A nurse is caring for a client who has a history of suicide attempts. Which of the following findings places the client at risk for another suicide attempt? (Select all that apply.)
Explanation & Rationale
Choice A reason: Hallucinations, particularly if they are distressing or command hallucinations, can increase the risk of suicide attempts. Choice B reason: Depression is a major risk factor for suicide. Clients with a history of depression are at higher risk for attempting suicide again. Choice C reason: Delusions, especially those that are paranoid or persecutory, can contribute to suicidal thoughts and behaviors. Choice D reason: Catatonia, a state of psychomotor disturbance, can be associated with severe depression and increase the risk of suicide. Choice E reason: Tinnitus, while distressing, is not typically a direct risk factor for suicide attempts. It may contribute to overall distress but is not a primary indicator of suicide risk.