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Suicide rates peak in late life but few suicide prevention interventions have been adequately evaluated. Most evaluated interventions involve education and training, follow-up and aftercare, and psychological therapies with limited evidence of benefit. The positive impact of telephone support on suicide rates has not been replicated but efforts to improve social connection in lonely older adults are essential. Interventions with a suicide prevention focus that address ageism, coping mechanisms for aging men, the impact of declining physical health on well-being, post-dementia diagnosis support, and the stresses upon caregivers need to be formally evaluated. Linked multi-layered multicomponent interventions are required.

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