What signifies 'Active Thoughts of Killing Oneself'?

'Active Thoughts of Killing Oneself' is characterized by the presence of thoughts regarding self-harm or suicide in a concrete manner. This includes thinking about the act itself, which may involve contemplating how one would go about committing suicide, even if specific methods or plans are not fully formed. The essence of this state is that the individual is actively engaged in thoughts surrounding the possibility of taking their own life, thus reflecting a higher level of risk than mere feelings of hopelessness.

The other options pertain to feelings or actions that do not directly reflect the critical aspect of 'active thoughts.' For instance, feelings of hopelessness (the first option) are indeed significant risk factors but do not specifically involve the willingness to act on those thoughts. Seeking professional help (the third option) shows a proactive approach to dealing with distress but does not imply the presence of active suicidal thoughts. Desiring attention from others (the fourth option) may indicate underlying emotional turmoil, but it does not necessarily correlate directly to thoughts of killing oneself.