An indicator that the suicidal patient is exercising suicide self-restraint is:
a. adherence to antidepressant therapy.
b. agreeing to sign a no-suicide contract.
c. disclosing a plan for suicide to staff.
d. expressing feelings of hopelessness to the nurse.
C
Admitting a plan for suicide to staff is an indicator of self-restraint. By admitting that a plan exists, the patient enables staff to take appropriate measures to prevent the patient from carrying out the plan. Patients may comply with antidepressant therapy and still make suicide attempts and may sign no-suicide contracts, knowing they will make a later suicide attempt. Expressing hopelessness does not indicate suicide self-restraint.
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