A recent cross-national study of 62 developing and developed countries reported an increase in suicide rates with aging in males and females in 25 and 27 countries respectively (Shah, 2007). Longitudinal studies over time have reported a decline in elderly suicide rates in England and Wales (Gunnell et al., 2003; Lodhi and Shah, 2004), Sweden (Carlsten et al., 1999) and Australia (Hall et al., 2003) with an increase in prescription rates of antidepressants, particularly selective serotonin reuptake inhibitors. The vast majority of elderly suicide victims have depressive illness (Shah and De, 1998). The pathway to elderly depressed individuals acquiring a prescription of antidepressants includes the following sequential steps: recognition by individuals or their carers that there is problem and consulting a healthcare professional; recognition of depression by the healthcare professional; prescription of antidepressants by the healthcare professional; and, purchasing of the antidepressants by the patient. Different methods of acquiring the prescribed antidepressants exist in different countries including: healthcare professionals dispensing the antidepressant free or at a cost; and obtaining the prescribed antidepressant from a pharmacist free (either through state welfare system or insurance schemes) or at a cost. We have examined the relationship between elderly suicide rates and the affordability of psychotropic medication in a cross-national study.