What is the priority action for a patient with suicidal ideation?

What is the priority action for a patient with suicidal ideation?

• A. Document and wait.
• B. Address safety concerns regarding suicidal ideation.
• C. Assign seating.
• D. Perform physical exam.

Answer: (B)

The immediate priority is safety. When a patient presents with suicidal ideation, the first action is to assess and address their risk of self-harm right away. This means evaluating whether there is intent, a specific plan, access to means, and timing, along with available supports and protective factors. Based on that risk assessment, promptly implement safety measures: ensure the patient isn’t left alone, remove or limit access to lethal means, involve crisis or mental health services, and consider inpatient or crisis stabilization if there is significant risk. Collaborate on a safety plan with the patient and their supports, and arrange appropriate follow-up. Documenting and waiting does not reduce imminent danger and leaves the patient vulnerable. Assigning seating is irrelevant to safety, and while a physical exam is important for overall care, it does not address the immediate risk of self-harm.

The immediate priority is safety. When a patient presents with suicidal ideation, the first action is to assess and address their risk of self-harm right away. This means evaluating whether there is intent, a specific plan, access to means, and timing, along with available supports and protective factors. Based on that risk assessment, promptly implement safety measures: ensure the patient isn’t left alone, remove or limit access to lethal means, involve crisis or mental health services, and consider inpatient or crisis stabilization if there is significant risk. Collaborate on a safety plan with the patient and their supports, and arrange appropriate follow-up.

Documenting and waiting does not reduce imminent danger and leaves the patient vulnerable. Assigning seating is irrelevant to safety, and while a physical exam is important for overall care, it does not address the immediate risk of self-harm.