Law and Ethics Practice Exam

How should you respond if a client with a history of suicide attempts refuses to answer your safety assessment?

1. Discontinue treatment until they feel comfortable

2. Continue trying to assess for suicide risk

3. Request they sign a "no suicide" contract

4. Proceed with current treatment without reassessment

The correct answer is: Continue trying to assess for suicide risk

Continuing to try to assess for suicide risk is the appropriate response in this situation. A history of suicide attempts indicates a heightened level of risk that requires careful evaluation, even if the client is reluctant to engage in the assessment. The responsibility lies in ensuring the client’s safety, and attempting to gather information about their current mental state is crucial in identifying any immediate risk factors. This approach demonstrates a commitment to the client's wellbeing, fostering an open dialogue about their feelings and thoughts, which may lead to a breakthrough in communication. It’s important for the mental health professional to create an environment of trust, encourage the client to share their feelings, and assess for potential suicidal ideation or behaviors. Doing so can also highlight the client’s concerns, allowing the clinician to address them directly. Other options may neglect the immediate need to assess safety in a client with a known risk profile. Simply discontinuing treatment could leave the client feeling abandoned, while requesting a "no suicide" contract does not actually ensure safety or provide a comprehensive evaluation. Proceeding without reassessment fails to account for possible changes in the client’s mental health status that could escalate the risk of self-harm. Hence, actively engaging in the assessment process is vital for the client's safety and care.