A 67-year-old patient presents to the clinic for an initial visit and reports the death of their spouse. The patient

A 67-year-old patient presents to the clinic for an initial visit and reports the death of their spouse. The patient reports four prior intense, but short-lived, marriages. The patient’s children generally refuse contact, citing a history of mental instability and an inability to consistently provide care for others. The patient reports a long history of short bouts of depression, coupled with short periods of happiness and extreme anger that have been present since young adulthood. The patient reports multiple past suicide attempts and chronic passive suicidal ideations, which have become more frequent with this death. The patient feels chronically empty and intensely fears being alone, which has also worsened with this recent death. Since this death, the patient has started drinking and driving recklessly, stating that they no longer care if this behavior results in their death. The nurse practitioner plans to offer the most widely used psychotherapy for this patient’s suspected diagnosis, including its group component. Which of the following psychological risk factors for suicide is the most important to assess for when determining whether this patient may benefit from such a group? Financial distress Grief over a spouse Past suicide attempts Poor coping skills