The difference between male and female suicide rates is pronounced, with men nearly twice as likely as women to commit suicide worldwide. There is however much regional variation, for example men being nearly 8 times more likely to take their own life in some Eastern European countries, and the ratio being nearly balanced just a few thousand miles south, in the Eastern Mediterranean. Despite the causes for differing rates of suicide attempts remaining unclear, it is thought that the tendency for men to engage in more lethal acts of suicides is a large factor at play in this worldwide disparity.
Men are statistically much more likely to use more violent and effective methods of suicide, which goes some way to explain why men are much more like to commit suicide without a previous attempt, whereas women who commit suicide are much more likely to have tried before. Men are more likely to attempt suicide by using firearms, hanging, asphyxiation, jumping, moving objects, or sharp objects, which are much more likely to lead to lethal damage being done. Additionally, depressed men are thought to gravitate towards alcohol and drug abuse as a result of their depression, again another contributing factor to increased depressive thoughts and impulsive behaviour, something that fuels the massive gender imbalance around suicide.