Older Adults: Depression and Suicide Facts (Fact = Sheet)

A brief overview of the statistics on depression and suicide in older = adults,=20 with information on depression treatments and suicide prevention = (2003).

How=20 common is suicide among older adults?
What=20 role does depression play?
Isn=E2=80=99t = depression just part of aging?
What=20 are the treatments for depression in older adults?
Are=20 some ethnic/racial groups at higher risk of suicide?
What=20 research is being done?
For=20 More Information
References

How common is suicide among older adults?

Older Americans are disproportionately likely to die by suicide.

Although they comprise only 12 percent of the U.S. population, = people age=20 65 and older accounted for 16 percent of suicide deaths in 2004.¹
14.3 of every 100,000 people age 65 and older died by suicide in = 2004,=20 higher than the rate of about 11 per 100,000 in the general = population. ¹
Non-Hispanic white men age 85 and older were most likely to die by = suicide. They had a rate of 49.8 suicide deaths per 100,000 persons in = that=20 age group.¹

IF YOU ARE IN CRISIS AND NEED HELP RIGHT AWAY:

Call this toll-free number, available 24 hours a day, every day:=20 1-800-273-TALK (8255). You will reach the National Suicide Prevention = Lifeline,=20 a service available to anyone. You may call for yourself or for someone = you care=20 about. All calls are confidential.

Suicide = information=20 and resources from MedlinePlus (en=20 Espa=C3=B1ol)

What role does depression play?

Depression, one of the conditions most commonly associated with = suicide in=20 older adults,²⁼=20 is a widely under-recognized and undertreated medical illness. Studies = show that=20 many older adults who die by suicide =E2=80=94 up to 75 percent = =E2=80=94 visited a physician=20 within a month before death.^{3=20
These findings point to the urgency of improving detection and treatment =
of=20
depression to reduce suicide risk among older adults.}

The risk of depression in the elderly increases with other = illnesses and=20 when ability to function becomes limited. Estimates of major = depression in=20 older people living in the community range from less than 1 percent to = about 5=20 percent, but rises to 13.5 percent in those who require home = healthcare and to=20 11.5 percent in elderly hospital patients.⁴
An estimated 5 million have subsyndromal depression, symptoms that = fall=20 short of meeting the full diagnostic criteria for a disorder.⁵^=
,6
Subsyndromal depression is especially common among older persons = and is=20 associated with an increased risk of developing major depression.⁷

Isn=E2=80=99t depression just part of aging?

Depressive disorder is not a normal part of aging. Emotional = experiences of=20 sadness, grief, response to loss, and temporary =E2=80=9Cblue=E2=80=9D = moods are normal.=20 Persistent depression that interferes significantly with ability to = function is=20 not.

Health professionals may mistakenly think that persistent depression = is an=20 acceptable response to other serious illnesses and the social and = financial=20 hardships that often accompany aging - an attitude often shared by older = people=20 themselves.⁸^,=
9=20 This contributes to low rates of diagnosis and treatment in older = adults.

Depression can and should be treated when it occurs at the same time = as other=20 medical illnesses. Untreated depression can delay recovery or worsen the = outcome=20 of these other illnesses.

What are the treatments for depression in older = adults?

Antidepressant medications or psychotherapy, or a combination of the = two, can=20 be effective treatments for late-life depression.

Medications

Antidepressant medications affect brain chemicals called = neurotransmitters.=20 For example, medications called SSRIs (selective serotonin reuptake = inhibitors)=20 affect the neurotransmitter serotonin. Different medications may affect=20 different neurotransmitters.

