Elderly suicides in the Lothian and borders region of Scotland, 1983-1988.

This study examined all the suicides in the over 60 age group in the Lothian and Borders region of Scotland during the period 1983-1988. The data was analysed according to a number of variables, primarily with the intention of identifying the characteristics of the elderly suicide population. With the exception of those persons who exhibit a history of previous attempts, it is concluded that no characteristics unique to that cohort exist. Hence the problem of an accurate and precise diagnosis and assessment of suicide risk is difficult and complex. Cases exhibiting recent contact with the medical profession illustrate the problems of preventive procedures once a valid initial assessment has been made. Medico-legal issues raised by these cases are noted. It is suggested that prevention must be considered as a general function of the care of the elderly rather than as a process appropriate to a 'high-risk' group.