Suicide risk for men under 21 is four times higher than the rest of the community. Hospitals turn away people who later die by suicide. We need a national policy of screening for depression. Our failure to even dent the rate of male suicides over 30 years is a national scandal and a national tragedy. It is a failure that has cost tens of thousands of lives, stolen from us too many friends, fathers, sons, and brothers. To what extent we might have been able to reduce the rates with a concerted effort we cannot know because, shamefully, we have never really tried. If the next 30 years are to follow a different pattern, then acknowledging the true nature of the problem is a vital first step.