Rosh Emergency Medicine Practice Test

What protective factor against suicide is noted in a 72-year-old man with depression?

1. Age

2. Male sex

3. Occupation

4. Religious beliefs

The correct answer is: Religious beliefs

Religious beliefs are often identified as a protective factor against suicide, particularly among older adults facing mental health challenges like depression. The presence of spiritual or religious frameworks can provide individuals with a sense of purpose, community support, and coping mechanisms for dealing with life’s stresses. Furthermore, traditional beliefs often include teachings about the sanctity of life and the potential consequences of suicide, which might discourage suicidal thoughts or actions. It's important to consider how religious participation can enhance social support networks, fostering connections with family, friends, and community members, all of which can be crucial in times of crisis. These supportive relationships can mitigate feelings of isolation and hopelessness that often accompany depression. In contrast, while age itself is sometimes viewed as a protective factor due to accumulated life experiences and potentially stronger coping skills, older adults also face unique challenges such as loss and health issues that could increase vulnerability to suicide. Similarly, male sex, while often associated with higher suicide rates, does not confer inherent protection. Occupation may influence psychological well-being but lacks the broader community support and meaning that religious beliefs can provide.