Québec’s elderly, despite numerous risk factors and their low use of professional mental health services or suicide prevention centers, commit suicide less frequently than all age groups, are the most satisfies with their family relationships and social network, and suffer the least psychological distress. However, important suicide risk factors, e.g. losses, are often present. The current generation of the elderly differs from the coming generation. A future increase in suicide among the elderly must be prevented; ways of identifying the elderly at risk in the current generation have to be found; and the proper assistance needs to be offered.