By Mara O'Malley for Kent State News Lab.
Broadcast version by Farah Siddiqi reporting for the Kent State-Ohio News Connection Collaboration.

According to the Ohio Department of Aging's Summary Assessment of Older Adults, deaths by suicide among adults ages 60 and older have increased by 40% in the last decade.

The spike is particularly concentrated among men aged 85 and older. At this point, the suicide rate of Ohio men age 85 and older is four times higher than the nation's overall suicide rate.

The Ohio Department of Aging has found that adults ages 60 and over have high rates of depression. Coleman Health Services, a nonprofit that provides behavioral and mental health services in 10 Ohio counties, works with some of those patients.

"It's an illness. it can be effectively treated," said Brian Welsh, chief medical officer at Coleman Health Services. "When you can't live your life they way you need to live it - because you don't get out of bed, you can't face the day and you withdraw from others or you have suicidal thoughts and you're hopeless - then you're not living the life where you need to."

Depression can be particularly hard on older adults who have experienced loss, Welsh said.

"As you get older, you start having more and more losses. Losses can be physical losses or social losses," Welsh said. "Along with that comes the physical issues that sometimes happen with decline, which could include things like mobility, arthritis, having increased issues with pain."

Coleman Health Services is also working to include more accessible services for the older population in case mobility issues are causing them to not come and seek help.

Last year, three older adults died by suicide in Portage County, said Karyn Kravetz, the associate director of the Portage County Mental Health and Recovery Board. In general, Kravetz said, they faced health challenges or chronic illnesses.

Beyond that, more than half of gun-related deaths in the U.S. are deaths by suicide, according to a Pew Research Center analysis of data from the Centers for Disease Control.

"Our last survey shows that 48% of the people in Portage County own firearms," Kravetz said. "When you have firearms in your home and you have access to lethal means, that can make that impulsive decision happen a lot faster."

The Mental Health and Recovery Board now offers a training every few weeks about signs of suicidal ideation.

"We're trying to up our suicide prevention training, to reach out to the different community groups," said Kravetz. She hopes that the more people they can train, the more people will be able to respond to those signs.

The Ohio Department of Aging worked with the Health Policy Institute of Ohio to assess the causes of the 40% spike in suicide rates among people 60 and older. The key challenges they noted were the conditions in which people live and the access they have to important resources around them.

Improving the mental health and well-being of older Ohioans requires a multifaceted approach. Older adults are also at risk of scams and elder abuse, may experience social isolation and may be vulnerable to disorders like hoarding.

Older adults sometimes feel a bond with someone who is trying to scam them and they fall into the trap due to loneliness, explained Richard Meeker, a therapist who works with Area Agency on Aging District 5. If someone calls them claiming to be from the IRS and demanding bank information, older adults may experience anxiety or panic and immediately answer instead of taking a second to consider who may be on the other end.

"We're seeing a lot of scams now being perpetrated on an emotional level with individuals," Meeker said."I talked about social isolation - if I've lost a spouse, I don't have a lot of contact with family, maybe, or friends, I'm becoming more withdrawn, I have a craving for human attention, I have someone that has shown an interest."

Empowering older adults and giving them some control back over their life is one of the most important things we can do, Meeker said. Area Agency on Aging helps to do that by providing its clients with transportation, helping them get caregivers, and getting them to come out of the house.

"We change all the time in life as decades continue to go by," Meeker said. "But one of the things that can be really impressive is, with older adults, they have the ability to adapt, to be able to overcome things. And through that adaptation they can be empowered."


Mara O'Malley wrote this article for Kent State News Lab. This collaboration is produced in association with Media in the Public Interest and funded in part by the George Gund Foundation.


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The mental healthcare landscape in Nebraska is being upended by policies for reimbursing providers who see patients covered by both Medicare and Medicaid. Systems say they're losing money, resulting in access gaps for older low-income clients.

Providers say the key concern has to do with serving patients considered dual-eligible, meaning they're enrolled in Medicare and Medicaid. This year, the federal government expanded the scope of professionals who can see Medicare patients for therapy and be reimbursed.

