Nursing Acceleration Challenge Exam (NACE) PN-RN Practice Test

Which factor is most significant in assessing a patient's risk of suicide when they have a history of depression?

1. Long-term history of depression

2. Low socioeconomic status

3. Previous suicide attempts

4. Lack of family support system

The correct answer is: Previous suicide attempts

When evaluating a patient's suicide risk, particularly in the context of a history of depression, previous suicide attempts hold substantial weight in the assessment. A history of attempted suicide serves as a critical indicator that a person may persist in contemplating self-harm or may engage in suicidal behavior in the future. Previous attempts often reveal deeper emotional distress, an inability to cope with mental illness, and a potential pattern of suicidal thoughts or actions. This factor reflects not only the severity of suicidal ideation but also informs about the urgency of intervention needed. Other elements such as a long-term history of depression, low socioeconomic status, and lack of family support can contribute to the overall context of a patient's life and may elevate the risk profile. However, they do not carry the same predictive validity as prior attempts, which are strong predictors of future suicidal behavior. Understanding the patient's specific history of suicide attempts can guide clinical decision-making in a more focused and effective way, allowing for timely and appropriate intervention strategies.