Among the following behaviors, which indicates an immediate risk when assessing a client?

The identification of expressing thoughts of self-harm as an immediate risk is critical in assessing a client’s mental health. When a client shares thoughts of self-harm, it signals potential danger to their safety and well-being. This behavior often demonstrates that the person is experiencing severe distress, which could lead to actions that harm themselves if not addressed promptly. Mental health professionals prioritize such disclosures because they may indicate the individual is in crisis or may have a plan or intent to enact self-harm.

In contrast, maintaining a healthy sleep schedule, verbalizing feelings of sadness, and engaging appropriately in therapy represent behaviors that, while important in an overall assessment of a client's mental health, do not indicate an immediate risk. A healthy sleep schedule is generally associated with better mental health outcomes. Verbalizing sadness can be a crucial step in therapy and shows emotional awareness rather than risk. Engaging appropriately in therapy suggests participation and a willingness to work through issues, which is usually a positive sign in a client's treatment journey. Overall, it is the expression of thoughts of self-harm that distinctly highlights a need for immediate intervention.