The case of an elderly woman who committed suicide is presented. Clinical & sociological concepts & empirical findings are discussed in the context of this case. Depression, substance abuse, cognitive dysfunction, exacerbation of preexisting personality disturbance & medical illness & disability appear to contribute to geriatric suicide. Relocation to a nursing home, while often necessary, has significant emotional value & may function as a precipitant to suicidal behaviour. (31 refs.)