What is one of the first steps in managing suicidal ideation in clients?

Determining the client’s intent and means is a fundamental first step in managing suicidal ideation. This assessment helps the clinician understand the severity of the client’s thoughts regarding self-harm and the likelihood of them following through with those thoughts. By gaining insight into whether the client has a specific plan, means to carry it out, and their perceived level of intent, the clinician can tailor their interventions appropriately and prioritize the necessary actions to ensure the client's safety.

Understanding the client's intent and means also informs whether immediate interventions, such as hospitalization or more intensive safety planning, are required. Engaging in this assessment establishes a context for further discussions about support systems, coping strategies, and therapeutic options that may be needed to address the underlying issues contributing to the suicidal ideation. Effective management of suicidal thoughts begins with this comprehensive evaluation to inform subsequent steps in care.