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Counseling · Clinical Counseling · Healthcare and Nursing

Counseling: Crisis Intervention and Suicide Risk Assessment

Suicide risk assessment frameworks and crisis intervention steps for the practicing clinical counselor.

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35 basic cards for Clinical Counseling Counseling. Set 1 of 2 in Counseling. It opens with "What is Gerald Caplan's definition of a psychological crisis?" and "About how long does an acute crisis state typically last before some resolution". More Healthcare and Nursing decks are listed below.

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What is Gerald Caplan's definition of a psychological crisis?
Show answerA state that occurs when a person faces an obstacle to important life goals that seems insurmountable through their usual coping methods.
About how long does an acute crisis state typically last before some resolution occurs?
Show answerAbout 4 to 6 weeks.
What is passive suicidal ideation?
Show answerThoughts of wanting to be dead or not wanting to wake up, without a plan or intent to act.
What is active suicidal ideation?
Show answerThoughts of wanting to kill oneself, with some degree of intent to act on the thoughts.
In risk assessment, what does the 'plan' component refer to?
Show answerWhether the person has worked out a specific method, time, and place for suicide.
In risk assessment, what does 'intent' refer to?
Show answerHow determined the person is to act on suicidal thoughts and end their life.
Why is assessing access to lethal means a critical step in suicide risk assessment?
Show answerBecause ready access to a lethal method greatly increases the chance an attempt will be fatal.
What is the single strongest predictor of future suicide?
Show answerA prior suicide attempt.
What is the main purpose of the SAD PERSONS scale?
Show answerTo give clinicians a quick, structured checklist of risk factors for estimating suicide risk.
Give an example of a protective factor against suicide.
Show answerStrong social support, such as close family or friend connections.
How do religious or cultural beliefs commonly function as a protective factor?
Show answerThey can create moral objections to suicide that discourage a person from acting on suicidal thoughts.
What is means restriction counseling?
Show answerWorking with a suicidal person and their support network to limit access to lethal methods, such as firearms or excess medication.
What is a safety planning intervention?
Show answerA collaboratively written, prioritized list of coping strategies and supports a person can use during a suicidal crisis.
Why do most modern clinicians favor a safety plan over a traditional no-suicide contract?
Show answerA safety plan gives concrete coping steps, while a no-suicide contract only extracts a promise and has no evidence of preventing suicide.
What are chronic (distal) risk factors for suicide?
Show answerLongstanding vulnerabilities, such as a history of mental illness or past trauma, that raise baseline risk over time.

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