What is the first step a nurse should take when a patient indicates suicidal ideation?

The initial and most crucial step a nurse should take when a patient indicates suicidal ideation is to assess their risk of harm. This involves evaluating the patient's thoughts, plans, means, and the specific circumstances surrounding their suicidal ideation. Assessing risk helps determine the immediacy of the danger they may pose to themselves and allows the nurse to formulate an appropriate and timely intervention plan.

Understanding the patient’s level of distress, identifying any protective factors, and evaluating their support systems are also important components of the risk assessment. By thoroughly assessing the situation, the nurse can establish whether the patient requires immediate intervention, such as hospitalization or further psychiatric evaluation, to ensure their safety.

This step is critical because a patient's expression of suicidal thoughts should never be taken lightly or dismissed. Proper assessment can save lives and ensure that the patient receives the appropriate level of care and support.