Acts of suicide, ideation, and self-harm in later life is a highly prevalent, but minimally researched and uncomfortably discussed topic in the United States. Yet the older adult presents with many or all of the primary risk factors: mental illness (especially depression and grief/loss), medical illness, impaired coping skills, social disconnectedness, and functional impairment. In addition, adverse social determinants of health (SDoHs) are strongly associated with an increased risk of suicide death. Studies have shown that individuals experiencing any documented adverse SDoH have a significantly higher risk of dying by suicide compared to those without such adversities. It is important for clinicians to be knowledgeable about the clinical presentation, methods of screening, and assessment of risk as the goal is for timely interventions and referral to appropriate care so life can be preserved. This session will explore the association between SDoH and suicide, discuss prevalence of suicidality in senior living, the signs and behaviors which point to elevated risk for suicide and substance abuse, screening tools, and strategies for intervention.