Which combination indicates a higher suicide risk related to removal of means?

The combination indicating a higher suicide risk related to the removal of means is characterized by an unwillingness to remove those means. When individuals show resistance to removing means, it can indicate a greater level of intent or determination to engage in self-harming behaviors. This refusal suggests that they may not fully recognize the seriousness of their situation or may feel hopeless about their circumstances, making them less likely to take protective steps.

In contrast, willingness to remove means, agreement to discuss safety, and parental support in safety plans are all indicators of a proactive approach to safety and risk management. These behaviors reflect a readiness to engage in protective measures, which can significantly decrease the risk of suicide. The absence of such willingness signals a concerning level of risk that needs to be addressed urgently in intervention and treatment strategies.