In terms of potential causes of depression and suicidality in gay men, relationship problems, accepting one’s homosexuality, experiencing homophobia, institutional discrimination, and alienation from gay communities have been reported as underpinning issues ( Cox, 2006 Haas et al., 2011 Wang, Plöderl, Hӓusermann, & Weiss, 2015). Depression and suicidality may also increase gay men’s risk of alcohol and drug overuse, unprotected anal intercourse, and human immunodeficiency virus (HIV Cox, 2006 Ferlatte, Dulai, Hottes, Trussler & Marchand, 2015). Within this context, there is strong evidence that gay men are more likely than heterosexual men to experience suicidality ( Brennan, Ross, Dobinson, Veldhuizen, & Steele, 2010 Hottes, Bogaert, Rhodes, Brennan, & Gesink, 2016 King et al., 2008). Depression is a risk factor for suicide ( Oliffe & Phillips, 2008), and suicide is a leading cause of male death ( Statistics Canada, 2014). Barriers to gay men’s help seeking are also discussed in detailing how health care providers might advance the well-being of this underserved subgroup by effectively addressing depression and suicidality.ĭepression is prevalent among gay men, wherein gay men are three times more likely to experience depression compared with the general adult population ( Cox, 2006 King et al., 2008). In the current article summated is literature addressing risk factors for depression and suicidality among gay men including family acceptance of their sexual identities, social cohesion and belonging, internalized stigma, and victimization. Related to this, gay men’s health has often been defined by sexual practices, and poorly understood are the intersections of gay men’s physical and mental health with social determinants of health including ethnicity, locale, education level, and socioeconomic status. Despite the high prevalence of depression and suicidality, health researchers and health care providers have tended to focus on sexual health issues, most often human immunodeficiency virus in gay men. Because depression is a known risk factor for suicide, gay men are also at high risk for suicidality. The prevalence of depression among gay men is three times higher than the general adult population. Gay men are a subgroup vulnerable to depression and suicidality.