A school nurse is speaking to the mother of a 16-year-old male adolescent. The mother has concerns about her son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?

Choice A Reason:Being very religious and attending services twice a week is generally considered a protective factor against suicide. Religious involvement often provides a sense of community, support, and purpose, which can help mitigate feelings of isolation and hopelessness. Studies have shown that individuals who are actively involved in religious activities tend to have lower rates of suicide compared to those who are not. Therefore, this statement does not indicate a risk for suicide.Choice B Reason:The statement "His cousin committed suicide a few weeks ago" is a significant risk factor for suicide. Exposure to suicide, especially within the family, can increase the risk of suicidal thoughts and behaviors in adolescents. This phenomenon, known as suicide contagion or the "Werther effect," suggests that individuals who are close to someone who has died by suicide are at a higher risk of attempting suicide themselves². The emotional impact of losing a loved one to suicide can lead to feelings of grief, guilt, and hopelessness, which are strong predictors of suicidal behavior.Choice C Reason:Sleeping 9 hours each night for the past 2 years is within the normal range for adolescents. According to the National Sleep Foundation, teenagers aged 14-17 years typically need 8-10 hours of sleep per night. Consistent sleep patterns are generally a sign of good mental and physical health. Therefore, this statement does not indicate a risk for suicide.Choice D Reason:Spending much of his time with his two school friends suggests that the adolescent has a social support network, which is a protective factor against suicide. Social connections and friendships can provide emotional support, reduce feelings of loneliness, and increase a sense of belonging. Adolescents with strong social ties are less likely to experience severe depression and suicidal ideation. Hence, this statement does not indicate a risk for suicide.