Similarities and Differences Between Younger and Older Suicidal People

More younger people attempt and more older people commit suicide, but the bulk of research and treatment activities, presumably by younger professionals, is devoted to the younger suicidal population. In this paper, both younger and older suicidal patients were compared for age differences, age similarities, and the relationships between generations. Examples are presented of the precipitants and family determinants that were most frequently associated with suicidal behavior, with a discussion of their theoretical and clinical implications. The precipitants were based upon developmental tasks and crises which differ with age, while the family determinants were similar at all ages. Families also played a major role in the origin, outcome, and healing of a suicidal state. To a great extent, the steps leading to a self-destructive episode occurred outside of awareness. The examples illustrated both the typical and the unusual experiences that take place during the treatment of suicidal individuals, often involving the therapist in emotional, dramatic, and moving situations.