憂鬱症病人若出現哪些跡象，代表其自殺風險升高？（選所有適合的）
Which assessment findings indicate that a client with depression is at increased risk for suicide? (Select all that apply.)
- AGiving away personal belongings✓ 正解贈送個人財物
- BSudden, unexplained improvement in mood✓ 正解情緒突然不明原因地改善
- CIncreased social engagement with peers增加與同儕的社交互動
- DVerbalizing a specific suicide plan✓ 正解口頭表達具體的自殺計畫
- ESleeping more than usual比平常睡得更多
自殺預兆包括告別性行為（贈送物品）、計畫明確（具備自殺手段與時間）以及情緒轉變。特別要注意憂鬱症病人若心情突然好轉（Sudden improvement），可能表示病人已下定決心自殺，減輕了內心衝突而感到釋懷，是極高危險的訊號。增加社交活動通常是好跡象，而嗜睡與憂鬱本身症狀相關，未必直接指向自殺。
Warning signs of suicide include farewell behaviors (giving away belongings), a specific plan (means and timeline), and mood shifts. Of particular concern in depressed clients is a sudden, unexplained improvement in mood, which may indicate the client has resolved to act—internal conflict has lessened, producing apparent calm. Increased social engagement is typically protective, and hypersomnia is a symptom of depression but not directly indicative of suicide risk.
美國有嚴格的 Suicide Risk Assessment 量表紀錄需求；台灣臨床則多由精神科醫師主導評估，一般病房護理師需高度警覺。