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Description: Olympic athletes: the epitome of health and fitness, role models for their communities, and competing on the world stage. Is there a cost incurred by highlighting the achievements of these elite athletes? Suicide, as defined by the Centers for Disease Control and Prevention, is death by injuring oneself whereby death was the intent (Suicide Prevention: Facts, 2022). A person harming themselves with death as the intention but not the outcome is classified as a suicide attempt (Suicide Prevention: Facts, 2022). In the general population, suicide is one of the leading causes of death, especially amongst younger people where it is the fourth leading cause of death (Suicide Prevention: Risk, 2022). In 2019, the global age-standardized suicide rate was 9 deaths per 100,000 people (World Health Organization (WHO), 2021). The risk factors for suicide are multifaceted and complex, ranging from a history of mental health issues, serious illnesses, chronic pain, financial stress, substance use, adverse childhood experiences, and difficulties in relationships (Suicide Prevention: Risk, 2022). Differences in sociodemographic variables have been linked with suicide rates (Suicide Prevention: Risk, 2022). For example, the suicide rate for males (~12.6 per 100,000) is typically higher than females (5.4 per 100,000) (Suicide Prevention: Risk, 2022). Economic factors may also play a role given the largest portion of deaths by suicide occur in lower-income and middle-income countries (Suicide Prevention: Risk, 2022), yet high-income countries report higher age-standardized rates of suicide (10.9 per 100,000) (Suicide Prevention: Risk, 2022). More than half (58%) of global suicides occur in persons less than 50 years of age (Suicide Prevention: Risk, 2022) implicating stage of life as a plausible risk factor linked with death by suicide. Overall, suicide rates have been declining since 2000 with a 36% reduction noted in 2019 compared with 20 years earlier (Suicide Prevention: Risk, 2022). Sports and athletes can be ‘newsworthy’, so there is heightened media attention when high-profile athletes die from suicide. Research examining suicide and athletes has focused primarily on collegiate (or university-level) athletes. In the National Collegiate Athletic Association (NCAA) over a nine-year period, the rate of death by suicide in athletes was 1.35 per 100,000 in males, and 0.37 per 100,000 in females, both of which are lower than suicide rates for age-matched students (Rao et al., 2015). NCAA football had the highest relative rates of suicide at 2.25 per 100,000 yet this rate is still lower compared against other students matched for age and sex (Rao et al., 2015). In football, chronic traumatic encephalopathy (or CTE) has been gaining traction as one risk factor leading to death by suicide (Rao, 2018). To date, studies of suicide and athletes competing at other levels of sport (e.g., Olympics, etc.) appear sparse. One study of US Olympians compared mental disorders, substance abuse, and self-harm reported by athletes with the public noting athletes had a lower risk of death by suicide from these factors (Rao, 2018). Suicidal ideation was reported by 1 in 6 Swedish athletes competing at the international level (Timpka et al., 2019). Finally, retirement may be a factor to consider in suicide prevention initiatives given that male athletes competing in power sports (e.g., wrestling, Olympic lifting, etc.) retiring between 30 and 50 years of age were 2 to 4 times more likely to die by suicide than non-athletes of the same ages (Lindqvist et al., 2014). To date, limited research has been reported on Olympic athletes and suicide. Further research is warranted to determine the frequency of suicide rates in Olympians plus identifiable risk factors for death by suicide reported by this cohort of elite athletes.