Although the toll of chronic diseases becomes apparent in mortality rates with increasing age, the suicide rate for men in the United States is highest among those ≥85 years (3). Beyond defined suicide, the rates of "undetermined deaths" (4) and "voluntary deaths" (e.g., deaths as the result of decreased or no intake of food or water, increased self-administration of drugs, physician-assisted suicide) (5) increase for those older than 75 years of age compared with younger older-age individuals. In addition, the oldest old have a greater tendency to use more determined methods of suicide, such as hanging and firearms (4). Finally, elderly persons with several medical illnesses have an increased risk of suicide. Severe pain, often associated with malignancies, also has a high association with suicide (4).