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Which statement might indicate increased risk of suicide when assessing safety?

No, I'm not interested in doing a safety plan.

The main idea being tested is how a person’s willingness to engage in safety planning reflects their current suicide risk. Safety planning is a proactive step to reduce risk, and choosing not to participate in that process signals ambivalence or intent to harm, which is a red flag for increased risk. When someone says they’re not interested in doing a safety plan, it points to a potential lack of readiness to take protective actions, making it the strongest cue among the options for heightened risk.

The other statements show understandable concerns or situational factors but don’t by themselves indicate imminent risk. Needing to call back because a family member is upset might simply reflect immediate distractions. Preferring to withhold real name could be about privacy and isn’t, on its own, a risk indicator. Being new to calling and unsure what to say suggests unfamiliarity with the process and a need for gentle guidance, not necessarily danger.

In practice, you’d respond with empathy, validate feelings, and offer to proceed with safety planning at the caller’s pace, while continuing to assess for intent and lethality and providing resources if risk escalates.

I'm going to have to call you back, my daughter is crying.

I'd rather not share my real name, if that's okay.

Sorry, this is my first time calling. I'm not sure what I'm supposed to say.

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