The Elderly

Suicide among older Americans is an important public health problem, made all the more alarming because it can be prevented. Suicide rates are higher in the elderly than at any other point in the life course.

The suicide rates for men are relatively constant from ages 25-64, but increase significantly after age 65. Men accounted for 81% of suicide age 65 and older. The highest being men over 85. White men 85 and older have a suicide rate that is six times that of the overall national rate.

Risk Factors:

•    Social isolation-especially widowed males.
•    Serious physical illness.
•    Mental illness especially depression, and alcohol abuse.
•    Availability of a firearm in the home.

Warning Signs:

•    Change in eating and sleeping habits
•    Withdrawal from friends, family, and regular activities
•    Violent actions, rebellious behavior, or rerunning away.
•    Drug and alcohol use
•    Unusual neglect of personal appearance
•    Marked personality change
•    Persistent boredom, difficulty concentrating.
•    Frequent complaints about physical symptoms, often related to emotions
     such as stomachaches, headaches, fatigue, etc.
•    Loss of interest in pleasurable activities  
•    Not tolerating praise or reward.Things to do to help:

Things to do to help:

•   Be direct. Talk openly and matter-of-factly about suicide.
•   Be willing to listen. Allow expressions of feelings. Accept the feelings.
•   Don't be judgmental. Do not debate whether suicide is right or wrong, or
    feelings are good or bad. Don't lecture on the value of life.
•   Get involved. Become available. Show interest and support.
•   Don't dare him or her to do it.
•   Don't act shocked. This will put distance between you.
•   Don't be sworn to secrecy. Seek support.
•   Offer hope that alternatives are available but do not offer glib reassurance.
•   Take action. Remove means, such as guns or pills.
•   Get help from persons or agencies specializing in crisis intervention and
     suicide prevention.