Despite the alarming statistics, little is directly known about prevention interventions in later life. Dr. Warner points out several risk factors for suicide. However, there is limited direct evidence that addressing these factors (e.g., treating depression and pain, enriching the social network of persons at risk, removing firearms) reduces the incidence of suicide. The PROSPECT study focused on patients 60 years of age and older (75—84 years: N=155; ≥85: N=30) and used suicidal ideation and depressive symptoms as a proxy for suicide prevention. We selected this strategy for two reasons. First, depression and suicidal ideation are risk factors for suicide. Second, there is face value in ameliorating depressive symptoms and thus reduction of suffering and family disruption and improved outcomes of several comorbid medical disorders. Showing that the PROSPECT intervention works in primary care patients is important because two-thirds of depressed older adults are exclusively treated in the primary care sector. Nonetheless, the PROSPECT study provides no more than indirect evidence of the effectiveness of an intervention for suicide prevention.