How can a clinician determine the level of intent in a suicidal person?

Determining the level of intent in a suicidal person is best achieved by discussing specific thoughts and plans for self-harm. This approach allows clinicians to gain direct insights into the individual's mindset, including their willingness to act on suicidal thoughts, the specificity of their plans, and any means they may have identified to carry out those plans. Through open and honest conversation, clinicians can evaluate the immediacy and seriousness of the person's intent, which is essential for assessing risk and developing a safety plan.

Other factors, such as emotional distress or a history of mental illness, may contribute to overall risk assessment but are not as direct in revealing intent. Physical symptoms may not provide clear indications of suicidal intent either. Focused discussions about the individual's thoughts and plans are critical for an accurate and effective evaluation of risk.