Asking directly about suicidal thoughts does not plant the idea or raise risk; that is well established. Vague questions get vague answers.
See the young person alone for part of the consultation, explain the limits of confidentiality first, and use plain words: are you having thoughts of ending your life?
- Ask about suicidal thoughts in plain words, not euphemisms.
- See adolescents alone for part of the visit, after explaining confidentiality and its limits.
- Ask about access to medicines, pesticides and other means at home.
- Record what was asked and the plan agreed.
Why it matters
The question most clinicians hesitate to ask is the one that opens the conversation.
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