Which statement describes a client who expresses intent with a plan but has no access to means and desires help?

• A. History of ideation, but not a current issue
• B. Client has thoughts but no plans or prior attempts and states they will not act on it
• C. Suicide intent is denied
• D. Client expresses intent with plan, but has no access to means and possess a desire for help

Answer: (D)

The main idea here is how suicidality is evaluated by looking at intent, plan, access to means, and help-seeking behavior. The strongest indicator among the options is someone who explicitly expresses intent with a concrete plan, yet has no access to the means to carry it out and simultaneously shows a desire for help. This combination signals real risk (intent and a plan) but with a protective factor (no means) and a motivation to seek support (desires help), which means immediate danger is mitigated by lack of means but safety still requires proactive intervention and support.

In contrast, statements about a past ideation with no current issue, thoughts without a plan and a stated intention not to act, or explicit denial of intent reflect lower immediate risk.