If a client has suicidal ideation without an attempt, what does this indicate?

When a client has suicidal ideation without a previous attempt, it indicates that they may be experiencing a desire to end their life, which is reflected in their thoughts but has not yet translated into actions. This situation signifies an important aspect of their psychological state, where they may feel overwhelmed by distressing emotions or situations, leading them to contemplate suicide as a solution.

Option B highlights the critical understanding that these thoughts can represent a real wish to die, even if the individual has not taken any steps to harm themselves physically. It reflects a significant level of distress and a potential risk factor for future suicidal behavior if not addressed appropriately. Recognizing and validating this experience is crucial in assessing and providing supportive interventions for the client.

Understanding that suicidal ideation, irrespective of attempts, signifies a serious concern is essential for effective risk assessment and intervention planning. Thus, mental health professionals prioritize early identification and intervention for individuals expressing such thoughts to ensure they receive the necessary support and resources.