What behavior would indicate that a client is at high risk for suicide?

The indication that a client is at high risk for suicide is often linked to the immediacy and lethality of their recent actions. A recent suicide attempt, particularly one involving a lethal method, serves as a significant warning sign and is associated with an increased risk of future attempts. This behavior suggests a serious intent to end one's life and often reflects deep psychological distress or hopelessness.

Clients who have engaged in a recent attempt with a lethal method are more likely to have a heightened risk because it demonstrates not only a desire to die but also the means by which they attempted it. This detail signifies that the individual may still be in crisis and could attempt again if their mental health issues are not adequately addressed.

In contrast, expressing guilt about a past attempt indicates awareness and reflection on suicidal behaviors but does not necessarily imply current risk. Feeling in control of suicidal thoughts suggests that the individual is managing their feelings, which typically denotes a lower risk. Worrying about family reactions might reflect concern for loved ones but isn't directly tied to an immediate risk for self-harm. Thus, recent attempts with lethal methods are a critical factor in assessing suicide risk, underscoring the importance of immediate intervention and support.