The biological factors are familial risk and other health indicators. Predisposing factors are major psychiatric syndromes, substance use and abuse, his personality profile, abuse syndromes and severe mental or neurological illness. Proximal factors are the primary result and reaction of experiencing either familial or predisposing factors. They are hopelessness, intoxication, impulsiveness and aggressiveness, negative expectancy and severe chronic pain. Immediate triggers are those reactions that instantly make the individual change his made towards suicide. These are public humiliation or shame, access to weapons, severe defeat, major loss and worsening prognosis.
Once the periods of risk are identified, a specific suicide evaluation will be done to know the degree or magnitude of risk the person is in. The interference that will be done, then, depends on the degree of risk. Identifying the periods of risk in a subject’s life is the predicting part. The assessment part is in response to the identifying part. If there are identified periods of risk and an increase of these periods, then the next step would be evaluation and prevention.
There are certain risk factors present in a subject’s period of risk that makes him a primary candidate of a suicide attempt. When one has been in a near lethal suicide attempt already, availability of firearms, written suicide notes are the signs of highest risk people. Having a major mental illness or psychological disorder creates a higher risk.
Strong predictors of a suicide in the period of risk in depression are hopelessness, mood cycling, turmoil, unusual thinking and no belief improvement. Weak predictors are those factors that a person may experience but may or may not result to depression, and eventually, suicide. Suicide ideation, on the other hand, is a poor predictor since intent has hidden information still that one must coax out to be understood. A prior suicide attempt is also a poor predictor