What is the first action a nurse should take with a patient expressing suicidal thoughts?

The first action a nurse should take when a patient expresses suicidal thoughts is to ask the patient if they are considering harming themselves. This is critical because it provides an opportunity for the nurse to assess the level of risk the patient may be in. Engaging the patient in a direct conversation about their thoughts allows the nurse to understand the severity and immediacy of the patient’s feelings. It also opens a line of communication, making the patient feel heard and supported, which is essential in crisis situations.

By asking about self-harm, the nurse can gather vital information that can inform the next steps in the patient's care plan, including the need for further psychiatric intervention, safety precautions, or therapy. This direct approach is fundamental for establishing trust and ensuring the safety of the patient, as well as facilitating timely and appropriate interventions.