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What is the primary concern for a social worker in the first interview with a depressed patient?

  1. Understanding the root of the depression

  2. Determining suicidal intent

  3. Exploring family relations

  4. Setting treatment goals

The correct answer is: Determining suicidal intent

The primary concern for a social worker during the first interview with a depressed patient is to determine suicidal intent. This focus is crucial because patients experiencing depression may have thoughts of self-harm or suicide, making it essential for the social worker to assess the patient's safety and risk levels. Establishing whether the patient has any suicidal thoughts or plans is vital for ensuring their immediate well-being and safety. Understanding the root of the depression, exploring family relations, and setting treatment goals, while important aspects of the therapeutic process, typically come after assessing the patient's current mental state and risk factors. The priority during the initial session revolves around ensuring that the patient is not in imminent danger, which is why determining suicidal intent takes precedence.