Suicide Risks

(M1.PY.17.4728) A 69-year-old woman presents to the clinic with one week of suicidal ideation. She has a history of depression that began after her husband passed away from a motor vehicle accident seven years ago. At the time, she attempted to overdose on over-the-counter pills, but was able to recover completely. Her depression had been adequately controlled on sertraline until this past week. Aside from her depression, she has a history of hypertension, which is controlled with hydrochlorothiazide. The patient is retired and lives alone. She spends her time gardening and is involved with her local community center. On further questioning, the patient states that she does not have an organized plan, but reveals that she did purchase a gun two years ago. She denies tobacco, alcohol, or illicit substances. Which of the following is this patient’s most significant risk factor for completed suicide?