"In the weeks prior to my most recent suicide attempt 11 years ago, I denied I was suicidal to anyone who asked. I was in a partial hospitalization program (PHP), and my thinking was that I needed to get back to work, and that I did not want to be admitted to the psychiatric hospital-which is certainly what would have happened because not only was I thinking about suicide, but I had a definitive plan and time frame."
"This was around 2005 to 2007, when I had less at stake: I wasn't working and I was on Social Security Disability payments. I had fallen into a severe depression and talk of suicide dominated our sessions. I already had a history of two previous attempts and when I started describing a detailed plan, Dr. Lev had no choice but to hospitalize me."
The narrator denied being suicidal before a suicide attempt despite having a definitive plan and time frame while enrolled in a partial hospitalization program. Concealment of suicidal thoughts is common, with research showing about 31 percent of clients hide such thoughts. Earlier honesty about suicidal plans during a period on Social Security Disability led to hospitalization after detailed plans were described. Current practice relies on client self-report and screening tools like the Columbia-Suicide Severity Rating Scale to assess risk. Fear of hospitalization can prevent disclosure, and distinguishing between contemplative talk and active intent is crucial.
Read at Psychology Today
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