Which term refers to thoughts of self-harm or suicide, possibly including a plan?

• A. Depression
• B. Anxiety
• C. Hallucinations
• D. Suicidal Ideation

Answer: (D)

Thoughts of self-harm or suicide are referred to as suicidal ideation. This term specifically describes the content of a person’s thoughts about harming themselves or ending their life, and it can range from passive wishes not to live to active planning with intent. Recognizing suicidal ideation is crucial for risk assessment and safety planning because the presence and level of intent or a plan significantly affect how urgent the situation is.

Depression is a mood disorder that can include suicidal thoughts as a possible feature, but it describes a broader pattern of persistent low mood and related symptoms, not the specific thought content itself. Anxiety involves excessive worry or fear, not thoughts about self-harm. Hallucinations are false sensory experiences, such as hearing voices, and do not describe thoughts about self-harm.