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laughingsquid.com

Man Therapy

Also: Dr. Rich Mahogany

Humorous online suicide-prevention campaign launched in Colorado in July 2012 for working-age men, built around a fictional therapist, Dr. Rich Mahogany, who offers a self-screening, self-help tips and links to crisis lines and therapists.

Years
2012–now
Country
United States
Topic
Mental healthSuicide prevention
Asks people to
RecognizeSeek help
Strategy
HumorMascotSelf efficacyService link
Channel
OutdoorRadioSearchSocial (paid)
Audience
AdultsMen
Working-age men, especially those unlikely to seek help.

Evidence

ExperimentalMixed

RCT of the Michigan adaptation (Frey et al., Suicide Life Threat Behav 2023; n=554 enrolled, 421 completed): suicidal ideation and depression fell over time in both arms, with no difference between Man Therapy plus a comparison site and the comparison site alone. Program reports ~300,000 men screened (press). Safe messaging: humour about masculinity rather than about suicide; avoids method content and links to crisis services; no harm signal in the RCT. A secondary analysis of the same trial found Man Therapy was associated with more professional help-seeking (OR 1.55, p=0.049), but not with help-seeking from friends or family (Gilgoff 2023).

Sponsor (who paid)

  • Colorado Department of Public Health and Environment, Office of Suicide Prevention State local government, funder
  • Carson J Spencer Foundation NGO, partner

Credits (who made it)

Related campaigns

Sources

  1. Frey JJ et al. Effectiveness of man therapy to reduce suicidal ideation and depression among working-age men: a randomized controlled trial. Suicide Life Threat Behav 2023;53(1):137-153 evaluation · 2022 · DOI 10.1111/sltb.12932 · PMID 36373571
  2. Man Therapy, a humorous interactive suicide prevention site for men (Laughing Squid) news · 2012
  3. Health experts hope Dr. Rich Mahogany and Man Therapy can reduce suicide in men (KUNC) news · 2018
  4. Gilgoff JN et al. Help-seeking and Man Therapy: The impact of an online suicide intervention. Suicide Life Threat Behav 2023 evaluation · 2023 · DOI 10.1111/sltb.12929 · PMID 36412229

Research notes

Since licensed to other states and countries (e.g. Michigan, Australia). Credits checked 2026-10-22 against fetched pages: Cactus (Laughing Squid, 12 Jul 2012: the site is a collaboration between Denver-based creative agency Cactus, the Colorado Office of Suicide Prevention and the Carson J Spencer Foundation). Evidence updated 2026-10-22: outcome null -> mixed. Primary outcomes (ideation, depression) were null, but the secondary analysis of the same RCT found more professional help-seeking, which is the campaign's stated aim; the effect is borderline (p=0.049). Reuse terms checked 2026-10-23 by an AI research pass for #47; not yet reviewed by a person.

Record cases/man-therapy.json, updated 2026-10-23· Link to this campaign