This is the second of two columns about suicide.
White men are at the highest risk of suicide, especially those over the age of 85; they have a rate of almost 50 suicide deaths per 100,000 persons.
Depression is a condition usually associated with suicide in older adults. There are a lot of problems to face as you get older. There are losses of all kinds that can get you down. And feeling blue for a while is a normal part of living at any age.
But, unrelenting depression is not normal. If you feel this way, you should seek medical attention. Most people get better if they treat their depression.
If you or someone close to you is having suicidal thoughts, you can call this toll-free number, available 24 hours a day, every day: 1-800-273-TALK (8255). You will reach the National Suicide Prevention Lifeline, a service available to anyone. All calls are confidential.
Suicide is often a last-ditch attempt to relieve the pains of depression. Depression can cause powerful feelings of despair and self-doubt. These feelings can create self-destructive thoughts that, if ignored, can lead to suicide.
If you are having these thoughts, seek help immediately. It is important to understand that suicidal thoughts are treatable. Don’t let fear or embarrassment stop you from seeking help from your physician, therapist, family, or friends.
Avoid being alone when you feel horrible, and stay away from drugs and alcohol. Many suicides are caused by uncontrolled impulses. Drugs and alcohol can make you more impulsive.
How can you tell if someone you know is thinking about suicide? Here are some indications that should be considered seriously:
Any mention of suicide.
Writing or revising a will.
Giving away sentimental possessions.
Purchasing a gun or large quantities of medication.
Cutting off social connections.
Suddenly becoming calm and decisive after being without joy or hope.
The following are some suggestions from mental health professionals to assist someone who is suicidal:
Stay calm and let the person know you are willing to listen.
Remind the person that suicide is a permanent solution to a temporary problem, and that there are better ways to handle the problem.
Describe behavior you’ve observed and explain that you are concerned that it might indicate a potential suicide.
Remind the person why his or her life makes your own life better.
Don’t try to handle the crisis alone.
Encourage the person to get professional help.
Someone who is suicidal may be ashamed. Remind the person that guilt is also a treatable symptom.
Try to elicit the person’s suicide plan.
If you would like to read more columns, you can order a copy of “How to be a Healthy Geezer” at www.healthygeezer.com.
Cicetti is a health care writer with more than 40 years of journalistic experience.