Some older adults may find that newer antidepressant medications, = including=20 SSRIs, have fewer side effects than older medications, which include = tricyclic=20 antidepressants and monoamine oxidase inhibitors (MAOIs).^{10=20
However, others may find that these older medications work well for =
them.}

It=E2=80=99s important to be aware that there are several medications = for depression,=20 that different medications work for different people, and that it takes = four to=20 eight weeks for the medications to work. If one medication = doesn=E2=80=99t help,=20 research shows that a different antidepressant might.¹¹

Also, older adults experiencing depression for the first time should = talk to=20 their doctors about continuing medication even if their symptoms have=20 disappeared with treatment. Studies showed that patients age 70 and = older who=20 became symptom-free and continued to take their medication for two more = years=20 were 60 percent less likely to relapse than those who discontinued their = medications.¹²

Psychotherapy

In psychotherapy, people interact with a specially trained health=20 professional to deal with depression, thoughts of suicide, and other = problems.=20 Research shows that certain types of psychotherapy are effective = treatments for=20 late-life depression.⁹

For many older adults, especially those who are in good physical = health,=20 combining psychotherapy with antidepressant medication appears to = provide the=20 most benefit. A study showed that about 80 percent of older adults with=20 depression recovered with this kind of combined treatment ^{13=20
and had lower recurrence rates than with psychotherapy or medication =
alone.¹⁴=}

Another study of depressed older adults with physical illnesses and = problems=20 with memory and thinking showed that combined treatment was no more = effective=20 than medication alone.¹²=20 Research can help further determine which older adults appear to be most = likely=20 to benefit from a combination of medication and psychotherapy or from = either=20 treatment alone.

Are some ethnic/racial groups at higher risk of=20 suicide?

For every 100,000 people age 65 and older in each of the = ethnic/racial groups=20 below, the following number died by suicide in 2004¹:

Non-Hispanic Whites =E2=80=94 15.8 per 100,000
Asian and Pacific Islanders =E2=80=94 10.6 per 100,000
Hispanics =E2=80=94 7.9 per 100,000
Non-Hispanic Blacks =E2=80=94 5.0 per 100,000

What research is being done?

NIMH-funded researchers designed a program for health-care clinics, = to=20 improve recognition and treatment of depression and suicidal symptoms in = elderly=20 patients. A recent study of the program showed that it reduced thoughts = of=20 suicide and that major depression improved.¹⁵

Examples of other ongoing or recently completed NIMH-funded studies = on topics=20 related to depression and suicide in older adults include:

overcoming barriers to treatment for depression
improving adherence to treatment
the relationship between other medical illnesses and = depression
physical function and depression
depression treatment for depressed older adults in homecare
treatment services for depression
death rates of depressed older adults, compared to others
depression treatment for low-income older adults
depression treatment for caregivers of older adults

Ask yourself=E2=80=A6

=E2=80=A6if you feel:

nervous
empty
worthless
that you don=E2=80=99t enjoy things you used to
restless
irritable
unloved
that life isn=E2=80=99t worth living

=E2=80=A6or if you are:

sleeping more or less than usual
eating more or less than usual

These may be symptoms of depression, a treatable illness. = Talk to=20 your doctor.

Other symptoms that may signal depression, but may also be signs of = other=20 serious illnesses, should be checked by a doctor, whatever the cause. = They=20 include:

being very tired and sluggish
frequent headaches
frequent stomachaches
chronic pain

For More Information

Depression=20 Information and Organizations from NLM=E2=80=99s MedlinePlus (en=20 Espa=C3=B1ol)

References

1. Centers for Disease Control and Prevention, National = Center for=20 Injury Prevention and Control. Web-based Injury Statistics Query and = Reporting=20 System (WISQARS) [online]. (2005) [accessed January 31 2007]. Available = from=20 URL: www.cdc.gov/ncipc/wisqars.<= /P>

2. Conwell Y, Brent D. Suicide and aging. = I:=20 patterns of psychiatric diagnosis. International = Psychogeriatrics,=20 1995; 7(2): 149-64.

3. Conwell Y. Suicide in later life: a review = and=20 recommendations for prevention. Suicide and Life Threatening=20 Behavior, 2001; 31(Suppl): 32-47.

4. Hybels CF and Blazer DG. Epidemiology of = late-life mental=20 disorders. Clinics in Geriatric Medicine, 19(Nov.=20 2003):663-696.

5. Narrow WE. One-year prevalence of depressive disorders = among=20 adults 18 and over in the U.S.: NIMH ECA prospective data. Unpublished=20 table.

