Family Nurse Practitioner Exam

Which of the following factors is a true risk factor for suicide?

1. High social support

2. Past history of substance abuse

3. High level of physical activity

4. Recent marriage

The correct answer is: Past history of substance abuse

A past history of substance abuse is considered a true risk factor for suicide due to its significant association with mental health disorders, including depression and anxiety, which can escalate suicidal thoughts and behaviors. Substance abuse can impair judgment, reduce the ability to cope with stress, and increase impulsivity, all of which may contribute to a higher risk of suicide. Individuals with a history of substance abuse may also experience withdrawal symptoms or relapses that exacerbate their mental health challenges, making them more vulnerable to suicidal ideation. In contrast, high social support typically acts as a protective factor against suicide, providing individuals with emotional and practical resources to manage stress. High levels of physical activity are also linked to improved mental health and can reduce the risk of depression, thus lowering the risk of suicide. Recent marriage, while it may carry various emotional implications, generally contributes to stability and support and is not identified as a suicide risk factor.