— 心理社會完整性 · HARD · SATA —
護理師評估自殺風險。下列哪些病人的敘述需要立即介入？（選所有適合的）
A nurse is conducting a suicide risk assessment. Which client statements require immediate intervention? (Select all that apply.)
- AI have been giving away my favorite books to my friends.✓ 正解我已經把我喜歡的書送給朋友了。
- BI have been feeling slightly better since I started the medication.自從開始服藥以來，我覺得好一點點了。
- CI have decided that everything will be fine very soon.✓ 正解我決定很快一切都會沒事的。
- DI am thinking about jumping off the bridge tomorrow.✓ 正解我在想明天要從橋上跳下去。
- EI sometimes wish I would just go to sleep and not wake up.✓ 正解我有時希望自己能睡著就不再醒來。
— Explanation · 中文詳解 —
自殺風險評估需重視隱晦訊息與突然的行為轉變。A：贈送物品常是自殺計畫的預告；C：突然表現「一切都會好」可能是已決定自殺，不再擔心未來，反而危險；D：具體意圖；E：被動自殺意念。B 選項較不具威脅性，代表藥物開始發揮療效的跡象。
Immediate intervention is required for statements indicating active planning, such as deciding to jump off a bridge, or passive ideation, like wishing to sleep and not wake up. Giving away possessions and expressing sudden calmness that everything will be fine are also critical warning signs of imminent suicide risk.
✦ 台美臨床差異
台美皆重視自殺風險評估量表（如 C-SSRS），但台灣常受限於家屬對於強制約束的看法。