If a client expresses suicidal ideation, take the following steps:

  • Assess Risk: Conduct a thorough risk assessment, asking about the frequency, intensity, duration of the ideation, any plans or means, and previous attempts.
  • Safety Planning: Collaborate with the client to create a safety plan that includes coping strategies, emergency contacts, and a list of people they can reach out to when feeling distressed.
  • Involve Support Systems: With the client’s consent, involve their support system, which may include family members or close friends, to help ensure safety.
  • Document Thoroughly: Document the assessment, the client’s statements, and the safety plan in detail for future reference and continuity of care.
  • Referral for Higher Care: If the risk is deemed high or if the client is unwilling to engage in a safety plan, consider a referral to emergency services or a mental health crisis intervention team.