i.e., men who are not heterosexual; sexual minority men) are disproportionately affected by negative body image-they experience greater body dissatisfaction are more likely to develop eating disorders than heterosexual men. While existing literature has examined individual-level predictors of negative body image for queer men, less is kn...

Mental ill health is an important health condition affecting young people globally. Approximately half of all common mental disorders emerge before the age of 18, including mood, anxiety, eating, substance use and neurodevelopmental disorders. Yet an estimated 58% of mental disorders in adolescents go undetected and untreated with barriers to acces...

Suicidal ideation among men during COVID-19: Examining the roles of loneliness, thwarted belongingness, and personality impairment. Scandinavian Journal of Psychology. Suicidal ideation (SI) is a known precursor to suicide among men. While loneliness and thwarted belongingness (TB) have been identified as key factors influencing SI, no study has re...

The experience of anxiety is ubiquitous among elite athletes. Indeed, sport psychologists and mental skills coaches have spent decades trying to develop and implement approaches to managing performance anxiety in sport. However, recent advances in mental health research have highlighted that more persistent experiences of clinically relevant anxiet...

Background Men account for three-quarters of all suicide deaths in many Western nations including Australia. Whilst extensive research has examined risk factors for suicidal ideation and behaviour in men, protective factors remain underexplored, particularly social support, resilience and coping behaviours. Such factors are important to examine par...

Suicide has been identified by the World Health Organisation (2014) as a global health problem disproportionately impacting males. Various psychosocial and neurobiological explanations have been advanced to account for the high rates of suicide in men including unwillingness to engage in mental health help-seeking, lack of gender-sensitive mental h...

Aim: Social support and resilient coping can aid mental health. The aim of this study was to examine age effects of social support on men's resilient coping for psychological distress. Methods: The sample consisted of 434 help-seeking Canadian men who completed standardized measures. Regression analyses tested a moderated moderation model, contr...

Objective: Depression and suicidal ideation are closely intertwined. Yet, among young people with depression, the specific factors that contribute to changes in suicidal ideation over time are uncertain. Factors other than depressive symptom severity, such as comorbid psychopathology and personality traits, might be important contributors. Our aim...

Masculinities and culture are intertwined and have significant implications for men’s mental health. This study aimed to explore influences of Australian masculinities and culture on men’s mental health. Five focus groups were conducted with men ( N = 43) living in New South Wales, Australia. Three overarching themes were identified; (1) A history...

Effective communication is key to the quality of men’s intimate partner relationships. The current study examines men’s pathways and patterns for communication with intimate partners. Based on interviews with 47 Canadian and Australian participants (26–70-years-old; M = 40.87, SD = 10.59) who had experienced a relationship breakdown[s], three theme...

Background: Treatment of major depressive disorder (MDD) in men is complicated by the endorsement of traditional masculinity ideologies (TMI) often leading to reluctance towards psychotherapy, therapy interfering processes, or premature termination. In addition, it has been shown that men with MDD have a significantly increased risk of being hypogo...

Background: Treatment of major depressive disorder (MDD) in men is complicated by the endorsement of traditional masculinity ideologies (TMI) often leading to reluctance towards psychotherapy, therapy interfering processes, or premature termination. In addition, it has been shown that men with MDD have a significantly increased risk of being hypogo...

The COVID-19 pandemic restrictions, uncertainties and management inconsistencies have been implicated in men’s rising distress levels, which in turn have somewhat normed the uptake of telemental healthcare services (i.e., phone and/or video-conference-based therapy). Given past evidence of poor engagement with telemental health among men, this mixe...

Regional Australian masculinities are typified by ‘traditional’ values (e.g., stoicism, self-reliance) known to restrict social connectedness. Thus, these masculinities have been implicated in worsening men’s mental health. What remains unclear, however, is how men living in inner-regional communities (i.e., townships on the fringes of major cities...

There are concerns that the field of sport and exercise psychology is limited by insufficient consideration for the demographic, socioeconomic and cultural identities and experiences of participants. This study specifically quantified gender balance among sport and exercise psychology samples for the very first time. Articles published within five...