Prostate cancer is the most common cancer in men in the UK, with thousands of new diagnoses each year. While much attention is rightly given to the physical symptoms and treatment options, the emotional and psychological effects can be just as significant.

A diagnosis of prostate cancer can affect every aspect of life — from relationships and body image to career and sense of identity. Treatments may lead to side effects such as urinary incontinence, erectile dysfunction, hormonal changes, fatigue, and loss of libido, all of which can have a major impact on self-esteem and quality of life.

The Emotional Impact

The journey from diagnosis through treatment and recovery (or ongoing management) can bring feelings of:

  • Shock, fear, or denial after diagnosis

  • Anxiety about the future and uncertainty about treatment outcomes

  • Depression due to lifestyle changes or physical side effects

  • Grief for lost physical abilities or changes in sexual function

  • Loneliness or isolation, particularly if it feels hard to talk openly about what you’re going through

Men may feel pressure to “stay strong” and not express vulnerability, making it harder to seek emotional support. This can increase the risk of unaddressed distress, depression, and in some cases, suicidal thoughts.

How It Can Lead to Suicidal Ideation

Suicidal ideation may arise from:

  • Chronic pain, fatigue, or sleep difficulties

  • Loss of independence or control over one’s body

  • Financial pressures due to time off work or treatment costs

  • Feelings of being a burden to others

  • Hopelessness if cancer has returned or is advanced

It’s important to remember that feeling suicidal is not a sign of weakness — it’s a sign that someone is experiencing overwhelming pain and needs help. With the right support, it is possible to find hope and ways to cope.

If you or someone you know is experiencing thoughts of suicide, seek help immediately. Call Samaritans on 116 123 (free, 24/7), text SHOUT to 85258, or speak to your GP.

Support Services for Prostate Cancer and Mental Health

Cancer-Specific Support

LGBT+ Specific Support

You Are Not Alone

Living with prostate cancer is not just a physical battle — it can be an emotional one too. Speaking openly about your feelings, whether to loved ones, support groups, or professionals, can be a vital step in maintaining mental wellbeing.

Help is available. You don’t have to go through this in silence.

If you are feeling hopeless or struggling to cope, please reach out to a helpline, your GP, or a cancer support charity. Recovery, hope, and meaningful life after diagnosis are possible.