I am still grieving her loss. Tomorrow is their joint memorial... one I really wanted to attend. But since I just had surgery last week, I can't travel. I dropped my parents and brother off at the airport yesterday, after warning them of the security issues of the day, and returned home. I've been mulling my Aunt's suicide, a choice she made and we have to live with...Elderly suicide is not uncommon. As a matter of fact, they are the age group most likely to succeed. Is it due to their knowledge? Is it their determination and force of will?According to some sources, elders comprise 12% of our population but make up 20% of all successful suicides. These numbers do not include "silent suicides" ... those elders who die from purposeful non-compliance with medical regimes, dehydration, or starvation.Aren't there supposed to be signed? For some, there ARE signs: change in routine, social isolation, verbalizations, and changes in self-grooming. For others, it is as simple as "putting affairs in order". How do we, as concerned friends and family know when some of these subtle signs are related to normal aging, grief, or suicidal ideation? The sad fact is that we miss these cues every day; we attribute these events as 'normal aging'.My Great Aunt had lost her husband a few months before. After his death, she moved from the nursing home back to the assisted living they had lived in before his illness necessitated a higher level of care. She wasn't writing, but she was playing bingo and such. She was eating, grooming, and gave all the appearances of simply being a woman who was still grieving the loss of her husband... they HAD been together for about 60 years after all! Though the move took her further from her son's home, it brought her closer to the extended family network. She had frequent visitors and was taken out and about town regularly.When the signs are seen, the person can begin therapy, be placed on close watch, they can even be hospitalized if necessary. Loved ones can intervene.In her case, no one suspected.Her suicide note stated she missed her hubby. She also said if she was 'in her right mind' she might be able to get to the other side of her grief. After all, you don't live to a ripe old age without being able to process grief and other intense emotions. But because she 'wasn't in her right mind', she was simply done. She didn't want to hurt anyone, but she was done.She then jumped off her 3rd-floor balcony. She died instantly upon impact.What mind was she referring to? A mind and heart filled with grief? Her slowing mental processes? Or perhaps her increasing confusion? One of the saddest things to witness is the slow decline of a vibrant and intelligent person's mental cognition. She knew for several years she was becoming more confused. Her own mother was institutionalized for something similar for the last decade of her life. Could those memories, combined with her own grief, created a fear that she just didn't want to deal with anymore?We'll never know now ... we can only guess her motivation.I like to think her hubby caught her soul on the way down and held her in his arms again.I will miss them both... 2 Down Vote Up Vote × About NurseKymba RN, CCRN, SANE-A, etc .... 3 Articles 22 Posts Share this post Share on other sites