What is the first step for a psychiatric nurse meeting a client threatening suicide?

The first step for a psychiatric nurse meeting a client threatening suicide is to try to communicate with the client. Establishing a connection is crucial in this scenario because it helps to create a rapport and allows the nurse to assess the client's emotional and mental state more effectively. Communication can also serve as a means to de-escalate the situation, demonstrating to the client that they are being heard and cared for, which is essential when addressing suicidal ideation or behavior.

Engaging in dialogue can provide critical information about the client's thoughts, feelings, and the immediacy of their threat, enabling the nurse to understand the level of risk. Effective communication can lead to the client expressing their feelings and thoughts in a safe environment, which can be a vital step in mitigating the crisis.

While assessing the physical condition of the client, calling for police assistance, or encouraging them to step away from the edge may be necessary steps that follow, initiating communication is foundational to establishing trust and gaining a clearer insight into the client's state of mind.