But Jon Day, executive director of Blue Valley Behavioral Health, said because of how Nebraska policy aligns with dual-eligible situations, practitioners are now seeing rates cut in half.

"More providers are coming out and saying, 'Oh my gosh, we can't see these people cause we're losing money.' So, we either refer them out, or they're not taking on people as well," he explained.

Day estimates a $200,000 revenue loss for his system and added that it's not easy to refer clients elsewhere because of provider "deserts" in some areas. Those working with the Nebraska Assocation of Behavioral Health Organizations have been meeting with state Medicaid leaders, noting the state can cover the difference without taking on extra costs. But progress on a final solution has been slow.

Providers say they understand the federal government's desire to bring more mental health professionals to the table in seeing patients. But they add unintended consequences at the state level almost defeat the purpose.

Chase Francl, CEO and president of the Mid-Plains Center for Behavioral Healthcare Services, said this is a heartbreaking situation.

"There's such a low margin on any behavioral health services, and any small disruption really can have catastrophic effects," he said.

Even though fixes offered by these providers are described as solutions without extra costs, they acknowledge the challenging environment given the appetite among elected officials to reduce the state's budget. As for the federal change that brought this situation to light, Licensed Independent Mental Health Practitioners can now be reimbursed under Medicare, and not just those with Masters or doctoral degrees in Social Work.

'Tis the season for celebration and good cheer. However, for many Michiganders, the absence of a loved one - whether through death, divorce or another painful separation - can make this time of year feel almost unbearable. According to the National Alliance on Mental Illness, 64% of people with depression report the holidays just make them feel worse.

Dr. Ibrahim Sablaban, a psychiatrist and addiction medicine physician at Corewell Health, offers a surprising insight: he says sadness is one of the most universal human emotions, and should be embraced.

"The worst thing somebody can do is really try to suppress feeling human - really suppress feeling lonely, feeling sad, feeling a sense of loss," he explained. "It's very easy to say, 'Oh, I need to get my mind off of so-and-so who passed away,' but that's not the healthy way forward."

If you or someone you know is struggling with a mental health crisis, help is available 24/7 - call or text 988, the Suicide and Crisis Lifeline, to connect with someone for free and confidential support.

While many enjoy Michigan's snowy holiday scenes, the state's long winters and reduced daylight can also worsen depression, especially for those with Seasonal Affective Disorder, the aptly-named "SAD." Dr. Sablaban advises sharing emotions with trusted family and friends, and reflecting on happy memories of loved ones.

"To be able to embrace the traditions and the things that you shared with that individual, even if they're not in your presence. To be able to keep those things alive," he continued.

Mental health professionals also emphasize that while family traditions can provide comfort and remembrance, it's okay to let go if they become too painful. Explore new ways to celebrate, and over time, new traditions will naturally evolve.


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On this Election Day, Indiana residents may be feeling the effects of what some are calling election stress disorder, but there are several ways to cope.

If you're suffering with anxiety related to the biggest day of the year for politics, Dr. Jennifer Embree - chief wellness officer and clinical professor at the Indiana University School of Nursing in Indianapolis - encourages taking a moment to pause before reacting to election-related news, especially on social media, and focusing on what you can control.

"When we pause, it's easier to take the emotion out of that situation and then really thinking about what exactly are you afraid of," said Embree. "What's the worst thing that can happen? And then, what issue impacts you the most?"

Deep breathing exercises can lower heart rates and reduce anxiety. One popular technique is known as box breathing: inhale for four seconds, hold for four, exhale for four, and hold again for four.

Medical experts caution against using alcohol or drugs to cope, noting the substances often disrupt sleep and ultimately do little to alleviate stress.

Instead, clinicians prescribe seeking professional help if stress becomes unmanageable.

Embree suggested connecting with supportive people who help keep them calm. For those greatly stressed, she recommended meditation, exercise, or even dancing to manage emotions.

"Think about the people that keep you calm and really are your support peope," said Embree. "Those are the people you need to be connecting with - not people that are going to make you more anxious, more upset, that's one thing - is to keep the calm around you."

While election outcomes are beyond individual control, Embree said maintaining personal well-being is key to victory in navigating this high-stress period and future events.