“Anything that’s human is mentionable, and anything that is mentionable can be more manageable

 

 

“Anything that’s human is mentionable, and anything that is mentionable can be more manageable. When we can talk about our feelings, they become less overwhelming, less upsetting, and less scary. The people we trust with that important talk can help us know that we are not alone.”

-Fred Rogers

Suicide is a difficult topic for many to talk about. Experiencing a crisis may lead people to consider suicide, and they may not know how to explicitly share how they are feeling. It is important for human service professionals to feel comfortable with the topic of suicide and confident in their ability to assess potential lethality and intervene with the appropriate level of care. For this discussion, you will consider your own readiness to discuss this topic with a service user as well as intervention strategies to address suicidal ideation, intent, and plan.

Sample Question

Fred Rogers’ poignant quote beautifully captures the essence of effective communication around sensitive topics like suicide. As human service professionals, we must cultivate an environment of trust and openness to address these critical issues.

My Readiness to Discuss Suicide with a Service User:

  • Self-Awareness: I recognize that discussing suicide can be emotionally challenging. I must be aware of my own personal biases, anxieties, and limitations regarding this topic.
  • Professional Training and Education: I have received adequate training in suicide assessment, intervention, and crisis management. This includes knowledge of risk factors, warning signs, and appropriate intervention strategies.
  • Self-Care: I prioritize self-care practices such as mindfulness, exercise, and seeking support from colleagues to maintain my own emotional well-being and prevent burnout.

Intervention Strategies for Suicidal Ideation, Intent, and Plan:

  • Directly and Empathetically Address Suicidal Ideation:
    • Use open-ended and non-judgmental questions: “Have you been having any thoughts of harming yourself?” or “Have you been feeling hopeless or like life isn’t worth living?”
    • Actively listen to the client’s response, validating their feelings and experiences.
  • Assess Lethality:
    • Determine the severity of suicidal ideation by assessing factors such as:
      • Ideation: Frequency and intensity of suicidal thoughts.
      • Intent: The degree to which the individual intends to die by suicide.
      • Plan: The existence of a specific suicide plan (method, time, place).
      • Access to means: Availability of the chosen method of suicide.
      • History of attempts: Previous suicide attempts or self-harm behaviors.

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