Table 1: Risk and protective factors in suicide risk assessment

Long-term risk factors

Genetic or biological influences

  • Family history of depression
  • Family history of alcohol or other substance misuse

Psychological characteristics

  • Black-and-white, all-or- nothing, or rigid thinking
  • Excessive perfectionism
  • Hopelessness, with bleak and pessimistic views of the future
  • Impulsivity, tending to do things on the spur of the moment
  • Low self-esteem with feelings of worthlessness
  • Poor problem solving skills, with difficulty in thinking of alternative solutions

Social influences

  • Family history of suicide or attempted suicide
 

Short-term risk factorsSocio-environmental factors

  • Divorced, separated or widowed
  • Being older and/or retired
  • Having little social support
  • Being unemployed

Psychiatric diagnosis

  • Depression
  • Substance misuse (including alcohol)
  • Schizophrenia (Also personality disorders, obsessive-compulsive disorder, panic attacks or panic disorder)
 

Protective factors

  • The absence of risk factors
  • Opposites of dysfunctional psychological characteristics

Additional protective factors

  • Hopefulness
  • Receiving mental health care
  • Having responsibility for children
  • Having strong social supports and feeling supported
 

Precipitating factors

  • Recent loss or separation
  • Imprisonment or threat of imprisonment
  • Interpersonal problems, particularly humiliating social events
  • Recent job loss
  • Recent reminders of past deaths or other significant losses
  • School or work problems
  • Unwanted pregnancy
  • Financial problems
  • Health concerns
 
Source: Adapted from "Suicide risk: A guide for primary care and mental health staff", by Newcastle, N. Tyneside and Northumberland Mental Health NHS Trust.