Licensed Clinical Social Worker (LCSW) Therapist Development Center Practice Exam

A therapist working with a child discloses suicidal thoughts. What should the therapist do next?

1. Conduct further assessment on the suicidal thoughts

2. Contact the parents to inform them of the situation

3. Refer the child to a psychiatrist

4. Implement coping strategies for the child

The correct answer is: Refer the child to a psychiatrist

When a therapist is working with a child who discloses suicidal thoughts, conducting further assessment on the suicidal thoughts is crucial. This assessment allows the therapist to better understand the severity, frequency, and context of these thoughts. It provides the necessary information to determine the imminent risk of harm and to develop an appropriate intervention plan. Addressing the child's immediate safety is the therapist's primary responsibility. This often involves assessing any historical context, the child's support systems, and potential triggers for their suicidal thoughts. Understanding these factors can help the therapist decide the best course of action, be it in involving parents or referring the child to psychiatric services. While contacting the parents or implementing coping strategies are important steps in treatment, they may not be the immediate next action without first transparently and thoroughly assessing the situation. Referring the child to a psychiatrist can be a part of the care plan, but without prior assessment, it may not be the most responsible next move. In summary, the initial and vital step upon learning about suicidal thoughts is to conduct a thorough assessment to ensure that the child is safe and that their mental health needs are appropriately addressed.