Clinical Practice SWES Practice Exam

What is a common sign that may indicate a patient suffering from depression is at an increased suicide risk?

1. Feeling more energetic

2. Demonstrating increased apathy

3. Engaging in social activities

4. Refusing to discuss life goals

The correct answer is: Feeling more energetic

The indication of increased suicide risk among patients suffering from depression can be multifaceted, but one significant sign is a change in energy levels, particularly an increase in energy after a period of severe depression. Feeling more energetic may suggest a potential shift in mood that could precede impulsive actions, including suicidal behavior. This energetic state might be deceptive, as it could represent a sudden surge of motivation or ability to act when the patient previously felt immobilized by their depressive symptoms. Such changes should always prompt further assessment and consideration of the patient's mental state. In contrast, demonstrating increased apathy typically points to ongoing depressive symptoms rather than an increased risk of suicide. Engaging in social activities often indicates improvement in a patient’s mood, which is generally a positive sign. Refusing to discuss life goals could indicate a sense of hopelessness or resignation but does not inherently point to an increased risk of suicide in the same manner as an unexpected increase in energy. Understanding these nuances is crucial in assessing suicidal risk effectively.