When assessing a client with suicidal ideation, which sign indicates a higher risk?

The identification of a recent loss or significant life change as a marker for higher risk in clients with suicidal ideation is well-supported by clinical research and practice. Losses, such as the death of a loved one, divorce, job loss, or other significant changes, can lead to feelings of hopelessness and despair, which are major factors in suicidal behavior. This situational context can intensify emotional distress and disrupt an individual’s coping mechanisms, making them more vulnerable and potentially leading to thoughts of suicide as a way to escape from overwhelming pain.

In contrast, expressing a desire to speak about family issues or discussing future plans and aspirations may indicate an openness to working through problems or a sense of purpose, thereby suggesting a lower risk of suicide. Maintaining a positive outlook on life generally correlates with resilience and protective factors against suicidal ideation. Therefore, the presence of recent losses or significant life changes distinctly elevates the risk and warrants immediate and thorough assessment and intervention.