A severely depressed client's risk for self-directed violence increases when:
1. A no-suicide contract is made with the client.
2. The client is encouraged to discuss feelings.
3. The client is asked to discuss the suicide plan.
4. The antidepressant medication begins to work.
4
Rationale: When the antidepressant medication begins to work, the depression begins to lift and the client may have the energy to follow through with self-directed violence. Asking to discuss the suicide plan and encouraging the client to discuss feelings convey care and concern and do not increase the risk of self-directed violence. A no-suicide contract conveys to the client that the staff members want to maintain client safety.
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