Personality and Mood Disorders Q 4
Clara is under evaluation for imminent suicide risk, which information given by her would be most significant?
A. At least a 2-year history of feeling depressed more days than not.
B. Divorced from spouse six (6) months ago.
C. Feeling loss of energy and appetite.
D. Reference to suicide as best solution to identified problems.
Correct Answer: D. Reference to suicide as best solution to identified problems.
An individual who talks about suicide as a solution to a problem is at high risk. This client’s suicidal threats need to be taken seriously because he does not see any other variable solutions to problems in living. Determine whether the person has any thoughts of hurting him or herself. Suicidal ideation is highly linked to completed suicide.
Option A: A clear and complete evaluation and clinical interview provide the information upon which to base a suicide intervention. Although risk factors offer major indications of the suicide danger, nothing can substitute for a focused patient inquiry. However, although all the answers a patient gives may be inclusive, a therapist often develops a visceral sense that his or her patient is going to commit suicide. The clinician’s reaction counts and should be considered in the intervention.
Option B: A host of thoughts and behaviors are associated with self-destructive acts. Although many assume that people who talk about suicide will not follow through with it, the opposite is true; a threat of suicide can lead to the completed act, and suicidal ideation is highly correlated with suicidal behaviors.
Option C: All of the factors included in the other options would increase the client’s risk for depression; however, actual statements about suicidal intent are red flags indicating imminent danger.