Law and Ethics Practice Exam

If a client expresses suicidal thoughts after a stressful life event, what should the therapist do first?

1. Conduct a safety assessment.

2. Provide comforting reassurances.

3. Encourage the client to speak to friends.

4. Suggest coping strategies.

The correct answer is: Conduct a safety assessment.

The most appropriate first step a therapist should take when a client expresses suicidal thoughts, especially following a stressful life event, is to conduct a safety assessment. This assessment is crucial because it allows the therapist to determine the immediate risk of harm the client may pose to themselves. When a client is expressing suicidal thoughts, the primary focus should be on ensuring the client’s safety and understanding the extent of their feelings. A safety assessment includes evaluating the client's intent, including specific thoughts of self-harm, previous attempts, means, and any support systems they may have in place. Gathering this information is essential for understanding how urgently the client needs intervention and what steps might be necessary to ensure their well-being. While providing comforting reassurances, encouraging communication with friends, or suggesting coping strategies may all be beneficial components of therapy at some point, they do not address the immediate risk that suicidal thoughts present. These actions could provide some support but should not take precedence over assessing the client's safety. Prioritizing a thorough safety evaluation is essential for managing potential crises effectively and guiding subsequent treatment decisions.