Which of the following is a preventive measure for suicidality that does not involve hospitalization?

Maintaining a no harm contract is a preventive measure for suicidality that involves establishing an agreement between the therapist and the client regarding the client's commitment to refrain from self-harm or suicidal behavior. This approach can be instrumental in fostering a sense of accountability and provides the client with a tangible strategy to manage their suicidal thoughts.

The effectiveness of a no harm contract lies in its ability to encourage open communication about feelings and potential triggers while promoting an ongoing therapeutic relationship. Clients may feel more empowered and capable of discussing their thoughts and feelings openly when they know there is a mutual understanding of their commitment to safety.

While increased social media engagement might provide some support, it does not directly address the underlying issues related to suicidality in a therapeutic context. Decreasing contact with mental health professionals could potentially heighten a sense of isolation, which is not conducive to suicide prevention. Immediate initiation of medication may be a response to acute symptoms but does not constitute a preventive measure on its own and may not address the immediate need for dialogue or coping strategies that a no harm contract reinforces.

Thus, maintaining a no harm contract serves as an active, collaborative method that reinforces the client’s safety and encourages ongoing support from mental health professionals.