Which type of suicidal ideation includes active planning for suicide?

Active suicidal ideation refers to thoughts about engaging in suicide that are accompanied by specific plans or intentions to carry out the act. Individuals experiencing this type of ideation often contemplate the methods they would use and when or how they would perform the act, indicating a serious level of distress and intent.

In contrast, passive suicidal ideation involves thoughts about wishing to be dead or feelings of hopelessness without the formulation of a specific plan to carry out suicide. The symptoms associated with major depressive disorder can include suicidal thoughts but may not always indicate active planning. Similarly, while bipolar disorder features can encompass suicidal ideation, they do not inherently specify that such thoughts are active or planned.

Thus, active suicidal ideation is distinguished by the presence of concrete planning, highlighting the urgency and seriousness of the individual's mental health needs.