a comparative study of suicide notes in over 65 years old patients preliminary data objective to determine in older suicide attempt inpatients differences between leaving a suicide note and not leaving it as regards age sex marital status religion living alone level of education present psychiatric treatment severity of suicidal attempt previous suicidal arousal afterwards suicidal arousal suicidal ideation hopelessness depression dementia narcissistic personality disorder physical pain previous suicide attempt familiar history of suicide or suicide attemptmaterial and methods this is a comparative prospective observational transversal single blind studyresults we studied 31 patients statistical significant associations were found between leaving a suicide note and hopelessness p003or857ic1199533 and severe suicide attempt p0022or840ic1286388discussion although associations between writing suicide notes and hopelessness have not been reported our results are not surprising because on one side the severity of the suicide attempt is more related to hopelessness than to any other depressive parameter and on the other side leaving a suicide note is associated to severe suicide attempts finally to feel hopeless and to leave a suicide note are associated to severe suicide attempts