What communication approach is recommended when addressing suicide during risk assessment?

• A. Indirect language
• B. Use direct language when addressing suicide
• C. Avoid discussing suicide
• D. Question the patient’s family only

Answer: (B)

Direct, clear language is essential when addressing suicide during risk assessment. Asking straightforward questions about thoughts of suicide, intent, and a concrete plan helps illuminate how imminent the danger is and what safety steps are needed. This approach reduces ambiguity, signals that the topic is taken seriously, and invites the patient to disclose specifics that guide immediate care and safety planning. Indirect language can mask risk, and avoiding the topic leaves dangerous possibilities unaddressed. Relying on information only from family shifts the focus away from the patient’s own experience and may miss critical details about the patient’s perspective and current risk. Using open, direct questions—calmly and nonjudgmentally—also supports honest communication and helps tailor interventions such as safety precautions, level of monitoring, or hospitalization when necessary.