The most helpful response for the nurse to make when a patient being treated as an outpatient states, "I am considering committing suicide" is:
a. "I am glad you shared this. There is nothing to worry about. We will work it out.".
b. "We need to talk more about the things you have to live for, the good in life.".
c. "I think you should admit yourself to the hospital to get help with this.".
d. "Bringing this up is a very positive action on your part. Tell me more.".
D
Stating that the disclosure is a positive step reinforces and validates the patient for making an adaptive response rather than acting on the suicidal impulse. It also encourages the patient to elaborate and provide more specific data on which to assess the patient. It gives neither advice nor false reassurance. It does not involve trite clichés ("the things you have to live for, the good in life") that tend to suggest the patient is wrong or bad for having suicidal ideation, which in turn reduce the patient's willingness to be honest about the ideation.
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