A nurse answers the telephone hotline and was able to talk to four different callers. Which comment should be given the highest priority?
  1. “If things don’t get better, I will jump over a cliff.”
  2. “I feel so lonely. I can’t go on.”
  3. “I have a loaded gun and I think I will use it.”
  4. “My wife has a terminal illness and I can’t accept that I will lose her.”
Explanation
Answer - C - The comment that should be given the highest priority is “I have a loaded gun and I think I will use it.” Lethality assessment of a suicidal caller includes the availability of the means. The caller said that the gun is loaded, which is highly lethal method of committing suicide; this makes the risk immediate.
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