Читать книгу Suicide Assessment and Treatment Planning - John Sommers-Flanagan - Страница 49

Social isolation is a risk factor for suicide (Joiner, 2005). To address isolation, treatments for clients who are suicidal often involve the recruitment of supportive people, including other treatment or medical providers, friends, family, church or community members, mentors, and others. Involving other people in treatment and safety planning can be a critical component of successful treatment (Cramer et al., 2013).

Ideally you can work with your client to generate a list of people to contact and involve as supporters of treatment. However, if you are working with a client who resists your efforts to identify and establish social support networks, you will need to establish a safety plan without social connections or breach confidentiality and make the contacts. Breaching confidentiality may rupture the therapeutic relationship, but it does not always have that effect. Although your client may discontinue counseling with you, the need for immediate safety sometimes outweighs longer term treatment and relational considerations.