Ch. 12 Reflection

The suicide rate in most countries is higher for older adults than for any other age group. In the United States, suicide in the 65+ group is twice the rate of the rest of the population, with older males at highest risk. Although women attempt suicide three times more often than men, they are less successful than men, who typically choose more lethal means like firearms. Older adults commit approximately 20- 25% of all suicides. The risk factors for suicide among older adults are numerous. Depression is, of course, a major predictor for suicide and is generally correlated with significant changes in the aging adults life. The deterioration of physical health, cognitive dysfunction, stressful life events, substance abuse, relationship problems, bereavement, and genetic predisposition are contributors to later life depression. Suicide is most likely a response to the panorama of life's circumstances rather than to a single factor or incident. Older adults commit suicide with less warning than younger adults and are less likely to express suicidal intent. Previous attempts are significant predictors, but for men who tend to be very successful, this predictor may rarely appear. Treatment for the suicidal older adult may be difficult because the elderly (especially men) generally do not seek mental health services. Identification of suicidal older adults by others who have contact with the potential victims is essential. Because most elderly suicide victims have visited their primary care physician in the month prior to their suicide, recognition and treatment of depression in the medical setting is a promising way to prevent elderly suicide. Psychiatric hospitalization can provide an opportunity to involve suicidal older adults in therapy. A hospitalized patient who fit the high-risk profile was referred to me for therapy. He was an over-65 male who had lost his farm and his wife, had stopped going to church, had become a heavy drinker, and exhibited warning signs for potential suicide. Helping him reconnect with his previous spiritual foundation brought a fresh awareness of Gods love and opened the door for developing a treatment plan.