ACUTE FACTORS

1. Suicide Ideation
2. Suicidal Plan
3. Depression (hopeless, helpless)
4. Agitation
5. Interpersonal Hostility (angry)
6. Impulsivity
7. Emotional Turmoil
8. Substance Abuse

Alcohol      Marijuana

Ecstasy      PCP   LSD

Cocaine     Amphetamines

Steroids     Inhalants

Opiates     Sedatives

(Note: Accidental  Overdoses)

9. History of Recent / Past violence
   
10. Bizarre (psychotic behavior) / paranoid thoughts or behaviors
    
11. Death / heaven / reunion wish
    
12. Lack of future orientation
    
13. Recent loss
    
14. School or job failure
    
15. Parent (or souse) remarriage
    
16. Media coverage – copycat
    
17. Alienation, peer rejection, social isolation
    
18. Alternative living situation, group home, detention, foster
    
19. Poison (pills) available
    
20. Suddenly at peace with self / others / world
    
21. Give away possessions
    
22. Saying goodbyes

CHRONIC FACTORS

1. Prior attempts (& severity)
2. Family history of suicide
3. Patient or family history of major mental illness

Major Depression (15%)

                   Bipolar

                   Anxiety
   
                   Disorders

                   PTSD

                       
Schizophrenia

   Of substance abuse

(Combinations increase risk)

4.      Cluster B personality 
     disorders

 Antisocial

         Borderline (10%)

         Histrionic

         Narcissistic

5.      Poor physical health

6.      Unemployed; financial
     difficulty

7.      Widowed or divorced, 
     separated

8.      History of abuse – 
     physical, sexual, or     
     emotional

9.      History of violence

10.  History of childhood 
     bereavement

11.  Parental loss or divorce

12.  Chaotic home environment

13.  Extended family 
     instability

14.  Social / Cultural     
     Isolation

15.  Homosexuality

16.  Substance abuse

17.  Conduct disorder

INHIBITING FACTORS

1. Supportive family, friends
   
2. Gratifying work
   
3. Responsibility for children
   
4. Religious beliefs
   
5. Good copying skills
   
6. Future orientations
   
7. Responsibility toward family
   
8. Fear of social disapproval
9. Moral objections to suicide
   
10. History of overcoming adversity
    
11. Responsibility for pet(s)