6. Alexopoulos GS. Mood disorders. In: Sadock BJ, = Sadock VA,=20 eds. Comprehensive Textbook of Psychiatry, 7th Edition, Vol. = 2.=20 Baltimore: Williams and Wilkins, 2000.

7. Horwath E, Johnson J, Klerman GL, Weissman MM. = Depressive=20 symptoms as relative and attributable risk factors for first-onset major = depression. Archives of General Psychiatry, 1992; 49(10):=20 817-23.

8. Depression Guideline Panel. Depression in primary care: = volume 1.=20 Detection and diagnosis. Clinical practice guideline, number 5. = AHCPR=20 Publication No. 93-0550. Rockville, MD: Agency for Health Care, = Policy=20 and Research, 1993.

9. Lebowitz BD, Pearson JL, Schneider LS, Reynolds III = CF,=20 Alexopoulos GS, Bruce ML, Conwell Y, Katz IR, Meyers BS, Morrison MF, = Mossey J,=20 Niederehe G, Parmelee P. Diagnosis and treatment of depression in late = life.=20 Consensus statement update. Journal of the American Medical=20 Association, 1997; 278(14): 1186-90.

10. Reynolds III CF, Lebowitz BD. What are the = best=20 treatments for depression in old age? The Harvard Mental Health=20 Letter, 1999; 15(12): 8.

11. Madhukar H. Trivedi H, Fava M, Wisniewski SR, Thase = ME,=20 Quitkin F, Warden D, Ritz L, Nierenberg AA, Lebowitz BD, Biggs MM, = Luther JF,=20 Shores-Wilson K, Rush AK, for the STAR*D Study Team. Medication = Augmentation=20 after the Failure of SSRIs for Depression. New England Journal of=20 Medicine, Volume 354:1243-1252. 2006.

12. Reynolds III CF, Dew MA, Pollock BG, Mulsant = BH, Frank E,=20 Miller MD, Houck PR, Mazumdar S, Butters MA, Stack JA, Schlernitzauer = MA, Whyte=20 EM, Gildengers A, Karp J, Lenze E, Szanto K, Bensasi S, Kupfer DJ. = Maintenance=20 treatment of major depression in old age. New England Journal of=20 Medicine. Mar 16;354(11):1130-8. 2006.

13. Little JT, Reynolds III CF, Dew MA, Frank E, = Begley=20 AE, Miller MD, Cornes C, Mazumdar S, Perel JM, Kupfer DJ. How common is=20 resistance to treatment in recurrent, nonpsychotic geriatric depression? = American Journal of Psychiatry, 1998; 155(8): 1035-8.

14. Reynolds III CF, Frank E, Perel JM, Imber SD, = Cornes C,=20 Miller MD, Mazumdar S, Houck PR, Dew MA, Stack JA, Pollock BG, Kupfer = DJ.=20 Nortriptyline and interpersonal psychotherapy as maintenance therapies = for=20 recurrent major depression: a randomized controlled trial in patients = older than=20 59 years. Journal of the American Medical Association, = 1999;=20 281(1): 39-45.

15. Bruce ML, Ten Have TR, Reynolds III CF, Katz II, = Schulberg HC,=20 Mulsant BH, Brown GK, McAvay GJ, Pearson JL, Alexopoulos GS. Reducing = Suicidal=20 Ideation and Depressive Symptoms in Depressed Older Primary Care = Patients: A=20 Randomized Controlled Trial. Journal of the American Medical=20 Association, 2004;291:1081-1091.

NIH Publication No. 4593
Revised April 2007

NIMH publications are in the public domain and may be reproduced or = copied=20 without the permission from the National Institute of Mental Health = (NIMH). NIMH=20 encourages you to reproduce them and use them in your efforts to improve = public=20 health. Citation of the National Institute of Mental Health as a source = is=20 appreciated. However, using government materials inappropriately can = raise legal=20 or ethical concerns, so we ask you to use these guidelines:

NIMH does not endorse or recommend any commercial products, = processes, or=20 services, and publications may not be used for advertising or = endorsement=20 purposes.
NIMH does not provide specific medical advice or treatment = recommendations=20 or referrals; these materials may not be used in a manner that has the = appearance of such information.
NIMH requests that non-Federal organizations not alter = publications in a=20 way that will jeopardize the integrity and "brand" when using=20 publications.
Addition of Non-Federal Government logos and website links may not = have=20 the appearance of NIMH endorsement of any specific commercial products = or=20 services or medical treatments or services.

