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Girard Medical Center

Senior Behavioral Health Services


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Suicidal Risk Factors

Emotional and medical symptoms:

  • Severe depression
  • Feelings of helplessness or hopelessness
  • Substance abuse or mental health disorders
  • Compulsive gambling
  • Delusions or auditory hallucinations commanding self-harm
  • Chronic debilitating or severe illness
  • Severe pain
  • Severe unrelenting anxiety
  • Loss of self-esteem
  • Severe overreaction to stress
  • Lack of impulse control or poor judgment
  • Feelings of rage, hostility, or revenge
  • Repression of angry feelings
  • Severe internal conflicts, such as overwhelming guilt or ambivalence


  • History of abuse
  • Dysfunctional family
  • Relationship difficulties
  • Legal problems or criminal involvement
  • Severe financial problems
  • Recent experience of a serious loss
  • Extreme social isolation
  • Lack of social support
  • Spiritual distress
  • Feeling that there is no future
  • Family history of suicide
  • Previous suicide attempts or threat

Suicidal Plan:

  • Suicidal thoughts or ideation
  • Getting personal business in order or giving away possessions
  • Having a high lethality suicide plan (definite plan, time, place and means to carry out the plan)

Unwillingness to sign a no-suicide contract (contract signed by the client that contains a statement such as, “I will not kill myself in any way, shape, or form for any reason”).