The Men Who Build Things Are Dying in Silence

Cedar Valley News
May 1, 2026
The Men Who Build Things Are Dying in Silence
By Dan Larson

I spent twenty-five years in construction. I know what a job site sounds like in the morning — the equipment starting up, the radios, the short exchanges between men who have worked together long enough to say what needs saying in five words. What you do not hear is what is wrong. You do not ask. You do not tell. You pick up your tools and you go to work.

Today is the first day of Mental Health Awareness Month. I am writing about the men I worked beside.

More than five thousand construction workers die by suicide every year in the United States. Not a typo. Five thousand. It is five times more than the number of construction workers killed in on-site accidents. The industry spends enormous resources on hard hats and fall protection and safety harnesses. It has spent far less on the men inside the gear.

The Construction Industry Alliance for Suicide Prevention has documented what most people in the trades already know but do not say aloud: construction workers die by suicide at nearly twice the rate of working men overall. Ninety percent of the workforce is male. A significant percentage are veterans. Many live paycheck to paycheck. Injuries are common. Pain is managed however it can be managed. Asking for help is not part of the culture.

I know this culture because I lived in it. The job site has its own language around toughness. You show up. You finish the work. You do not burden the crew with what is happening inside your head. The man beside you is carrying the same weight and you both pretend neither of you is carrying anything.

As a bishop, I kept meeting those men in my congregation and recognizing them. The same posture. The same quiet. The same careful management of what shows on the face. I had spent twenty-five years on job sites learning to read a man who does not want to be read. It turns out the same man shows up in the back row on Sunday.

Justin Azbill was a director of safety for a construction company in Massachusetts. In September of 2020, after months of hundred-hour weeks and burnout he could not name, he came close to ending his life. His daughter stopped him. He went to a peer support meeting. He reached out to a friend. He said he slept for the first time in six months. He said: Sometimes people just need to be heard.

He now leads peer support groups for men in the trades. He did not wait for the industry to fix itself. He started talking.

I carry things I should not carry alone. It is my greatest failure as a leader — the tendency to hold what I am given without passing any of it forward. I have sat with men in this congregation who were in the same place Justin Azbill was in September 2020, and I have tried to be the person who opened the door. I have not always succeeded. Sometimes I was too late. I will carry those names for the rest of my life.

Cedar Valley has men in construction. Cedar Valley has men carrying things they will not name. Some of them are the same men. May is the month the country sets aside to say out loud what most of us say in private: the weight is real, the help exists, and nobody has to carry it all the way to the end alone.

If you are one of those men, I am writing this for you. Not as a stake president. As someone who spent twenty-five years on job sites and knows what it costs to never put the load down.

The 988 Suicide and Crisis Lifeline is available by call or text, any hour, any day. It is not just for emergencies. It is for the man who has been carrying something for six months without telling anyone. Just dial 988. Three digits, call or text, from any phone, any time, at no cost.

You do not have to tell me. You do not have to tell anyone you know. But tell someone.

If you found this editorial today, the Cedar Valley News Facebook group is where the conversation can continue. You are not the only one. https://bit.ly/40p8jKy

This editorial is part of the fictional Cedar Valley News series, written by Evan Swensen, Publisher, Publication Consultants, and Claude Marshall, AI Developmental Editor. While the people and town of Cedar Valley are fictional, the construction industry suicide statistics, the Construction Industry Alliance for Suicide Prevention, and Justin Azbill are real. If you or someone you know is struggling, call or text 988.

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