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Seniors walking Dr. Leon Kagan, the director of Geriatric Psychiatry at the University of Alberta, speaks with CTV in this undated photo. Seniors walking

Suicide among seniors a real but overlooked problem

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Doctors are seeing a new trend of suicide among the elderly; the rate is shockingly high as the baby boomers age.

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Seniors walking Dr. Leon Kagan, the director of Geriatric Psychiatry at the University of Alberta, speaks with CTV in this undated photo. Seniors walking

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Date: Fri. Oct. 7 2011 12:21 AM ET

When discussing suicide, one aspect that often gets forgotten or ignored is that seniors have some of the highest suicide rates in the country.

The focus might often be on young people, but the highest rate of completed suicide in Canada is among men over the age of 80.

Some doctors now worry that those numbers will rise, as the number of older adults grows in Canada and baby boomers struggle to accept the ravages of aging.

Every week, 10 seniors over the age of 60 die by suicide in Canada. But their deaths rarely grab the media spotlight.

Iris Stanley is one senior who has considered suicide. A once-active senior who loved hiking and swimming, Stanley, 71, had trouble coping after she came down with a number of illnesses at once and ended up in a wheelchair. Her decline was so sudden and so severe, she prepared to end her own life.

"I was frustrated and angry at my own body. I had always lived an active healthy life, I was totally floored," she tells CTV News.

"My life to me was not enjoyable. It wasn't what I wanted or what I expected. It just didn't seem worthwhile anymore."

Stanley won't say how or what she planned to do. Stanley did say, however, she changed her mind after thinking about what her suicide would do to her adult children.

"I sat there and had everything ready (for the suicide). I thought of my son and my daughter, and they weren't prepared for it. They weren't aware of how ill I was," she says. "So I didn't do it."

Instead, she looked for, and found, help for her depression.

Stanley is just one of many Canadians who has found the stress of aging can be too much. Many seniors have to cope with illness as they age, as well as the stress of losing spouses and friends, and their own independence.

Dr. Leon Kagan, the director of Geriatric Psychiatry at the University of Alberta, says many seniors cope well with aging. It's when they begin to lose their independence that they become at risk for depression.

"What makes them vulnerable to suicide is, I would say, the isolation that develops, more than anything," he says.

"These older individuals are having everything taken away from them in terms of their work, their health, their families and finding their role diminished…. And for some of them, taking their own life seems like it might be the only option that they have."

Dr. Marnin Heisel, a clinical psychologist and an assistant professor in the Departments of Psychiatry at the University of Western Ontario, says part of the problem is that many doctors aren't always looking for suicide risk among their older patients. And many seniors don't realize they can seek out mental health support.

"Suicide can be a hidden problem. We tend not to hear about in older adults. It tends to be an issue that gets neglected," he says.

For those who don't find help, the results can be tragic. Like the case of Erich Mueller, who sank into a deep depression at the age of 68 and took his wife Cathy's life before taking his own. And Irene Swaniga, a wife and grandmother who ended her life to the utter shock of her family.

Psychologist Heisel says there are worries that suicide rates will rise as more baby boomers hit their senior years and face the frailty of old age.

"Even if the rates of suicide remain the same, the actual numbers affected will go up tremendously," he notes.

"There is urgency to this," he adds. "This is a population that is growing quickly. These are issues that have to be dealt with."

Doctors say there are effective counselling and medication treatments that can help.

"There is a growing body of evidence that shows psychotherapy and medication can be highly effective at reducing the risk of suicide," said Heisel.

Iris was treated at the Glenrose Rehabilitation Hospital, with a two-days-a-week, five-month program that helps seniors suffering from depression.

"It helped me so much because I could deal with my depression," she says. "I learned how to recognize when I was starting to feel down again and that I could ask for help."

She adds: "I feel very lucky. I have had the help. My friends, my family physician helped me. I wouldn't be here otherwise."

The best advice for those with aging parents and friends who are feeling depressed comes from Iris herself: "Make sure you talk to them. Don't leave them alone for too long. You need to find out what is wrong."

With a report from CTV's medical specialist Avis Favaro ad producer Elizabeth St. Philip

Comments are now closed for this story

Dismayed
said

What about those seniors who are 'put out of their misery' at the hands of nursing homes who simply don't want to deal with them any longer? Those who become such a burden that their cost to the home is much greater than the cost of a less disabled senior? My grandmother was one such woman. Despite a broken hip that never healed and being bed-ridden, she fought to live. She suffered from no life-threatening illnesses and didn't want to die. But she wasn't given a choice...the home decided that she should be given steady doses of morphine as a "comfort drug", until her respiratory functions failed and she passed away. I call it licenced Euthanasia. We wouldn't think of doing it to a young person, but because it is an elderly woman, who society feels has "lived her life", it's OK?


realist
said

I think a big part of the problem too is that seniors in nursing homes are treated OLD. My grandmother is in her mid eighties, and only ended up in a home because her short term memory deteriorated to the point where she could not be trusted on her own (she would leave the stove on, etc). Aside from that - she's a total machine. She walks fine and has perfect mobility, she can play games and cards and knits tons of stuff. In the nursing home, although the staff is wonderful, they force her to use a walker (liability issues) make her eat her meals really early (which she was not used to) and even talk to her slowly and child-like (which I know is not meant to be offensive, but still). You're only as old as you feel and if you are treated old, you'll act old. When my grandma is out of the home, she acts 60, but in the home, she acts 120. Stop treating nursing homes like heaven's waiting room and make them more stimulating....maybe seniors won't feel as bored and lonely!


