What should be done if a patient expresses suicidal ideation during an assessment?

When a patient expresses suicidal ideation during an assessment, it is crucial to take their feelings seriously and evaluate the situation thoroughly. This approach acknowledges the severity of their distress and the risk they may face. A careful assessment allows for a better understanding of the patient's mental state, the context behind their suicidal thoughts, and any potential plans or means they may have considered for acting on these thoughts.

Taking the situation seriously promotes a trusting relationship between the clinician and the patient, which is vital for effective intervention. It also ensures that necessary steps can be taken, such as safety planning, further evaluation, or referral to mental health services, tailored to the immediate needs of the patient.

Reassuring a patient that things will get better without conducting a proper evaluation may minimize their feelings and could lead to an increased risk of harm. Referring them to group therapy outright does not address the immediate concern of their suicidal thoughts, and telling them to distract themselves may provide little support or understanding for their current emotional pain. Therefore, a thorough evaluation of the situation is the most appropriate response when a patient expresses suicidal ideation.