Several years ago, an older patient of mine with multiple chronic medical conditions missed his appointment for the first time. Out of concern, I called him. His wife answered the phone and, in tears, described how she had found him with a self-inflicted gunshot wound to the head. Deeply remorseful over his death, I regretted not asking about his access to firearms, although he had never verbalized suicidal thoughts. Unfortunately, the decision to attempt suicide is often impulsive, which further necessitates proactive firearm safety counseling rather than waiting for patients to declare their intent to commit suicide. Our parents, grandparents, and aging patients may have once been responsible gun owners. However, the increasing incidence of depression, cognitive disorders, and other impairments in our older population could put our families at risk for intentional or unintentional firearm injury or death.