The nurse working with children and adolescents who talk about suicide intentions is aware that those at highest risk of completing the suicide are those who:
a. have a single caregiver who psychologically abuses them
b. suffer from depression or some mood disorder
c. describe a plan to use a firearm and have access to a firearm and ammunition
d. are talking about saving up some of their pills and taking them all at once
C
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A Incorrect: Children and adolescents with a history of physical or sexual abuse, not psychological abuse, are at higher risk for suicide but not the highest.
B Incorrect: Children and adolescents who suffer from depression or some mood disorder are at higher risk for suicide but not the highest.
C Correct: Children and adolescents who are at the highest risk for suicide have a well-thought-out plan that includes the method, place, time, clear intent, and no rescue plan. The degree of intent is related to the lethality of the method. Use of a firearm has a high degree of lethality, and access to a firearm and ammunition further increases the chance of a successful suicide.
D Incorrect: Children and adolescents who talk about saving up some of their pills and taking them all at once are not at the highest risk for suicide.
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