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Murder-Suicides in Elderly Rise

Husbands commit most murder-suicides -- without wives' consent.

WebMD Feature One Sunday morning, Charlie Woods returned home from church to find two police officers waiting at his door. First the officers asked if he had any health problems. Then they told him both his parents were dead. His father had killed his mother, firing six bullets through the bedroom door of their Tallahassee home. Then the 59-year-old man turned the gun on himself.

Since 1988, when Woods' parents died, the homicide-suicide rate among couples 55 and older in Florida has increased about tenfold, according to Donna Cohen, a professor of psychiatry and behavioral sciences at the University of South Florida's department of aging and mental health.

Though statistics for the entire nation are not available, Cohen believes the Florida numbers are representative of the rest of the country. She estimates that nearly 20 older Americans die each week in homicide-suicides.

These are not couples who, in the sunset of their years, romantically choose oblivion together. Cohen has found that the typical homicide-suicide case involves a depressed, controlling husband who shoots his ill wife. "These are acts of depression and desperation," she says. "The wife does not want to die and is often shot in her sleep. If she was awake at the time, there are usually signs that she tried to defend herself."

"There's nothing loving about murdering another person," adds Woods, whose 53-year-old mother was not ill and did not want to die.

Undiagnosed and Untreated Depression

It's not clear why more and more elderly men -- the murderers are almost all men -- are depressed enough to kill themselves and their wives. One reason may be loneliness, says Patrick Arbore, Director of the Center for Elderly Suicide Prevention at the Goldman Institute on Aging. He points out that more and more seniors live isolated from their friends and families.

In one study of an area in Florida, Cohen found that two-thirds of the men who killed their wives and themselves had visited their doctors within three weeks before committing the deadly act. None, however, were being treated for depression.

But a doctor is unlikely to diagnose a condition like depression in a six-minute office visit, partly for lack of time and partly because older people tend to put up a good front in the doctor's office.

"We can't really pass the buck to the physician here. It's important for adult children and members of the community to pay attention and to listen -- to really listen -- to what these older people are saying," says Arbore. "Sometimes comments like 'I'm going to kill myself' are so provocative that we can't believe it and let it go by."