This study aimed to describe the elderly deliberate self-harm (DSH) cases in Maidstone and compare them with younger adult DSH cases. Structured information on all DSH cases admitted to Maidstone Hospital has been dept by the DSH team for 4 years. The authors analysed the records of all DSH cases who were over 65 years and compared them with a random sample of the younger adult (aged 18-64 yrs) DSH cases presented to the services during the same period. The number of the elderly (aged 65-85 yrs) DHS cases in Maidstone was in the lower levels of the prevalence suggested in previous studies. These elderly exhibited higher suicidal risks and has more serious suicidal attempts.