When we think of suicide, we often think of kids and teenagers. But, the fact is that older adults — those 75 years of age and older — have one of the highest suicide rates. According to the Centers for Disease Control and Prevention, men aged 75 and older have the highest rate compared to other age groups.

Some other alarming facts: While older adults comprise just 12% of the population, they make up approximately 18% of suicides. Older adults tend to plan suicide more carefully. They are also more likely to use more lethal methods. Among people who attempt suicide, 1 in 4 seniors will succeed, compared to 1 in 200 youths. Even if a senior fails a suicide attempt, they are less likely to recover from the effects.

What accounts for this high rate? Loneliness has been found to top the list. Other reasons include grief over lost loved ones, loss of self-sufficiency, chronic illness and pain, cognitive impairment and financial struggles.

Often, older adults are homebound and may not have family members who live nearby. This loss of human connection can result in depression and hopelessness. These feelings are exacerbated if they are also dealing with deaths of loved ones.

Some signs of suicidal intent among older adults include loss of interest in activities that they used to enjoy, giving away loved items, lacking concern for personal safety, exhibiting a preoccupation with death, avoiding social activities, and neglecting self-care, medical practices and grooming.

So, what can we all do to watch out for and help older adults? According to the National Suicide Prevention Lifeline, there are five important steps to take if we are concerned about another person of any age, including older adults: Ask if the person is thinking about suicide, be there either in-person or through phone calls, keep them safe from lethal means, help them connect to others for support and mental health counseling and, lastly, follow up. Studies have shown that following up with someone who has been struggling can help to reduce suicide.

Personal connection can literally change someone’s life. Younger adults and youths have many opportunities for connections through jobs, friends, church activities, sports, volunteer opportunities and just being out and about in the community. As people age, these opportunities tend to greatly decrease. If you know of an older adult who seems lonely, help to arrange visits, volunteer opportunities, rides to activities or even video calls with family members.

Of course, if there is an immediate danger for suicide, call 911. Those who are struggling with suicidal thoughts or know someone who is can call or text 988. Counselors provide free help 24 hours a day.

Other important resources include the American Foundation for Suicide Prevention, afsp.org; National Council on Aging, ncoa.org; and Substance Abuse and Mental Health Services Administration, samhsa.gov.

Let’s watch out for our older friends and neighbors. Pay a visit. Connect. Ask if they are OK. Check in. Follow up.

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