Which of the following is NOT a factor in the SAD PERSONS assessment?

The SAD PERSONS assessment is a clinical tool used to evaluate the risk of suicide by examining various risk factors associated with suicidal behavior. The acronym "SAD PERSONS" stands for various elements such as Sex, Age, Depression, Previous attempts, Ethanol use, Rational thinking loss, Social support lacking, Organized plan, No spouse, and Sickness.

In considering the given options, social media usage does not appear among the traditional or recognized components of this assessment. The assessment primarily focuses on demographic factors (like sex and age), mental health status (such as depression), history of substance use, and social support systems. While social media can indeed have implications for mental health and could be considered in broader discussions about risk factors, it is not a direct component of the SAD PERSONS assessment as it is currently understood in psychiatric practice.

Thus, identifying social media usage as not being part of this specific assessment aligns with the fundamental structure and purpose of the SAD PERSONS tool, which is to distill risk into core factors that have been more conclusively linked to suicidal behavior.