護理師進行自殺風險評估時，下列哪項病人的陳述顯示風險最高？
A nurse is performing a suicide risk assessment. Which of the following statements by the client indicates the highest level of risk?
- AI have been feeling very sad lately and lost interest in my hobbies.我最近覺得很悲傷，也失去了對愛好的興趣。
- BI feel like a burden to my family and wish I could just go to sleep forever.我覺得自己是家人的負擔，真希望我能永遠睡去。
- CI think about ending my life once in a while when things get bad.當情況變糟時，我會偶爾想到結束自己的生命。
- DI have a bottle of medication in my drawer that I plan to take tonight.✓ 正解我的抽屜裡有一瓶藥物，我計劃今晚服用。
自殺風險評估（Suicide risk assessment）的核心在於識別病人的意圖、計畫與取得致命手段（Lethal means）的程度。當病人同時具備「明確計畫」、「取得工具」與「預定執行時間」時，即進入極高危險等級。選項 D 顯示病人已具備自殺所需的手段（藥物）並計畫於當晚執行，這是立即威脅生命的臨床警訊，必須採取自殺防範措施（Suicide precautions）並立即通報。
The core of suicide risk assessment is identifying the client's intent, plan, and access to lethal means. When the client simultaneously has a specific plan, has obtained the means, and has set a time for action, the risk is extremely high. Option D demonstrates that the client has acquired the means (medication) and has set a plan to act that evening, which represents an immediate threat to life and requires implementation of suicide precautions and prompt reporting.