Clinical Practice SWES Practice Exam

Which of the following is a critical consideration when assessing a suicidal patient?

1. The patient's insight into their condition

2. The patient’s support system

3. The patient's levels of energy and motivation

4. The duration of their depressive episodes

The correct answer is: The patient's levels of energy and motivation

When assessing a suicidal patient, considering the patient's levels of energy and motivation is critical because these factors directly influence their capability to carry out suicidal thoughts or plans. A patient with low energy and motivation may lack the means or drive to act on suicidal ideation, while an increase in energy may coincide with a heightened risk, particularly if it follows a period of severe depression. Understanding the patient's current state can help clinicians gauge the immediacy of the risk and tailor interventions accordingly. Other options, while relevant in a broader assessment, do not capture the immediate aspects of suicide risk as effectively as the levels of energy and motivation. For instance, insight into their condition may indicate awareness but does not necessarily correlate with suicidal intent. Similarly, a support system can offer protective factors, but if the patient’s energy is low, they may still be at risk despite having a network. Lastly, the duration of depressive episodes provides context for their mental health history but does not directly inform about their current state and risk level.