Suicide: Risk and Protective Factors
A combination of individual, relational, community, and societal factors contribute to the risk of suicide. Risk factors are those characteristics associated with suicide—they may or may not be direct causes.
- Family history of suicide
- Family history of child maltreatment
- Previous suicide attempt(s)
- History of mental disorders, particularly clinical depression
- History of alcohol and substance abuse
- Feelings of hopelessness
- Impulsive or aggressive tendencies
- Cultural and religious beliefs (e.g., belief that suicide is noble resolution of a personal dilemma)
- Local epidemics of suicide
- Isolation, a feeling of being cut off from other people
- Barriers to accessing mental health treatment
- Loss (relational, social, work, or financial)
- Physical illness
- Easy access to lethal methods
- Unwillingness to seek help because of the stigma attached to mental health and substance abuse disorders or to suicidal thoughts
Protective factors buffer individuals from suicidal thoughts and behavior. To date, protective factors have not been studied as extensively or rigorously as risk factors. Identifying and understanding protective factors are, however, equally as important as researching risk factors.
- Effective clinical care for mental, physical, and substance abuse disorders
- Easy access to a variety of clinical interventions and support for help seeking
- Family and community support (connectedness)
- Support from ongoing medical and mental health care relationships
- Skills in problem solving, conflict resolution, and nonviolent ways of handling disputes
- Cultural and religious beliefs that discourage suicide and support instincts for self-preservation
(U.S. Public Health Service 1999)
- DeLeo D, Bertolote J., Lester, D. Self-directed violence. Chapter 7. In: Krug EG., Dahlberg LL., Mercy JA., Zwi A., Lozano R., eds.. World report on violence and health. Geneva: World Health Organization; 2002. Available athttp://www.who.int/violence_injury_prevention/violence/global_campaign/en/chap7.pdf [PDF 239 KB].
- Goldsmith SK, Pellmar TC, Kleinman AM, Bunney WE, eds. Reducing suicide: a national imperative. Washington DC: National Academy Press; 20027. Available athttp://www.nap.edu/books/0309083214/html/.
- McLean, J., Maxwell, M., Platt, S., Harris, F., and Jepson, R. Risk and Protective Factors for Suicide and Suicidal Behaviour: a Literature Review. Scottish Government Social Research. Edinborough. 2008. Available athttp://www.scotland.gov.uk/Publications/2008/11/28141444/0.
- U.S. Public Health Service. The surgeon general’s call to action to prevent suicide. Washington (DC): US Department of Health and Human Services; 1999. Available athttp://www.surgeongeneral.gov/library/calltoaction/default.htm.