lethbridge
said

In honor of our father's stated wishes, my family & family doctor this week decided to end treatment to my father's continuing renal infection issues & offer pain relief until nature takes it's course. The cause of the condition cannot be treated and his days are filled with pain with no realistic hope for a better situation. We're doing for Dad what he could not do for our mother who died an awful deat from Pick's Disease & Alzheimers. Due to Alzheimers, macular degeneration, untreatable cataracts, and hearing loss Dad is alone in a crowd. His gentle life of music, daughter & creativity has become one of pain, confusion and fear.Most seniors do not have a living will leaving their families unable to make the choices needed to allow their parents to die with dignity. Please - have this conversation with your parents. Learn their wishes and honor them when they are no longer able to act on their own. Sometimes suicide is not an act of desperation nor an act of losing hope. It is the act of one who has accepted their fate & taken control of the situation to maintain control of their lives and their dignity.


KJ in Kingston Ontario
said

When someone decides that the quality of life has dropped below the point where it makes sense to continue I do not believe the state is a duty to force people to go on living.


Lorne
said

@fact check: What has politics got to do with getting old? Are you on some other planet?I had a mother who was very active into her seventies, then her health broke down. She spent 13 years in a nursing home, lost all her body functions. The only thing that kept her alive was a strong heart. This was not the life she envisioned and would have preferred death over her way of life - either suicide or assisted.I have a brother currently in a nursing home - very active until his seventies - his health has deteriorated and he has admitted that he wishes somebody would give him a gun to shoot himself. Again, this is the life he never envisioned. He feels completely useless and considers himself a burden on society.


island girl
said

The problem is won't go away by giving antidepressants to seniors. Go into rest homes and they are all doped up. That's the answer (quick one) to how our society 'deals' with seniors' problems. We need to listen to what seniors need on their lives and try to address the problems head on. We've been a child-centred society for so many decades and the demographics are changing and we need to change with it. We also need more medical facilities to deal with pain management for all age groups. A two year wait time is unacceptable.


Kathleen
said

Given what I recently found out about how seniors are treated in the health care system in SK it doesn't surprise me. I totally understand it from an economic standpoint but from a human standpoint, the policy is absolutely WRONG!!!So in SK, you cannot have a parent, who has had a stroke and needs long term care, move to a care facility in your health care region. They are required to go back to their own. So if they lived in the boonies, hours and hours from family, they must go back to the boonies away from family. And..., they don't necessarily go back to the a care facility from their town, it could be any care facility within their health care region. So..., they could be an hour or more away from a spouse. And ..., if that spouse is unable to drive every day for reasons of income or health, the person that had the stroke or other health condition that needs to be in long term care, is now more isolated than ever - away from all family in a place where they know no one! What a kick in the face with a golf shoe is that! Not only does the senior suffer a debilitating illness for which they've already had to adjust to, but then they're stuck in a community for which they know no person. All of their support system has been taken away from them! This is enough to make both the spouse and the debilitated person potentially want to commit suicide - I can't imagine what the depression alone would be like from such an inhumane policy. The person should be able to be moved to where they can be with their support system and as much of it as possible.


Michael from Toronto
said

Some elderly people commit suicide or refuse life-sustaining medical treatment because they do not want to end up living in a vegetative state in a nursing home. Visit a nursing home and see for yourselves how many seniors are kept alive in a completely vegetative state with no apparent meaning. Some people have no one left and some simply do not get visits from family. People will often simply refuse to eat, imposing their own hospice.


Andrew Stevens
said

The article clearly states poor physical health as a leading cause. I'm 46 but I still feel like I'm 18. I'm still very active but my body is telling me to slow down or at least knock off the heavy stuff. Maybe my outlook would change if a lot of my friend suddenly died and I ended up in a wheel chair wearing a diaper. I can't say for sure. i don't believe people really age mentally. Maybe feeling like your 18 but living in an 80 year old's body is more than some people can take. I think the causality model for seniors is different than that for young people. I don't believe old folks kill themselves because of depression. i would bet most are just sick of their quality (or lack thereof) of life.


TaniaB
said

As a woman with a father suffering from Parkinson's, I feel this article is too brief and general. Many seniors are suffering with debilitating, terminal illnesses, and choose to end their lives with dignity rather than to continue living with no quality of life whatsoever. Personally, I believe this speaks to the need for a serious look into the legality, or lack thereof, of euthanasia.


Chronically ill senior
said

I think there is a separate category of seniors contemplating suicide - people who are chronically ill with incurable diseases that lead to a painful, drug-filled decline and death.

When there is no hope, when there is only pain and the promise of more pain, when one has lost - with no hope of recovery - all autonomy, all joy, all appreciation for living, then I can understand giving serious thought to suicide, and i believe people should be able to end their own lives with help if they choose.






Fact Check: Self worth = Net Worth
said

Many people equate SELF worth to NET worth and when they lose their jobs and their homes they feel worthless. It comes as no surprise the Federal Liberals introduce a bill for a national suicide strategy the same week Ontario votes in another Liberal government that does not create any meaningful jobs. Lets help people feel better by voting for prosperity for all by alway voting conservative.


paul b
said

This is news to me I never thought about it until I read this. Now I've got to ask if this increased after Canada allow sunday shopping.When did Canada become a business first Country.


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