مريض اكتئاب قال للممرضة: «أبي أنهي حياتي، وعندي حبوب في البيت جمعتها». ما الأولوية؟

A depressed client tells the nurse, “I want to end my life, and I’ve saved up pills at home.” What is the priority?

1. Ask directly about the plan and keep him under constant observation
2. Promise to keep what he said secret so he trusts her
3. Change the subject to positive things to lift his mood
4. Get a no-suicide contract and check on him hourly

Answer: A) Ask directly about the plan and keep him under constant observation. A plan and means greatly raise risk. Asking directly does not increase risk but clarifies it, and safety requires constant observation, removing means and informing the team. Confidentiality does not apply to suicide risk, and no-suicide contracts do not protect the client.