What should be the first priority when addressing a client's suicidal ideation?

The first priority when addressing a client's suicidal ideation is to ensure safety through hospitalization if needed. This approach reflects the urgent need to protect the client's life in situations where there is a risk of self-harm or suicide. In psychiatric nursing practice, the primary focus is always on the safety and well-being of the patient. If a client is expressing suicidal thoughts or behaviors, it is critical to intervene quickly to prevent any harm.

Ensuring safety may involve assessing the level of risk, determining whether the individual requires hospitalization for more intensive monitoring and support, and creating a safe environment. Once the client is safe, other interventions, such as exploring feelings, assessing coping mechanisms, and involving family support, can be effectively addressed. These later steps are important, but they are secondary to the immediate need for safety.