Older adults make up 1 in 5 suicides in Wisconsin. Here’s what can be done to fix that.

Editor’s note: This story discusses suicide. If you or someone you know may be experiencing a mental health crisis, contact the 988 Suicide & Crisis Lifeline by dialing “988.” Or you can send a text message to 988 or use the chat feature at 988lifeline.org.

Earl Lowrie doesn’t spend a day of retirement without thinking about suicide.

The disabled 66-year-old lives with two grandchildren in the village of Cameron in northwest Wisconsin, where he is $50,000 in debt and suffering from multiple autoimmune diseases. Nowadays, Lowrie spends his time trying to elude a pernicious voice, telling him “there really isn’t any recourse now” and to “take some opioids and go to sleep.”

Nationwide, adults over 65 have some of the highest suicide rates by age group, though they are among the least likely to seek or receive mental health support. They made up 20% of all suicide deaths in Wisconsin between 2018 and 2023 — but in 2023, only 3,142 older people used county mental health services, down from a peak of nearly 4,000 who used them in 2018.

Wisconsin Watch spoke to policymakers, health professionals, advocates and older adults about the current mental health landscape for older people in Wisconsin and the possible roads to geriatric suicide prevention in the future. Their goals beyond prevention are to help older adults realize that they are not forgotten and to raise awareness about community supports at every stage of life.

That’s what Lowrie is working to remember. 

Older men kill themselves at two times the statewide rate

In 2023, 184 older Wisconsin adults ended their own lives, out of 921 total suicides. The statewide age-adjusted suicide rate was 15 out of 100,000 residents, while the rate for those between 65 and 74 years old was 15.7. Suicides among those 75 and older were higher at 17.1.

That’s down from the previous year, when Wisconsin adults above 65 died at a higher rate than the national average, 18.6 vs. 17.7. It’s unclear why the numbers went down or whether it will continue in future years.

Nonetheless, depression and anxiety disorders “have really picked up” recently for the patients of Kenneth Robbins, a geriatric psychiatrist based in Rock County. He has especially noticed issues with older men, who died from suicide at more than two times the statewide rate in 2023. 

Robbins said that one of the biggest contributors to this suicide rate is isolation.

“What’s unique about older white men is that many of them are not very socially adept,” Robbins said. “When they retire, they’re not quite sure what to do with their lives exactly and often become very lonely and feel like they’re not doing anything meaningful and start to wonder, ‘What’s the point of living?’”

Robbins also noted that older adults who struggle with medical problems, such as dementia or cancer, are highly likely to attempt suicide for fear of physical pain and becoming a “burden” to their loved ones.

According to the Wisconsin Department of Health Services, more than half of residents 55 years and older who died by suicide in 2023 had health problems that “appeared to have contributed to their deaths.”

Sen. Jesse James, R-Thorp, said he was at a wedding when his wife’s great-grandmother, suffering from dementia, told him to kill her. James’ father told him he would rather die by suicide than live with the disease.

“I’ve had many family members state they would rather die by suicide than to remain on the Earth if they were attacked by dementia,” said James, who worked to ensure the recently approved state budget included more mental health services in the Chippewa Valley.

Older adults in rural Wisconsin face extra challenges

Lowrie retired from truck driving in 2019 after he had a fall at work and needed a spinal fusion for his back. Around that time, he developed rheumatoid and psoriatic arthritis, and later stage 4 cancer. 

“My mental illness went off the rails,” he said. “The only reason that I didn’t (take my life) was because I’ve seen how painful it is for others around you.”

The pain Lowrie was referring to was the loss of his youngest son, Justin, who shot himself a little less than a decade ago. Ever since then Lowrie retreats for long periods into a depression “closet” that lets very few people inside.

“I’ve been trying to break out of that here more recently,” he said. “Often you don’t have that trigger that you needed to get you out of the closet to go out and find something that’s going to bring you out of this slump.”

Lowrie’s home county has an age-adjusted suicide rate lower than the statewide average, but many rural counties in the state have significantly higher than average rates. Of the 184 suicides among older adults in 2023, 115 were in areas with populations under 50,000 and 42 were in areas with populations under 10,000.

Older adults in rural areas often live far away from mental health providers, many of whom don’t accept Medicare, according to Robbins. They also often live far away from family and community.

“That further adds to the hopelessness you feel and the loneliness that you feel,” Robbins said. “Nobody’s noticing that you’re getting more and more depressed, and becoming less and less functional.”

No legislation geared toward geriatric mental health

Though there is no legislation circulating to address geriatric mental health and suicide prevention, legislators are pushing broader bills related to mental health, substance abuse and gun control, which they say will start to help. 

Gov. Tony Evers’ initial 2025-27 state budget recommendations included $1.2 million and six full-time equivalent positions for Mendota Mental Health Institute’s geropsychiatric treatment unit, which serves mentally ill, disabled or drug-dependent older adults who require more specialized services than are generally available.

