Which assessment question indicates a positive screen for suicidal ideation?

The assessment question that indicates a positive screen for suicidal ideation is the one asking about the thought of harming oneself. This question directly addresses the individual’s thoughts regarding self-harm or suicide, which is a critical aspect of evaluating suicide risk.

In the context of perinatal mental health, understanding a client’s thoughts about self-harm is essential, as it helps identify those who may be experiencing severe distress or mental health issues that require immediate attention. The presence of such thoughts suggests a need for further assessment and potential intervention to ensure the individual's safety and well-being.

Questions about happiness, enjoyment of life, or having a support system are more focused on general well-being and support structures rather than directly addressing suicidal thoughts. While these areas are important to assess overall mental health, they do not specifically target suicidal ideation, making the correct answer crucial for identifying individuals at risk.