Which level of suicide lethality best fits 'Intent is strong and client possesses resistance to alternative to suicide'?

• A. Moderate
• B. Moderate-high
• C. High
• D. Low

Answer: (B)

In assessing suicide lethality, the level reflects how strong the person’s intent is and how resistant they are to alternatives or interventions. When intent is strong and the individual resists alternatives to suicide, the risk rises because there is less openness to safety strategies or changing the plan, making a collapse into action more plausible if not addressed.

This scenario signals a serious risk, but without explicit immediacy, a formulated plan, or ready access to lethal means, it fits best with a moderate-high level. It’s higher than moderate or low because the strong intent and resistance indicate significant danger, yet it isn’t described as imminent action or guaranteed plan with lethal means, which would push it into the highest category.

So, the strongest match is a moderate-high level of lethality.