Lippincott Mood Disorders Practice Exam 2025 – The Complete All-in-One Guide to Mastering Your Exam!

When assessing a client with suicidal thoughts, the presence of a specific plan for suicide is a critical indication of imminent danger to self. A specific plan demonstrates that the individual has not only considered suicide but has also articulated a defined method, time, and means of carrying out the act. This level of planning suggests a higher degree of intent and preparedness compared to merely contemplating suicide or expressing general feelings of hopelessness.

In contrast, while having a history of past attempts can indicate potential risk, it does not necessarily mean current plans are in place. Expressing feelings of hopelessness is also a risk factor, but on its own, it does not specify how determined the individual might be to act on those feelings. Furthermore, having social support from family can often provide a protective factor that may decrease the likelihood of suicide; it indicates a safety net that may help the individual cope with their emotions. Thus, among the options presented, the existence of a specific plan is the most alarming sign of potential immediate risk.