The nurse is conducting a follow-up interview with a client who is being treated for depression and suicidal ideation. Which factor best indicates the client is not currently at risk for suicide?

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Clients receiving treatment for depression and suicidal ideation must be carefully monitored for indications of increasing intent. During the client interview, the nurse should assess: Access to psychiatric medications Availability of help during a crisis (eg, counselor, family) Future goals and plans Home and work environment risks Overall affect and level of energy Possible access to weapons Clients who articulate long-term personal goals and family milestones are less likely to commit suicide (Option B). (Option A) Clients often feel more energetic after beginning treatment, yet thoughts of suicide may not have fully resolved and the client may now have the energy to follow through with suicide plans. (Option C) "No-harm/no-suicide" contracts are widely used in clinical practice to support a client's ability to avoid acting on suicidal thoughts. This practice is controversial as there is no evidence that contracts reduce suicide rates. These agreements do not guarantee safety and have no legal credibility. (Option D) Amitriptyline is a tricyclic antidepressant, an overdose of which is extremely dangerous and likely fatal. Although the nurse may interpret the client's report of having lost the prescription as an attempt to be compliant, the nurse must also be aware that the client may be "stockpiling" medication for a suicide attempt. Educational objective: Nursing care for clients with suicidal ideation includes assessment of home and work environments, access to psychiatric medications, overall affect, and energy level. Clients who articulate long-term personal goals are less likely to commit suicide.

The Nurse Is Conducting a Follow-Up Interview with a Client