Most older adults have called 911 at some point, whether for themselves or someone they care about. While 911 is essential for emergencies involving police, fire or medical response, not every crisis fits that category.

For mental health emergencies, there’s another easy-to-remember number: 988.

Launched by the Suicide Prevention Lifeline, 988 provides immediate support for people experiencing emotional distress, suicidal thoughts or substance use crises. It’s free, confidential and available 24 hours a day, 365 days a year.

THE 5Ds OF SUICIDE RISK

Older adults—especially men over 75—have some of the highest suicide rates in the country. Knowing the warning signs and risk factors can help you recognize when support may be needed.

The National Council on Aging identifies five key areas to watch for:

Depression: Persistent feelings of hopelessness or worthlessness. 

Disability: Loss of mobility or independence can lead to feelings of being a burden.

Disease: Chronic or serious illness can reduce quality of life and increase vulnerability. 

Disconnection: Isolation, loneliness and grief—especially within six months of losing a loved one.

Deadly means: Access to firearms or large amounts of medication increases the likelihood of a fatal attempt.

Depression in older adults often looks different than it does in younger people. Instead of expressing sadness, they may:

Depression can also overlap with early-stage dementia, making it harder to recognize. Reaching out to 988 can be a helpful first step in getting help. 

WHAT HAPPENS WHEN YOU CALL 988

In Colorado, calls are answered by trained professionals familiar with local resources. Each counselor has at least a bachelor’s degree in a mental health-related field and is trained to respond in a calm and compassionate manner. 

Here’s what to expect:

You’ll hear a brief message with options for veterans (press 1), Spanish-language support (press 2) or connection to a local 988 Lifeline contact center. There may be a short hold. A trained counselor will introduce themselves, ask about your safety and check in about how you’re feeling. You can remain anonymous. The counselor will listen, offer support and help connect you with resources if needed.

Being informed about the symptoms, warning signs and risk factors associated with late-life suicide is the first step towards prevention. Utilizing the 988 service for support can lead to life-saving action. 

Missy Switzky is a clinical social work master’s student training at the UCCS Aging Center in Colorado Springs.