A nurse in a mental health clinic is collecting data from a client to determine the client's risk for suicide. Which of the following findings should the nurse identify as a risk factor for suicide? (Select all that apply.)

A. Terminal liver cancer: Chronic or terminal illnesses can increase the risk of suicide due to pain, loss of independence, and feelings of hopelessness. Clients facing life-limiting conditions may experience emotional distress that contributes to suicidal ideation. B. Sibling history of suicide: A family history of suicide is a known risk factor, as genetic predisposition and learned behaviors can increase vulnerability. Having a sibling who died by suicide elevates the client’s risk compared to the general population. C. Access to guns in the home: Ready access to lethal means, such as firearms, significantly increases the risk of suicide. The presence of guns facilitates impulsive actions and higher fatality rates in suicide attempts. D. Alcohol use disorder: Alcohol impairs judgment, increases impulsivity, and can exacerbate depression, all of which heighten suicide risk. Substance use disorders are commonly associated with suicidal behavior and attempts. E. Currently married: Being married is generally considered a protective factor against suicide due to social support and connectedness. Marriage alone does not increase suicide risk and often decreases vulnerability compared to isolation or single status.