What assessment should be prioritized if a client shows suicidal ideation with intent?

When a client exhibits suicidal ideation accompanied by intent, prioritizing the gathering of details about their plan is crucial. This assessment helps the clinician understand the level of risk and the immediacy of the situation. Knowing the specifics of a plan—such as the means, method, timing, and location—provides vital information that can guide the intervention approach.

This level of detail enables the clinician to evaluate whether the client has taken concrete steps toward carrying out their thoughts, which significantly influences the urgency of the response. In situations where there is intent combined with a plan, the risk of suicide is considerably higher, emphasizing the need for immediate and appropriate action.

In contrast, while assessing the support system, exploring coping mechanisms, and encouraging reassurance from family are all important components of a comprehensive risk assessment and intervention strategy, they do not address the immediate risk factors as directly as gathering details about the plan does. Understanding the specifics of how a client intends to carry out their suicidal thoughts is paramount for ensuring their safety and implementing effective interventions.