A nurse is caring for a client who has a history of suicide attempts. Which of the following findings place the client at risk for another suicide attempt? (Select all that apply.)

Choice A rationale: Hallucinations, specifically command hallucinations, significantly increase suicide risk. If a client hears voices instructing them to harm themselves, they may feel compelled to act on those internal commands despite their own desires. Choice B rationale: Depression is a primary risk factor for suicide attempts. The profound feelings of hopelessness, worthlessness, and despair associated with depressive disorders often lead individuals to view suicide as the only solution to their pain. Choice C rationale: Delusions can elevate suicide risk, particularly those involving persecution or somatic themes. A client may attempt suicide to escape imagined threats or because they believe they possess a terminal, agonizing illness that does not exist. Choice D rationale: Catatonia typically involves extreme motor immobility or purposeless hyperactivity, often accompanied by mutism. While a severe manifestation of mental illness, it is not a direct, primary independent predictor of an active suicide attempt. Choice E rationale: Tinnitus, which is a ringing or buzzing in the ears, is a physical symptom. While chronic or severe tinnitus can cause significant distress or secondary depression, it is not a standard clinical risk factor for suicide.