The risk factors that would increase concern that Mark could be depressed and possibly thinking about suicide include:
1. Mark failed his first test in Social Studies - academic difficulties can contribute to feelings of low self-esteem and hopelessness, which are common symptoms of depression.
2. Mark has been bullied at school for years - experiencing persistent bullying can have a profound negative impact on one's mental health, leading to depression and increased risk of suicide.
3. Mark goes to church with his family once a month - although religious/spiritual involvement can have protective effects on mental health, it does not guarantee immunity from depression or suicidal thoughts.
4. Mark volunteers to help feed the homeless - while altruistic activities can promote well-being, it is important to consider if Mark's volunteering is potentially a sign of a coping mechanism rather than genuine enjoyment or fulfillment. If Mark feels empty or unable to find joy in activities he previously enjoyed, it may be indicative of depression.