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Warning signs of suicide in older adults

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By Jan Nissl, RN, BS

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Suicide rates increase with age and are highest among white men age 65 and older. Divorced and widowed men in this age group have the highest suicide rates, and their most common method of suicide is firearms.

The following warning signs may be present in older adults who have a high risk for suicide:

  • Depression. Older adults have higher rates of depression than the general population.
  • Other mental health problem, such as severe anxiety, bipolar disorder (manic-depressive illness), or schizophrenia
  • Alcohol or substance abuse
  • Being alone for long periods of time (social isolation)
  • Being preoccupied with death in conversations
  • The diagnosis of a serious physical illness
  • Recent life change, such as the death or chronic illness of a spouse or child, retirement, or financial difficulties
  • Physical disabilities

FDA Advisories. The U.S. Food and Drug Administration (FDA) has issued:

  • An advisory on antidepressant medicines and the risk of suicide. The FDA does not recommend that people stop using these medicines, but to watch for warning signs of suicide in those using them. This is especially important at the beginning of treatment or when doses are changed.
  • A warning about the antidepressants Paxil and Paxil CR and birth defects. Taking these medicines in the first 12 weeks of pregnancy may increase your chance of having a baby with a birth defect.

Credits

Author Jan Nissl, RN, BS
Editor Susan Van Houten, RN, BSN, MBA
Associate Editor Tracy Landauer
Primary Medical Reviewer Kathleen Romito, MD - Family Medicine
Specialist Medical Reviewer Lisa S. Weinstock, MD - Psychiatry
Last Updated December 8, 2008
Last Updated: 12/08/2008