If you have questions regarding these guidelines and use of NIMH=20 publications, please contact the NIMH Information Center at = 1-866-615-6464 or at=20 nimhinfo@nih.gov.

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See all NIMH publications about: Depression=20 , Suicide=20 Prevention , Older=20 Adults , Prevention=20
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This page last reviewed: May 18, 2009

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The National Institute of Mental Health (NIMH) is part of the = National=20 Institutes of Health (NIH), a component of the U.S. Department of Health = and=20 Human Services.

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url(../images/bullet_smallgraysquare.gif) no-repeat left 0.2em } #central_content .boxcontent LI { PADDING-LEFT: 8px; MARGIN-BOTTOM: 0.7em; BACKGROUND: = url(../images/bullet_smallgraysquare.gif) no-repeat left 0.2em } #sidebar .boxcontent LI { PADDING-LEFT: 8px; MARGIN-BOTTOM: 0.7em; BACKGROUND: = url(../images/bullet_smallgraysquare.gif) no-repeat left 0.2em } #search_sidebar .boxcontent LI { PADDING-LEFT: 8px; MARGIN-BOTTOM: 0.7em; BACKGROUND: = url(../images/bullet_smallgraysquare.gif) no-repeat left 0.2em } #sidebar .boxcontent UL.dense LI { MARGIN: 0px 0px 0.1em 2em } #extra_content .boxcontent UL UL { PADDING-BOTTOM: 0px; PADDING-TOP: 0.4em } #central_content .boxcontent UL UL { PADDING-BOTTOM: 0px; PADDING-TOP: 0.4em } #sidebar .boxcontent UL UL { PADDING-BOTTOM: 0px; PADDING-TOP: 0.4em } #search_sidebar .boxcontent UL UL { PADDING-BOTTOM: 0px; PADDING-TOP: 0.4em } #extra_content .boxcontent UL UL LI { PADDING-BOTTOM: 0.4em; MARGIN-BOTTOM: 0px } #central_content .boxcontent UL UL LI { PADDING-BOTTOM: 0.4em; MARGIN-BOTTOM: 0px } #sidebar .boxcontent UL UL LI { PADDING-BOTTOM: 0.4em; MARGIN-BOTTOM: 0px } #search_sidebar .boxcontent UL UL LI { PADDING-BOTTOM: 0.4em; MARGIN-BOTTOM: 0px } #extra_content .boxcontent DL { MARGIN: 0px 1em } #central_content .boxcontent DL { MARGIN: 0px 1em } #sidebar .boxcontent DL { MARGIN: 0px 1em } #search_sidebar .boxcontent DL { MARGIN: 0px 1em } #extra_content .boxcontent DT { PADDING-LEFT: 0px; BACKGROUND: none transparent scroll repeat 0% 0% } #central_content .boxcontent DT { PADDING-LEFT: 0px; BACKGROUND: none transparent scroll repeat 0% 0% } #sidebar .boxcontent DT { PADDING-LEFT: 0px; BACKGROUND: none transparent scroll repeat 0% 0% } #search_sidebar .boxcontent DT { PADDING-LEFT: 0px; BACKGROUND: none transparent scroll repeat 0% 0% } #extra_content .boxcontent DD { MARGIN-LEFT: 0px } #central_content .boxcontent DD { MARGIN-LEFT: 0px } #sidebar .boxcontent DD { MARGIN-LEFT: 0px } #search_sidebar .boxcontent