Objective To systematically evaluate the real experience of suicidal behavior in the elderly, so as to provide a reference for suicide prevention and intervention in the elderly. Methods We searched Chinese and English database by computer and by manual search for qualitative studies pertaining to elderly suicide and their real experience from the inception to July，2023. The quality of the literature was evaluated by the Australian JBI Evidence-based Health Care Center Qualitative research quality evaluation criteria, and the pooled integration method was used to integrate the results. Results A total of 11 articles were included, with 37 extracted results being extracted and categorized into 10 new categories and further synthesized into 3 integrated results:diversity of factors influencing suicidal behaviorin the elderly; complexity of the elderly facing suicidal behavior leading to a fatal outcome; adjustment and coping after suicidal behavior in the elderly. Conclusion The elderly who conduct suicidal behavior suffer from complex psychological experience. Families, communities, nursing homes and medical institutions should pay close attention to the physical and mental health and psychological changes of the elderly, and provide appropriate intervention according to individual differences.