What does 'ideation with plan' imply in the context of suicide risk?

In the context of suicide risk assessment, 'ideation with plan' signifies a critical level of concern because it indicates that the individual not only has thoughts of suicide but has also taken the step of formulating a specific plan to carry it out. This combination of suicidal thoughts and a defined method demonstrates a higher risk level, as it reflects both the contemplation of suicide and a concrete means to enact it.

This distinction is crucial because it involves not just abstract thoughts about suicide, but a more serious consideration of how, when, and where the individual might attempt it. Understanding this terminology helps assess the urgency and type of intervention required. It signals that the person is not only experiencing distress but is at a more immediate risk of acting on those thoughts, which should prompt immediate attention and intervention from mental health professionals.

In contrast, the other choices refer to varying levels of suicidal thoughts or feelings but lack the critical element of a developed plan, which is what makes the distinction significant in risk assessments.