What is the initial step the nurse should take when a patient expresses thoughts of self-harm?

The initial step a nurse should take when a patient expresses thoughts of self-harm is to assess for suicide potential immediately. This is crucial because understanding the level of risk a patient poses to themselves helps determine the necessary interventions and ensures their safety. The assessment typically involves exploring the frequency, intensity, and specifics of their suicidal thoughts, as well as any potential plans or means they might have to carry out those thoughts.

This step prioritizes patient safety above all else, allowing the nurse to gather vital information that can guide immediate care and further interventions. It's essential for nurses to be equipped to identify various levels of risk and to act accordingly to protect the patient. The process of assessment also sets the foundation for any therapeutic conversations that may follow, as understanding the patient's mindset and feelings is critical for effective treatment and support.