TY - JOUR
AU - M. Gayol
AU - G. Zangaro
A1 - 
AB - OBJECTIVES: Suicide remains a significant public health challenge in the United States and globally, with risk influenced not only by mental health conditions but also by social and structural factors. This analysis examines how social determinants of health contribute to suicide risk and identifies evidence-supported nurse practitioner (NP) interventions that may reduce vulnerability in primary care settings. METHODS: A theory-based analysis was conducted using the World Health Organization Social Determinants of Health framework, the Stress Process Model, and Joiner's Interpersonal Theory of Suicide to examine how social conditions influence suicide risk and to identify opportunities for NP intervention. RESULTS: Economic hardship contributes to chronic stress and perceived burdensomeness, social isolation weakens protective belongingness, and limited access to behavioral health services delays treatment of depression and suicidal ideation. Evidence supports NP-led strategies, including social determinants screening, collaborative care models, integrated behavioral health services, and structured suicide risk assessment protocols as practical approaches to addressing these risks. CONCLUSION: Effective suicide prevention requires expanding beyond symptom management to include upstream social risk factors. Nurse practitioners are well-positioned to lead these efforts through early identification, integrated care delivery, and whole-person primary care models addressing both clinical and social drivers of suicide risk.
AD - Samuel Merritt University, Oakland, CA, USA.; Johns Hopkins University, Baltimore, MD, USA.
AN - 41986251
BT - J Prim Care Community Health
C5 - Education & Workforce; Healthcare Disparities
DA - Jan-Dec
DO - 10.1177/21501319261438754
DP - NLM
ET - 20260415
JF - J Prim Care Community Health
LA - eng
N2 - OBJECTIVES: Suicide remains a significant public health challenge in the United States and globally, with risk influenced not only by mental health conditions but also by social and structural factors. This analysis examines how social determinants of health contribute to suicide risk and identifies evidence-supported nurse practitioner (NP) interventions that may reduce vulnerability in primary care settings. METHODS: A theory-based analysis was conducted using the World Health Organization Social Determinants of Health framework, the Stress Process Model, and Joiner's Interpersonal Theory of Suicide to examine how social conditions influence suicide risk and to identify opportunities for NP intervention. RESULTS: Economic hardship contributes to chronic stress and perceived burdensomeness, social isolation weakens protective belongingness, and limited access to behavioral health services delays treatment of depression and suicidal ideation. Evidence supports NP-led strategies, including social determinants screening, collaborative care models, integrated behavioral health services, and structured suicide risk assessment protocols as practical approaches to addressing these risks. CONCLUSION: Effective suicide prevention requires expanding beyond symptom management to include upstream social risk factors. Nurse practitioners are well-positioned to lead these efforts through early identification, integrated care delivery, and whole-person primary care models addressing both clinical and social drivers of suicide risk.
PY - 2026
SN - 2150-1319 (Print); 2150-1319
SP - 21501319261438754
ST - The Role of Nurse Practitioners in the Reframing of Suicide Risk
T1 - The Role of Nurse Practitioners in the Reframing of Suicide Risk
T2 - J Prim Care Community Health
TI - The Role of Nurse Practitioners in the Reframing of Suicide Risk
U1 - Education & Workforce; Healthcare Disparities
U3 - 10.1177/21501319261438754
VL - 17
VO - 2150-1319 (Print); 2150-1319
Y1 - 2026
ER -