Читать книгу Suicide Assessment and Treatment Planning - John Sommers-Flanagan - Страница 46

Asking directly about suicide and collaboratively exploring suicidal ideation, suicide planning, and suicidal intent are essential to competent suicide assessment. However, as noted for the previous competency, when asked about suicide, many clients or patients who will go on to die by suicide deny suicidal ideation (McHugh et al., 2019). Simply asking directly about suicide is not enough. Competent practitioners have clinical skills for asking about suicidality in ways that make it easier for clients to be open and honest.

Several important tasks are linked to this competency (and described in Chapter 3). These tasks include the following:

1 Use effective listening skills to show empathy and develop rapport.

2 Use sophisticated clinical interviewing skills to discuss suicidality with clients in ways that make it easier for them to disclose suicidal thoughts.

3 Collaboratively explore the frequency, intensity, duration, and termination of suicidal ideation.

4 Identify what distracts clients from a preoccupation with suicide and other ways to decrease the frequency, intensity, and duration of suicidal ideation.

5 Be able to use subjective suicide rating scales with clients.

6 Ask directly—using a collaborative style—about client plans, suicide methods, previous attempts, and behaviors related to suicide preparations.