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    In 2006，Paul Letourneau of Worcester，Mass，lost his parents，his home and his pet dog.And that August，his life­long mild depression took a turn for the worse as he became suicidal(有自杀倾向的)．

    “I said I didn't want to be alive anymore，”Letourneau,67，recalled telling his best friend.

    He and his friend had gone for a walk when Letourneau stopped and asked his friend about ways to die painlessly.His friend advised him to admit himself to a hospital.

    “When I went back home，physically，I was shaking so much－and emotionally，I couldn't stop，”Letourneau said，“I knew I had to get help.”

    For many men，it takes a lot more than feeling down to recognize that they are depressed and then step through the doors  of a hospital，or a friend's or relative's home to ask for help.Men who are depressed usually refuse to get appropriate treatment，depression experts and patients say.

    “When men get depressed，the depression can be quite severe，”said Dr.lan Cook，professor of psychiatry at the Geffen School of Medicine at UCLA.“The challenge is getting men to acknowledge that they're depressed.”

    Depression affects about 15 million people in the United States，according to the National Institutes of Mental Health，and men get depressed about half as often as women.

    “It's unclear how much of this is a reporting bias，”Cook  said.“The stigma(耻辱)issues are somewhat different for men than they are for women.”

    “Men intend to consider that asking for help is a sign of  weakness，but when they can't complete the task of bringing themselves to the Promised Land，they become at risk.” said  Steven Lappen，who was once a depression patient.