Mr. Andrew A, at age 67, is a physically well and mentally active man
who is involved in business failures and marital conflicts, which brou
ght him dangerously close to precipitating his own demise. He is diffe
rent from my other elderly suicidal patients, most of whom were ill, d
isabled, and in decline. They were grieving for many reasons, such as
the loss of a spouse or - frequently - themselves as they had been. An
drew's story has hopeful implications for the changing nature of aging
and suicide that extend beyond himself as an individual or my interve
ntions as a therapist.