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I was surprised when I read that people 65 and older have the highest firearm suicide rate, at 10.6 per 100,000, which is nearly double the rate for people under 24. Yet in our daily interactions with older patients, our focus is almost exclusively on controlling weight, blood pressure and cholesterol. Should Family Medicine and Geriatrics physicians be more aware of this risk and be trained to identify older patients who might have elevated risk of suicide?