I want to thank everyone who responded. I appreciate it very much...In the end I had to use Ineffective coping because the patient was in a short term stay facility.. The patient was admitted because he was telling everyone that he was going to commit suicide. He had a plan and he was just waiting for his parents to understand why he wanted to die, so they wouldn't grieve. My instructor told me that because he was in a facility, he was not at risk for suicide. He was in a mental health facility that had him under suicide precautions. Therefore the probablity for him to actually commit suicide was pretty much out of the question... So in the end the best nursing diagnosis was Innefective coping. He has a history of OCD and major depressive disorder. Let me know what you think, some of my fellow students agree and some dont. I want a good grade, so I am going to agree with my instructor!!