Suicide in our elders : A 10-year review of kentucky medical examiner cases.

The suicide rate in the United States is consistently higher in the elderly (>-65 years) than among younger cohorts, reaching approx 5500 deaths in 2002. In this article, we present a 10-year (1993-2002) retrospective review of 348 Kentucky medical examiner cases ascribed to suicide between 65 and 96 years. Most victims were males (86.8%) and Caucasian (98.9%). The predominant cause of death was firearm injury (80.7%), followed by hanging (4.9%) and overdose (4.3%). The pervasiveness of elderly suicide by firearm requires a multidisciplinary approach to the recognition of indicators and the development of strategies for treatment and prevention of suicide in at-risk elders.