What appropriate response should a crisis line nurse give to a client indicating suicidal intent?

In situations where a client indicates suicidal intent, it is crucial for the nurse to ensure the client's safety and provide immediate support. By expressing the desire for the client to stay on the phone, the nurse creates a connection that can be vital in crisis situations. This continued engagement allows the nurse to assess the severity of the client's feelings, gather more information, and potentially de-escalate the crisis. It also helps to foster a sense of support and presence, reassuring the client that they are not alone and that help is available.

Establishing a direct line of communication during a crisis is essential for preventing self-harm and ensuring the client feels heard and understood. Remaining on the phone can facilitate a supportive dialogue, allowing the nurse to guide the individual through their distress and begin exploring potential resources or solutions together.

In contrast, other responses may not provide the necessary support or engagement that a distressed individual requires at that moment. For instance, suggesting the client drive themselves to an emergency room can lack immediate emotional support and may increase their risk. Thus, facilitating continued conversation is a critical response in suicidal crisis intervention.