The suicide rate for adults over 65 years of age is the highest rate for suicide in any age group, and the rate is projected to increase. 2. To address a clinical concern, such as suicide, clinicians and researchers must identify factors that are specific to each population at high risk. This study chose to examine self-transcendence, which is thought to be specific to older adults' success in meeting the multiple changes of later life. 3. Two questions that address self-transcendence are: "Who is most meaningful (important) to you now?" and "What is most meaningful (important) to you now?" If an older adult is unable to answer these questions, a suicide risk assessment should probably be done.