The perinatal period (from conception to 1 year after birth) is one of biological, psychological, and social transition, requiring adjustment, support, and resources. While the mental health of perinatal women is receiving welcome attention, the absence of clinical guidelines means that the mental health of new fathers (and other non-birthing parents) is likely underassessed. Although around 10% of fathers are reported to experience depression during the perinatal period,1 the true prevalence is likely to be higher given the lack of screening and barriers to disclosure.

Paternal perinatal depression may present as difficulties including balancing work and home life, perceived financial strain, and relationship difficulties between fathers and their partners.2 While fathers’ partners are their main social support,2 poor marital relationship satisfaction and maternal depression are risk factors for paternal depression.3

Men may be less likely than women to seek help for perinatal depression, normalising their symptoms or not recognising it as something affecting fathers.2 Yet, paternal depression is associated with child emotional and behavioural difficulties,4 as well as postnatal depression in mothers,1 and so attention to the mental health of (expectant) fathers and other non-birthing parents is required. There are opportunities in general practice to assess (expectant) fathers at risk of …