What to Do When a Child Discloses Suicidal Thoughts: A Therapist's Guide

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

• A. Conduct further assessment on the suicidal thoughts
• B. Contact the parents to inform them of the situation
• C. Refer the child to a psychiatrist
• D. Implement coping strategies for the child

Answer: (C)

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.

When working with children in therapy, you may encounter challenging and sensitive conversations – and they don’t come much more serious than when a child discloses suicidal thoughts. It’s a situation that can leave you feeling overwhelmed, but knowing the right steps to take is vital. So, what should you do next? Let’s break it down together.

First off, you’re likely thinking, “What’s the best course of action here?” It’s perfectly natural to have those thoughts. The immediate response should focus on safety. That means you need to conduct a thorough assessment of the suicidal thoughts. Think about this assessment as gathering the crucial puzzle pieces that give you insight into the severity, frequency, and context of these thoughts. This isn’t just a box-checking exercise; it’s about understanding the nuances of the situation to form a solid intervention plan.

You know what? The child's safety is your top priority. Conducting a comprehensive assessment helps reveal if there’s an imminent risk of harm. You’re not just asking standard questions here; you want to dig deeper. What’s been happening in the child’s life? Are there existing support systems, or potential triggers that bubble to the surface during discussion? Gathering this context is essential before considering further action.

Now, you might think about contacting the parents immediately. Sure, that's a valid consideration. However, firing off a message without first fully assessing the child’s thoughts could create unnecessary panic – both for the child and the family. Instead, direct your energy toward understanding the child's mental state better before looping in parents. This will ensure any next steps, including parental involvement, are informed and thoughtful rather than knee-jerk reactions.

All this said, it’s also important to consider referring the child to a psychiatrist. But here’s the crux: is this the immediate next step? While a psychiatrist can be part of a comprehensive care plan, it may not be the most responsible action without prior assessment. A swift referral can overlook critical elements that need addressing first. You wouldn't send someone to a different store without knowing what they specifically needed, right?

Implementing coping strategies sounds appealing too, but it must come after you’ve assessed where the child stands. The last thing you want to do is to provide techniques without a solid foundation of understanding their feelings and situation. It’s like prescribing medicine without a proper diagnosis - risky business.

In a nutshell, the pathway for action in these situations hinges on a careful assessment as the first step. From there, you can weigh your options thoughtfully, keeping the child's safety and overall well-being at the forefront of your care. Approach each situation with empathy and clarity, and the next steps will become clearer as you navigate this serious terrain. For a licensed clinical social worker (LCSW) preparing for the exam or practice, mastering this critical knowledge will significantly impact the lives you touch.