Suicide is attempted three times more frequently by ________ but is more often successfully completed by ________

A. Group homes provide supportive living environments for individuals with chronic mental health issues or those who need assistance with daily living but are not in acute crisis. While beneficial for long-term support and rehabilitation, a group home may not offer the intensive and immediate care required for someone who is actively suicidal.
B. Long-term mental health facilities are designed for ongoing treatment and support for individuals with severe and chronic mental health conditions. While they offer extensive services and support, they are typically not intended for clients who need immediate stabilization and short-term care for acute suicidal ideation.
C. Outpatient clinics provide regular therapy and support for individuals with less acute needs. While they are valuable for ongoing mental health care and management, they may not be equipped to handle a client in immediate danger of suicide who requires 24/7 monitoring and intensive intervention.
D. An inpatient mental health unit is designed for individuals experiencing severe mental health crises, including suicidal ideation. It provides intensive, round-the-clock care, including monitoring, psychiatric evaluation, and immediate crisis intervention.

A. Depression is characterized by persistent feelings of sadness, loss of interest or pleasure in activities, changes in sleep and appetite, and difficulties with daily functioning. However, depression alone might not fully explain the abrupt change if there were no prior context of mood swings or manic behavior.
B. Bipolar disorder is marked by extreme mood swings that include manic or hypomanic episodes and depressive episodes. The observed behaviors—active participation and high energy followed by a
sudden shift to tearfulness and withdrawal—are consistent with the mood cycling seen in bipolar disorder. The manic or hypomanic phase could explain the previous high level of activity, while the depressive phase explains the sudden refusal to engage and withdrawal.
C. Psychotic behavior involves a loss of touch with reality, including hallucinations, delusions, and disorganized thinking. The behaviors described (active participation and then sudden withdrawal) do not specifically indicate psychosis.
D. Dysthymic disorder (now referred to as Persistent Depressive Disorder in the DSM-5) is characterized by a chronic, mild depression lasting for at least two years. It typically involves a more consistent, persistent low mood rather than the abrupt shifts seen in bipolar disorder.