When should additional safety planning or intervention be considered?

The correct answer is grounded in the understanding of the Columbia-Suicide Severity Rating Scale (C-SSRS) and its assessment of suicidal ideation. Questions 3, 4, and 5 specifically evaluate the intensity, frequency, and controllability of suicidal thoughts. A "yes" response to these questions indicates a higher level of risk and urgency regarding the client's suicidal thoughts.

When a client discloses more detailed and severe aspects of their ideation, such as having frequent thoughts or feeling that they may not be able to control their urge to act on those thoughts, it signals a critical need for additional safety planning or intervention. This ensures that appropriate measures are taken to mitigate risk and provide necessary support.

In contrast, while a "yes" on question 1 or 2 could indicate the presence of suicidal thoughts, the implications are not as severe as those indicated by the higher-level questions. Vague suicidal thoughts do not provide enough clarity on the level of risk to necessitate intervention, and having a supportive family can be a protective factor but does not eliminate the need for intervention if the client is experiencing significant suicidal ideation.