Review Question - QID 214435

A 36-year-old African American man presents to the emergency department with his wife because she is concerned about his mood. She says that he he has a history of depression, and he has seemed very distant since losing his job 1 month ago. She became extremely concerned after he casually remarked today that he would be better off dead, thus prompting her to bring him to the hospital for evaluation. On presentation, he is found to be somewhat disheveled with a flat affect. His past medical history is significant for mild hypertension and diabetes for which he takes lisinopril and metformin. Which of the following aspects is a risk factor for successful suicide completion in this patient?