The request was for hiring additional staff and moving the unit to a nearby building with larger treatment space. Jennifer Miller, the communications specialist for Mendota, said the Wisconsin DHS made the request because it is seeing an increase in older patients who need mental health services.

With the new space, “there (would have been) additional capacity at (Mendota) to serve these individuals in a space designed to meet the unique mental health treatment and service needs facing an aging population,” Miller said. 

However, legislative Republicans removed the additional funding for Mendota. Instead, the budget provides almost $16 million to address the current deficit at the Winnebago Mental Health Institute’s “civil patient treatment program” for 2025. Winnebago, located in Oshkosh, treats patients legally ordered to undergo mental health treatment, but the funding is not specifically for geriatrics.

The budget also includes $10 million in funding for the development of a mental health campus and $1 million for reopening a substance abuse treatment facility in the Chippewa Valley, which has a significantly higher suicide rate than the statewide average. 

James and Rep. Clint Moses, R-Menomonie, who co-authored the provisions, said the campus will restore the region’s mental health beds lost after two nearby hospitals closed last year. Moses also said that he has been working on general telehealth bills that would help bridge gaps in mental health care for older adults in rural areas.

“It’s about making sure they’ve got access — (especially) if they don’t have family members — to someone they can talk to,” Moses said. He believes older adults should be able to do an online video meeting rather than drive 45 minutes or an hour to talk to someone about their issues.

For suicide prevention, Democrats have circulated multiple bills related to gun safety, one of which would reinstate the previous 48-hour mandatory handgun purchase waiting period repealed by Republicans in 2015. 

Former Democratic state Rep. Jonathan Brostoff — who last year purchased a handgun and killed himself within hours — had argued for reinstating the waiting period, saying it had prevented his own previous suicide attempts. 

Sen. Chris Larson, D-Milwaukee, a close friend of Brostoff who reintroduced the bill to the Senate in June, said the law had protected an “untold number of people.”

“There’s the false narrative of, ‘if you don’t have a gun, you’re not safe,’ right? … (But) the statistics show that most suicides that end in death are with a handgun,” Larson said. “The more time we can put in between the time that somebody is trying to obtain a handgun and when they actually get it, it saves lives.”

People 65 and older carry out 25% of all firearms suicides in Wisconsin and use firearms for suicide at by far the highest rate. Lowrie disagrees that gun legislation would prevent suicides and said older adults start to feel a “very large sense of helplessness” when their guns are taken away.

Finding community

Lowrie attributes suicide challenges and reluctance among older adults to seek mental health support to the way his generation was raised. 

Organizations such as NewBridge, a Madison nonprofit dedicated to serving low-income older adults, seek to proactively address the issue by providing older adults with community programming and case management, but especially mental health care.

Kathleen Pater, the mental health manager at NewBridge, described older adults as a “forgotten group” who “might not be the best advocates for themselves.” Her team is often the first human interaction their clients have in a long time and the first to have honest conversations about mental health.

We need to “really focus and see the importance of this stage in life and how much seniors can really offer the community back,” Pater said. “It’s connecting them back into the community with intergenerational programs, and just a societal shift in seeing our elders as valuable and knowledgeable and having all this life experience rather than being isolated and forgotten.”

In January, Lowrie finally sought out help for his mental illness after an interaction with his ex-wife sent him into a “tailspin” of anxiety and suicidal thoughts. When an online artificial intelligence therapist didn’t work, his best friend Wes told him about the National Alliance on Mental Illness.

Initially, Wes had suggested a NAMI chapter in Rice Lake, about seven miles away from his village. But Lowrie soon found the Rice Lake office was closed, and the nearest location in Eau Claire was 50 miles away.

Despite “talking (himself) into it and out of it above half a dozen times,” Lowrie took a leap of faith with the encouragement of Wes and his granddaughter and went to Eau Claire. He now describes NAMI as “a rope pulling me out of the water, keeping me from drowning.”

“There’s people from every walk of life and every different kind of problem that you could imagine, but mine was no more twisted and weird than their own,” Lowrie said. “It was through them I found enough encouragement and ideas of finding more help.”

Through NAMI, Lowrie was connected to individual, weekly counseling, a nutritionist, a dietitian, and a mental health prescription that gives him hope. He continues to attend NAMI Eau Claire’s biweekly meetings, and his cancer is now in complete remission.

Despite newfound support, Lowrie said he is often “suffocated” by his mental illness and that most of the time, he would rather be dead than suffer. In his worst moments, not even his favorite things, like the laughter of children or the breeze on his skin, can draw him out.

But Lowrie doesn’t intend to stop fighting. 

“I am going to do everything in my power to get to the other side of my mental illness,” Lowrie told Wisconsin Watch. “I’m on a mission, and I’m not holding back at all … I’m coming out the other side one way or another.”

This article first appeared on Wisconsin Watch and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.