Addressing Imminent Risk for Suicide in Private Practice
Briefly

Suicide risk assessment does not always necessitate hospitalization if the client has no intent to act on thoughts. Developing a safety plan and engaging support may help avert crises. However, hospitalization should be considered when risk is significant, including situations where the client expresses suicidal desires with intent, lacks a feasible safety plan, or has recently been discharged post-attempt. A focus on ongoing suicide-supportive therapy is vital in these high-risk scenarios.
Determining that your client is at risk for suicide does not always mean hospitalization is necessary. There will be times when, despite active suicidal thoughts, your client has no expressed intent to act on these thoughts and is capable of developing a safety plan, removing access to means, engaging supports, and/or increasing the frequency of sessions.
What happens when brief interventions are insufficient to maintain safety? Maybe you have begun to develop a safety plan only to realize that your client will not realistically be able to follow through on the safety measures discussed.
Read at Psychology Today
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