When a Partner Seems Suicidal: What Should You, as a Therapist, Do First?

When a client shares that their partner appears suicidal and is ramping up alcohol use, it puts you, as a therapist, in a challenging position. You know this isn’t just any routine session—it’s a pivotal moment that could lead to life-saving actions. So, what’s the best first step?

Trust Your Instincts—And Your Training!

Imagine sitting in your office and a client—a trusted one—looks you in the eyes and says, “I’m really worried. My partner has been drinking a lot more and they’ve hinted at suicide…” In that moment, emotions run high. Your first instinct might be to break out the emergency response plan and call the authorities right away—but hang on a second. While addressing imminent danger is undeniably critical, let’s pause and look at the answers presented.

The correct course of action here is C. Provide resources for the client to help their partner. Here’s the deal: while the client seeks validation and guidance, they also need actionable tools to navigate this distressing situation. This not only promotes safety but empowers your client.

A Toolbox of Resources

Think of the resources you can offer as a toolbox. This toolbox isn’t just for fixing things—it’s about providing tangible support. It can include mental health service contact info, crisis hotline numbers, and strategies for discussing feelings with their partner. This practical approach ensures that your client feels involved and capable, which can be a tremendous relief when they’re wrestling with a loved one’s mental health struggles.

But let’s not gloss over the underlying emotions. How does your client feel? Are they panicking? Angry? Sad? These are all valid responses, and it’s important to draw attention to them. By addressing the client’s feelings while equipping them with resources, you’re doubling the support they receive in that session.

What About the Other Options?

Now, what about the other options on the table?

• A. Break confidentiality to contact emergency services may feel like the right move, but it risks undermining the trust you've built with your client. A surprise call to the authorities might escalate tension and panic, and it might not always be immediately necessary.

• B. Encourage the client to monitor their partner closely sounds proactive, but it risks placing the entire burden on your client, which might not be the best approach. It’s not about surveillance; it’s about strategic support and intervention.

• D. Maintain confidentiality and assess the client's feelings further is a thoughtful step, yet it might leave your client feeling lost without any guidance on immediate actions to take with their partner.

The Importance of Empowerment

So why prioritize resources over other actions? Well, it's all about empowerment. Clients need to feel like they can take control in these intense situations. By supplying them with actionable resources, you’re not only addressing the immediate concern regarding the partner’s safety but also encouraging your client to be proactive about their loved one’s wellbeing.

You might be thinking, “How different is this approach from the others?” It’s a bit like choosing how to fight a fire; you wouldn’t just douse it with water randomly. Instead, you would assess the situation first, make a plan, and apply the right techniques to control the blaze.

In moments where clients feel helpless, providing them with support resources can enhance their sense of agency—because at the end of the day, they’re the ones closest to the situation. They’re in the thick of it, and you’re there as a guide, helping them navigate through the fog of worry.

Wrapping It Up

Remember, each therapy session is unique, just like every client’s circumstances. When they bring up sensitive issues like suicidal thoughts and rising alcohol use, your response can set the tone for how they move forward. Providing resources allows clients to channel their concern into proactive support actions, reinforcing a collaborative therapeutic relationship—something essential in your role as a Licensed Clinical Social Worker.

So, the next time a client walks in with heavy worries about a partner, you’ll know just where to start! You’ll be ready with that toolbox of resources, a compassionate ear for their emotions, and ultimately a clearer path forward for both you and your client.