在憂鬱症個案中，哪些評估結果顯示具有最高自傷風險？（選所有適合的）
Which assessment findings in a client with depression indicate the highest risk for self-harm? (Select all that apply.)
- ASudden improvement in mood after starting antidepressants✓ 正解開始服用抗憂鬱劑後情緒突然改善
- BGiving away personal possessions✓ 正解贈送個人財物
- CExpressing feelings of hopelessness表達絕望感
- DVerbalizing a specific suicide plan✓ 正解口頭表達具體的自殺計畫
- EIncreased interest in social activities對社交活動興趣增加
自傷評估中，抗憂鬱劑剛起作用時（A）反而增加執行力，是危險期；贈送物品（B）常是告別行為；具體計畫（D）顯示風險極高。絕望感（C）是憂鬱症常見情緒但未必直接連結計畫；社交活動增加（E）若非過度亢奮，通常為康復指標，非自傷風險。
In suicide risk assessment, the period when antidepressants begin to take effect (A) actually increases the energy to act, making it a dangerous window. Giving away possessions (B) is often a farewell behavior. A specific plan (D) indicates very high risk. Hopelessness (C) is a common emotion in depression but does not necessarily correlate with a plan. Increased social activities (E), unless excessively manic, are typically recovery indicators rather than suicide risk.
美方對於「自殺風險評估」有極嚴格的文書紀錄流程（如 Columbia Scale）；台灣臨床對此有高度警覺，但護理師執行評估時常面臨人力不足的限制。