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New Hotline, Website May Help Prevent Senior Suicides

The National Suicide Prevention Lifeline is a 24-hour, toll-free prevention service available to all those seeking help in suicidal crisis.

Jan. 4, 2005 – Senior citizens are much more likely to commit suicide than are younger Americans and today the government launched a national hotline as part of a major effort at curbing these unnecessary deaths among all Americans. The hotline – 1-800-273-TALK (8255) - is part of the National Suicide Prevention Initiative (NSPI) - a collaborative effort led by the U.S. Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration (SAMHSA). In addition to the national hotline, a new website is at www.suicidepreventionlifeline.org.

Older Americans are disproportionately likely to die by suicide, according to a report by the National Institute for Mental Health in 2003. Comprising only 13 percent of the U.S. population, individuals age 65 and older accounted for 18 percent of all suicide deaths in 2000. Among the highest rates were white men age 85 and older: 59 deaths per 100,000 persons in 2000, more than five times the national U.S. rate of 10.6 per 100,000. (See more about seniors and suicide at bottom of page)

Suicide currently is the 11th leading cause of death among all age groups in the U.S., accounting for approximately 30,000 deaths annually. More than 109 crisis centers in 42 states currently participate in the National Suicide Prevention Lifeline and they are seeking more.  SAMHSA says they are committed to working with state and local organizations, such as the Mental Health Association of New York City, the National Association of State Mental Health Program Directors, and community crisis centers, to expand the availability of suicide prevention and intervention services.

The National Suicide Prevention Lifeline is funded by a 3-year $6.6 million grant from SAMHSA’s Center for Mental Health Services, which has been awarded to the Mental Health Association of New York City and its partners—the National Association of State Mental Health Program Directors, Columbia University and Rutgers University.  The National Suicide Prevention Lifeline is a network of local crisis centers located in communities across the country that are committed to suicide prevention. Callers to the hotline will receive suicide prevention counseling from trained staff at the closest certified crisis center in the network.  A nation-wide public education campaign to raise awareness about suicide and the national hotline is under development.

More About Seniors and Suicide

National Institute of Mental Health, 2003

Depression, one of the most common conditions associated with suicide in older adults, is a widely under-recognized and under-treated medical illness. In fact, several studies have found that many older adults who die by suicide—up to 75 percent—have visited a primary care physician within a month of their suicide. These findings point to the urgency of improving detection and treatment of depression as a means of reducing suicide risk among older persons.

Of the nearly 35 million Americans age 65 and older, an estimated 2 million have a depressive illness (major depressive disorder, dysthymic disorder, or bipolar disorder) and another 5 million may have “subsyndromal depression,” or depressive symptoms that fall short of meeting full diagnostic criteria for a disorder.

Subsyndromal depression is especially common among older persons and is associated with an increased risk of developing major depression. In any of these forms, however, depressive symptoms are not a normal part of aging. In contrast to the normal emotional experiences of sadness, grief, loss, or passing mood states, they tend to be persistent and to interfere significantly with an individual's ability to function.

Depression often co-occurs with other serious illnesses such as heart disease, stroke, diabetes, cancer, and Parkinson’s disease. Because many older adults face these illnesses as well as various social and economic difficulties, health care professionals may mistakenly conclude that depression is a normal consequence of these problems—an attitude often shared by patients themselves.

These factors together contribute to the underdiagnosis and undertreatment of depressive disorders in older people. Depression can and should be treated when it co-occurs with other illnesses, for untreated depression can delay recovery from or worsen the outcome of these other illnesses. The relationship between depression and other illness processes in older adults is a focus of ongoing research.

More about Suicide on the Web

The National Strategy for Suicide Prevention

www.mentalhealth. samhsa.gov/suicideprevention

This site links to the full report on the goals and objectives of the National Strategy for Suicide Prevention, the Institute of Medicine's Reducing Suicide: A National Imperative, and the Surgeon General's Call to Action to Prevent Suicide. Additional links include news stories on suicide and other health-related sites with information on the subject.

Centers for Disease Control and Prevention

www.cdc.gov/ncipc/factsheets/suifacts.htm

This fact sheet presents statistics on suicide across the country from 1999, the most recent figures available.

National Institute of Mental Health

www.nimh.nih.gov/publicat/depsuicidemenu.cfm

This site links to several publications on suicide for the public and for professionals. Among them are a fact sheet, frequently asked questions, information on teens and the elderly, what to do when a friend is depressed, and information on the Suicide Research Consortium.

Reducing Suicide: A National Imperative

books.nap.edu/books/0309 083214/ html/index.html

This report by the Institute of Medicine at the National Academy of Sciences covers the incidence, causes, and prevention of suicide as well as research into suicidality, treatments for people who are suicidal, and recommendations for reducing suicide.

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