護理師評估一位憂鬱症個案。下列哪些敘述顯示其有自殺風險？（選所有適合的）
A nurse is interviewing a client diagnosed with depression. Which statements by the client indicate a risk for suicide? (Select all that apply.)
- AI have been writing my will and giving away my favorite things✓ 正解我已經在寫遺囑並送掉我最喜歡的東西
- BI feel much better now that I have made my decision✓ 正解既然我已經做了決定，現在感覺好多了
- CMy family would be better off without me✓ 正解如果沒有我，我的家人會過得更好
- DI am sleeping through the night for the first time in weeks這是我幾週來第一次整夜安睡
- EI am planning to start a new hobby next month我計畫下個月開始培養新的興趣
自殺高風險指標包括：處理遺產或贈送珍貴物品（準備告別）、心情突然好轉（因已做出自殺決定而感到解脫）、以及否定自我價值。選項 D 與 E 顯示病情穩定或有未來計畫，不屬於自殺高風險敘述。護理師需高度警覺這些隱晦的自殺警訊，進行進一步的自殺意念評估。
High-risk indicators for suicide include arranging affairs or giving away valuable possessions (preparing to say goodbye), sudden mood improvement (relief after making the decision to end life), and devaluation of self-worth. Options D and E indicate stabilization or future-oriented planning and are not high-risk statements. The nurse must remain highly vigilant about these subtle suicide warning signs and conduct further assessment of suicidal ideation.
台灣心理衛生資源較分散，護理師需更主動連結社工資源，美國則有成熟的 Case Manager 機制。