DD { MARGIN-LEFT: 0px } .boxoutlined { MARGIN-BOTTOM: 18px; BACKGROUND: url(../images/boxoutlined_right.gif) = #f5f7dc no-repeat right bottom } .boxoutlinedheader { BACKGROUND: url(../images/boxoutlined_right.gif) no-repeat right top } .boxoutlined H2 { PADDING-BOTTOM: 0.2em; LINE-HEIGHT: 1.4; MARGIN: 0px; PADDING-LEFT: = 1em; PADDING-RIGHT: 1em; BACKGROUND: url(../images/boxoutlined_left.gif) = no-repeat left top; COLOR: #fff; FONT-SIZE: 1em; FONT-WEIGHT: normal; = PADDING-TOP: 0.5em } .boxoutlinedcontent { PADDING-BOTTOM: 0px; LINE-HEIGHT: 1.3; PADDING-LEFT: 1em; = PADDING-RIGHT: 1em; BACKGROUND: url(../images/boxoutlined_left.gif) = no-repeat left bottom; HEIGHT: 1%; PADDING-TOP: 0px } .boxoutlinedcontent P { PADDING-BOTTOM: 1em; MARGIN-BOTTOM: 0px } UL.compact { PADDING-BOTTOM: 0.8em } UL.compact LI { MARGIN-BOTTOM: 0.4em } #pubcover { FLOAT: left; CLEAR: both } #pubcover IMG { MARGIN: 2px 10px 10px 0px } #pubcontents { MIN-HEIGHT: 1%; HEIGHT: 1%; MARGIN-LEFT: 120px } .quote { BORDER-LEFT: #ccc 1px dotted; PADDING-LEFT: 1em; FONT: bold italic = 1.2em/1.6 Georgia, Arial, Helvetica, sans-serif; MARGIN-BOTTOM: 1.4em; = COLOR: #808059; MARGIN-LEFT: 2em } .references { LINE-HEIGHT: 1.3; MARGIN-TOP: 2em; PADDING-LEFT: 2em; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif; FONT-SIZE: 0.9em; BORDER-TOP: = #ddd 1px solid; PADDING-TOP: 1.3em } .references A { COLOR: #666 } .references A:hover { COLOR: #009 } .fineprint { BORDER-BOTTOM: #bbb 1px solid; BORDER-LEFT: #bbb 1px solid; = PADDING-BOTTOM: 0.6em; LINE-HEIGHT: 1.3; MARGIN-TOP: 1.4em; = PADDING-LEFT: 1.4em; PADDING-RIGHT: 1.4em; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif; MARGIN-BOTTOM: 1em; FONT-SIZE: 0.9em; BORDER-TOP: = #bbb 1px solid; BORDER-RIGHT: #bbb 1px solid; PADDING-TOP: 1.3em } .fineprint H2 { MARGIN-TOP: 0px; FONT: bold 1em/1.2 Verdana, Arial, Helvetica, = sans-serif; MARGIN-BOTTOM: 1em; COLOR: #333 } SUP { LINE-HEIGHT: 1 } .pagenavigation { MARGIN-BOTTOM: 1.3em } .contentspage { PADDING-BOTTOM: 1em; PADDING-LEFT: 17px; BACKGROUND: = url(../images/button_left.gif) no-repeat left top; MARGIN-RIGHT: 1em } .previouspage { PADDING-BOTTOM: 1em; PADDING-LEFT: 17px; BACKGROUND: = url(../images/button_left.gif) no-repeat left top; MARGIN-RIGHT: 1em } .nextpage { PADDING-BOTTOM: 1em; PADDING-RIGHT: 18px; BACKGROUND: = url(../images/button_right.gif) no-repeat right top } .email-subscribe { PADDING-LEFT: 20px; BACKGROUND: url(../images/icon_subscribe.gif) = no-repeat left center } .rss-subscribe { PADDING-LEFT: 20px; BACKGROUND: url(../images/rss-icon.png) no-repeat = left center } A.pdf { PADDING-BOTTOM: 1em; PADDING-RIGHT: 19px; BACKGROUND: = url(../images/icon_pdf.gif) no-repeat