Many factors may combine to lead to a suicidal crisis, including:

• Mental health issues/substance abuse problems
• Being male
• Family history and/or exposure to suicide or mental health issues
• Previous suicide attempt
• Abuse (physical, drug, domestic)
• Losses (family, friends, work, financial, etc.)
• Being widowed, divorced or a suicide survivor
• Aggressive or impulsive behavior
• Lack of support structures
• Poor help-seeking skills
• Access to means for self-injury
• Difficulties in dealing with sexual orientation
• Physical illness
• Family disruptions (divorce, problems with the law, a traumatic event)