Association of Social Work Boards Bachelor (ASWB) Practice Exam

When a client presents with signs of severe depression, the primary concern for a social worker is to assess the risk of harm to self or others. This is crucial because severe depression can lead to suicidal thoughts or behaviors, as well as potential aggression toward others in some cases. The immediacy and severity of this risk make it the top priority in any assessment.

In situations where a client exhibits significant depressive symptoms, understanding their current safety is vital. Assessing the risk of harm involves exploring any thoughts, plans, or past attempts at self-harm or suicide. It also includes evaluating the client’s overall mental state, access to means of self-harm, and any protective factors they may have in place.

While other factors like current life stressors, family history of depression, and the availability of social support are important for a comprehensive assessment and treatment planning, they do not take precedence over ensuring the client’s immediate safety. Addressing risk factors first allows the social worker to determine the appropriate level of care and intervention needed to protect the client.