A nurse is assisting with the development of a community health education class about suicide prevention. Which of the following information should th nurse identify as risk factors for suicide? (Select all that apply.)

A. Depression is characterized by persistent feelings of sadness, loss of interest or pleasure in activities, changes in sleep and appetite, and difficulties with daily functioning. However, depression alone might not fully explain the abrupt change if there were no prior context of mood swings or manic behavior.
B. Bipolar disorder is marked by extreme mood swings that include manic or hypomanic episodes and depressive episodes. The observed behaviors—active participation and high energy followed by a
sudden shift to tearfulness and withdrawal—are consistent with the mood cycling seen in bipolar disorder. The manic or hypomanic phase could explain the previous high level of activity, while the depressive phase explains the sudden refusal to engage and withdrawal.
C. Psychotic behavior involves a loss of touch with reality, including hallucinations, delusions, and disorganized thinking. The behaviors described (active participation and then sudden withdrawal) do not specifically indicate psychosis.
D. Dysthymic disorder (now referred to as Persistent Depressive Disorder in the DSM-5) is characterized by a chronic, mild depression lasting for at least two years. It typically involves a more consistent, persistent low mood rather than the abrupt shifts seen in bipolar disorder.

A. Suicide rates do differ by gender and age but the statement about fathers and mothers does not align with typical statistics. Fathers and mothers are not usually the primary focus of such comparisons.
B. Statistics show that while women attempt suicide more frequently than men, men are more likely to complete suicide. This is often attributed to the methods used, as men typically choose more lethal means, resulting in higher completion rates.
C. Adolescent mothers and fathers are not typically the groups compared in this context. The frequency and success of suicide attempts are generally analyzed with a broader demographic perspective, not specifically focused on adolescent parents.
D. Adult men are more likely to complete suicide, but women generally attempt suicide more frequently than men. The completion rate for suicide is higher among men compared to women.