> **Features of suicide risk**
> - hopelessness and despair (OR 2.2)
> - thoughts that life is not worth living
> - passive wish to die
> - serious suicidal ideation - 30% (OR 2.7)
> - specific suicide plan - 15%
> - previous suicide attempt - 66%
*General risk factors*
- demographic
- Male (OR 2.6)
- [[Aboriginal health|Indiginous background]]
- in custody
- psychiatric diagnosis (OR 3.5)
- present in 90% of completed suicides
- depression in 80% (OR 2.2)
- psycosis
- substance abuse
- availability of effective means eg recent firearm purchase (OR 3)
- social isolation
- previous self harm (OR 4.8 if also depressed)
- experiences of adversity
- humiliation
- social and educational disadvantage
- family history of psychiatric illness
- poor relationships with parents
- criminal history
- [[sexual assault|sexual abuse]]
- conflicts with sexual identity
- recent disruption of a personal relationship
- recent hospitalisation for mental illness <6 weeks ago
**IPMO** - *lethality risk factors; ↑ risk in immediate term*
- intention
- Plan
- motivation
- opportunity
**SADPERSONS**
Sex - male
Age <20 or >40
Depression history
prev attempts
EtOH and drug abuse
Rational thinking loss
Social supports absent
organised plan
no spouse
sickness/chronic medical conditions
> 7 and higher high risk
**factors that may protect against further suicide attempts**
support
awareness
future-oriented
engaged in process