Skip to Main Content
older gentleman looking out the window

Suicide Prevention in Older Adults - Risk Factors and Resources

By Arun Sharma, MD September 08, 2021 Posted in: Mental Health

In older adults, depression and many psychiatric illnesses are just as prevalent and common. Suicide is a major complication of major depressive disorder, which is present in the elderly. And major depression or a depressive illness is the main reason many of the elderly may experience suicidal ideations or intentions and maybe even attempts.

What are risk factors for suicide in older adults?

In terms of preventing suicide, we want to make sure there is not an underlying diagnosis of depression. However there are many other things that can be associated and create the risk of suicide in the elderly:


Multiple physical illnesses—chronic pain and ongoing pain—there are a lot of co-occurring and co-morbid conditions that a patient may experience.

Chronic diseases like heart disease, lung disease, kidney disease, also neurological diseases, stroke like diseases. Underlying depression from these can further predispose person for a suicide intent or ideations.

Social isolation is a major factor. As we’ve all gone through a pandemic in the last 18 months, this isolation is further exacerbated, and tipped the balance toward such tendencies.

Widowhood is another example.

Functional decline—as we all age, there is some functional decline.

Loss of income and retirement can also predispose certain individuals with episodes of depression.

There could be a family history of depression or a person may have had depression in the past.

Certain personality characteristics can predispose a person for depression and creates more of a vulnerability toward suicide.

Who should I reach out to for help?

The best place to start is with your primary care physician. Eighty percent of the depression/80% of the psychological/emotional issues are actually dealt with in the primary care physician's office.

There are screening tools primary care offices use, especially in our collaborative treatment model, that can pick up some of these issues related to depression and risk for suicide in the early stages. In medicine, the earlier you pick up anything the better the outcome. So your primary care physician is the right place to approach for this issue.

Arun Sharma, MD
Arun Sharma, MD

Arun Sharma, MD, is a psychiatrist with CHI Health.

Related Articles

Seven Pillars of Mental Health Stability

APR 22, 2024

Mental health stability is a state where one can cope with everyday stressors, maintain positive mental well-being, and navigate life's challenges with resilience.

Read More

Get a Jump On Summer: 7 Tips for Parents

MAR 29, 2024

Our child adolescent psychiatrist offers tips to help parents balance work, household and family needs while making summer a memorable time for children.

Read More

Sounding the Alarm: Eating Disorders on the Rise

FEB 15, 2024

An estimated 9% of the US population will have an eating disorder in their lifetime. That’s nearly one in 10, or 28.8 million Americans.

Read More