right top } TABLE.listing { =09 } TABLE.listing TH { TEXT-ALIGN: left; PADDING-BOTTOM: 0.4em; PADDING-LEFT: 0.4em; = PADDING-RIGHT: 0.4em; PADDING-TOP: 0.4em } TABLE.listing THEAD TH { BACKGROUND-COLOR: #ccc } TABLE.listing TBODY TH { BACKGROUND-COLOR: #eee } TABLE.listing TD { BORDER-BOTTOM: #ccc 1px solid; PADDING-BOTTOM: 0.4em; PADDING-LEFT: = 0.4em; PADDING-RIGHT: 0.4em; PADDING-TOP: 0.4em } .ListStyleD LI { PADDING-BOTTOM: 3px; MARGIN: 0.5em 0px; PADDING-LEFT: 18px; = PADDING-RIGHT: 0px; BACKGROUND: url(../images/whitesquare.gif) no-repeat = 0px 3px; VERTICAL-ALIGN: top; PADDING-TOP: 3px } #footer { PADDING-BOTTOM: 10px; LINE-HEIGHT: 1.3; MARGIN-TOP: 2em; WIDTH: 100%; = FONT-FAMILY: Verdana, Arial, Helvetica, sans-serif; COLOR: #666; CLEAR: = both; FONT-SIZE: 0.9em } #footer_links { MARGIN-TOP: 9px; BORDER-TOP: #bbb 1px solid; PADDING-TOP: 9px } #reviewdate { MARGIN-TOP: 9px; BORDER-TOP: #bbb 1px solid; PADDING-TOP: 9px } #footer_links { MARGIN-TOP: 9px; BORDER-TOP: #bbb 1px solid; PADDING-TOP: 9px } #footer UL { PADDING-BOTTOM: 1.8em; LIST-STYLE-TYPE: none; MARGIN: 0px; = PADDING-LEFT: 2%; PADDING-RIGHT: 2%; LIST-STYLE-IMAGE: none; = PADDING-TOP: 0px } #footer LI { PADDING-BOTTOM: 0.2em; MARGIN: 0px 0.6em 0px 0px; PADDING-LEFT: 0px; = PADDING-RIGHT: 0.6em; BACKGROUND: none transparent scroll repeat 0% 0%; = FLOAT: left; BORDER-RIGHT: #ccc 1px solid; PADDING-TOP: 0px } #footer LI#last { BORDER-RIGHT: medium none } #footer P { MARGIN-BOTTOM: 0.5em; MARGIN-LEFT: 2%; CLEAR: both } #footer P#logos IMG { MARGIN-TOP: 5px; MARGIN-RIGHT: 19px } #footer A { COLOR: #666 } #footer A:hover { COLOR: #009 } .encloseborder { BORDER-BOTTOM: black 2px solid; BORDER-LEFT: black 2px solid; = PADDING-BOTTOM: 0px !important; MARGIN: 0px 0px 1em; PADDING-LEFT: 1em = !important; PADDING-RIGHT: 1em !important; BORDER-TOP: black 2px solid; = BORDER-RIGHT: black 2px solid; PADDING-TOP: 1em !important } .setout { BORDER-BOTTOM: black 2px solid; BORDER-LEFT: black 2px solid; = PADDING-BOTTOM: 0px !important; MARGIN: 0px 0px 1em; PADDING-LEFT: 1em = !important; PADDING-RIGHT: 1em !important; BORDER-TOP: black 2px solid; = BORDER-RIGHT: black 2px solid; PADDING-TOP: 1em !important } .setout H3 { TEXT-ALIGN: center } .image-feature { BORDER-LEFT: black 2px solid; PADDING-BOTTOM: 0px; MARGIN: 0px 0px 10px = 20px; PADDING-LEFT: 10px; PADDING-RIGHT: 0px; PADDING-TOP: 0px } .image-feature IMG { MARGIN: 10px 0px; DISPLAY: block } .image-feature P { =09 } .extras-image { WIDTH: 224px; MARGIN-BOTTOM: 1em; FLOAT: right; MARGIN-LEFT: 10px } .extras-image DIV { BORDER-BOTTOM: #777 2px solid; BORDER-LEFT: #777 2px solid; = PADDING-BOTTOM: 10px; PADDING-LEFT: 10px; PADDING-RIGHT: 