Suicide Risk Assessment

Which of the following clinical features is associated with the HIGHEST imminent suicide risk and warrants immediate hospitalization?

A 28-year-old female with bipolar I disorder is admitted to the psychiatric ward following a suicide attempt by self-harm. During the initial assessment, the clinician needs to obtain objective data on her current and past suicidal behaviour to inform her safety plan and length of stay. Which investigation is most appropriate for this structured documentation?

A 52-year-old man with major depressive disorder and a history of two previous suicide attempts is being assessed for suicide risk. Which of the following is NOT a recognized static risk factor for suicide?

A 52-year-old woman with treatment-resistant depression presents to the outpatient clinic. She reports persistent depressed mood, anhedonia, and increasing preoccupation with death over the past 6 weeks. She denies active suicidal ideation or intent but admits she 'wouldn't mind if something happened.' She lives alone, is recently divorced, and has access to her late husband's firearms stored in her home. She has failed two adequate trials of SSRIs. What is the most appropriate immediate next step?

A 52-year-old man with bipolar I disorder in a manic episode presents to the emergency department. Which feature best distinguishes his suicide risk profile from that of a patient with major depressive disorder?