Which statement by a depressed patient will alert the nurse to the patient's need for immediate, active intervention?

A) "I am mixed up, but I know I need help."
B) "I have no one to turn to for help or support."
C) "It is worse when you are a person of color."
D) "I tried to get attention before I cut myself last time."

Hopelessness is evident. Lack of social support and social isolation increases the suicide risk. Willingness to seek help lowers risk. Being a person of color does not suggest higher risk because more whites commit suicide than do individuals of other racial groups. Attention seeking is not correlated with higher suicide risk.