The strongest risk factors identified were social isolation (OR=4.0, 95% CI 2.1 to 7.7), unemployment (OR=3.8, 95% CI 2.7 to 5.2) and low socioeconomic status (OR=2.8, 95% CI 1.8 to 4.2). Gathering the means to attempt suicide, such as buying a gun or stockpiling pills. Writing a suicide note. Increasing self-destructive or harmful behavior, such as reckless driving or increased drug or alcohol use. Giving away their belongings or writing a list of instructions for giving away belongings after they die.