10px; = BORDER-TOP: #777 2px solid; BORDER-RIGHT: #777 2px solid; PADDING-TOP: = 10px } .extras-image P { MARGIN: 0px; PADDING-TOP: 10px } TABLE.BasicTable { TEXT-ALIGN: left; BORDER-LEFT: black 1px solid; BORDER-COLLAPSE: = collapse; EMPTY-CELLS: show; MARGIN-BOTTOM: 1em; FONT-SIZE: 1em; = BORDER-TOP: black 1px solid } TABLE.BasicTable TH { BORDER-BOTTOM: black 1px solid; PADDING-BOTTOM: 5px; PADDING-LEFT: 5px; = PADDING-RIGHT: 5px; VERTICAL-ALIGN: top; BORDER-RIGHT: black 1px solid; = PADDING-TOP: 5px } TABLE.BasicTable TD { BORDER-BOTTOM: black 1px solid; PADDING-BOTTOM: 5px; PADDING-LEFT: 5px; = PADDING-RIGHT: 5px; VERTICAL-ALIGN: top; BORDER-RIGHT: black 1px solid; = PADDING-TOP: 5px } TABLE.NoBorder { TEXT-ALIGN: left; FONT-SIZE: 1em } TABLE.NoBorder TH { BORDER-BOTTOM: medium none; PADDING-BOTTOM: 5px; PADDING-LEFT: 5px; = PADDING-RIGHT: 5px; VERTICAL-ALIGN: top; BORDER-RIGHT: medium none; = PADDING-TOP: 5px } TABLE.NoBorder TD { BORDER-BOTTOM: medium none; PADDING-BOTTOM: 5px; PADDING-LEFT: 5px; = PADDING-RIGHT: 5px; VERTICAL-ALIGN: top; BORDER-RIGHT: medium none; = PADDING-TOP: 5px } .encloseborder { BORDER-BOTTOM: #000000 2px solid; BORDER-LEFT: #000000 2px solid; = PADDING-BOTTOM: 0px !important; BACKGROUND-COLOR: white; MARGIN: 0px 0px = 1em; PADDING-LEFT: 1em !important; PADDING-RIGHT: 1em !important; = BORDER-TOP: #000000 2px solid; BORDER-RIGHT: #000000 2px solid; = PADDING-TOP: 1em !important } .bind { WHITE-SPACE: nowrap } .displace-text { MARGIN: 0px 0px 1em 16px; FLOAT: right } .displace-text-alt { MARGIN: 0px 16px 1em 0px; FLOAT: left } 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MARGIN-LEFT: 0px; CLEAR: both } #sidebar .box .boxcontent .image-list IMG { DISPLAY: inline; FLOAT: left; MARGIN-RIGHT: 10px } .indent { MARGIN-LEFT: 3em } OBJECT { PADDING-BOTTOM: 0px; MARGIN: 0px; PADDING-LEFT: 0px; PADDING-RIGHT: = 0px; PADDING-TOP: 0px } .flash_with_captions { BORDER-LEFT: black 2px solid; PADDING-BOTTOM: 0px; PADDING-LEFT: 10px; = PADDING-RIGHT: 0px; MARGIN-BOTTOM: 10px; BACKGROUND: = url(../images/video-symbol.gif) no-repeat 10px 3px; PADDING-TOP: 20px } .video_anchor { BORDER-LEFT: black 2px solid; PADDING-BOTTOM: 10px; PADDING-LEFT: 10px; = PADDING-RIGHT: 0px; BACKGROUND: url(../images/video-symbol.gif) = no-repeat 10px 3px; FLOAT: right; MARGIN-LEFT: 10px; PADDING-TOP: 20px } .video_anchor IMG { DISPLAY: block } .video_anchor SPAN { DISPLAY: block } .video_anchor SPAN { MARGIN-BOTTOM: 5px } .video { BACKGROUND-IMAGE: url(../images/video-symbol.gif); PADDING-BOTTOM: 0px; = LINE-HEIGHT: 1.4; BACKGROUND-COLOR: transparent; PADDING-LEFT: 30px; = PADDING-RIGHT: 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