Which sign indicates a potentially serious concern in a client with suicidal thoughts?

Making arrangements for their affairs is an indicator of a potentially serious concern in a client with suicidal thoughts. When an individual begins to organize their personal belongings, settle debts, or make plans for their death, it often signifies that they are contemplating taking such action, which can be a red flag for imminent risk of suicide. This type of behavior suggests a shift in their mindset, moving from despair to a level of resolution about their intentions, which can be extremely concerning for mental health professionals.

In contrast, talking openly about feelings can be a sign of seeking help or processing emotions and is generally encouraged. Frequent mood changes might indicate emotional distress but do not necessarily correlate with suicidal intent without more context. Similarly, an interest in helping others may reflect a desire to contribute positively to the lives of others, which is often seen as a protective factor against suicidal thoughts rather than a warning sign. Thus, the act of arranging affairs stands out as an alarming signal that immediate intervention is required.