Registered Practical Nurse (RPN) Practice Test

What is a major factor contributing to high suicide rates among older adults?

1. Lack of social engagement

2. A stronger intent to die

3. Chronic illness

4. Financial instability

The correct answer is: A stronger intent to die

A significant factor contributing to high suicide rates among older adults is a stronger intent to die. Research indicates that older individuals often face unique psychological stresses and existential concerns, such as feelings of hopelessness, loss of purpose, or facing the inevitability of death. This heightened intent can stem from a culmination of experiences, including bereavement, social isolation, and perceived burdensomeness. While factors like chronic illness, financial instability, and lack of social engagement can contribute to depressive symptoms and feelings of despair, they are often associated with underlying issues rather than directly influencing the intent to end one's life. Individuals with chronic illness may experience significant physical and emotional pain, but this does not inherently equate to a stronger desire to die. Similarly, financial challenges can create stress and anxiety but do not necessarily correlate with a definitive intention for self-harm. Lack of social engagement can lead to loneliness, yet loneliness alone is not sufficient to drive a person toward suicide without the compounding influence of deeper mental health issues and a firm intent to die. In essence, while each of these factors plays a role in the overall mental health landscape of older adults, the specific concept of a stronger intent to die is pivotal when considering the direct implications for suicide risk in this population.