By: Diamond Phelps, Registered Counseling Associate
When starting therapy, the intake process typically includes a discussion of informed consent, which outlines the therapist’s role as a mandated reporter. This means they are legally required to take action if there is a report of harm to oneself, others, or the abuse of minors or vulnerable populations. This standard practice applies to everyone, whether it’s your first session or your fifth.
Why Suicide Must Be Addressed in Therapy
Suicide is a deeply sensitive topic, often evoking silence or discomfort in the room. This reaction reflects the gravity of the subject rather than an aversion to discussing it. When someone is contemplating suicide, it is a significant indicator that their mental health is in a critical state. Feelings of helplessness and hopelessness often dominate during such moments, making it vital to address this topic with care and urgency.
In therapy, suicide is not taboo—it’s an essential conversation that provides a pathway for individuals to seek help. Clients expressing active suicidal thoughts often have a plan or intent to end their lives. When this is the case, therapists work collaboratively with clients to create safety plans, identify support systems, and, when necessary, recommend inpatient care to ensure a safe environment. These interventions are designed to prevent self-harm and offer immediate relief during times of crisis.
Active vs. Passive Suicidal Thoughts
On the other hand, many individuals experience passive thoughts about suicide. This means they may not have a plan or intent to harm themselves but instead feel overwhelmed and wish they could momentarily escape life’s challenges. Passive thoughts can manifest as a desire to “disappear” or take a break from the pressures of life, and while they are not the same as active suicidal ideation, they still reflect significant emotional distress.
It’s important to acknowledge that having passive thoughts about suicide can be a natural response to difficult times. These feelings often arise when someone feels like they’re at the end of their rope. Discussing these thoughts openly in therapy is a common and important part of the healing process. By addressing them, therapists help clients understand their emotions, build resilience, and develop coping strategies to navigate life’s challenges.
Tailoring Care to Each Client’s Needs
The distinction between active and passive suicidal thoughts is crucial in therapy. It allows therapists to tailor their approach, ensuring that clients receive the appropriate level of care and support. Whether a client expresses active plans or fleeting thoughts of wanting to “disappear,” therapy provides a safe space to explore these feelings without judgment and work toward hope and healing.
My Approach to Supporting Clients
Working with me we would provide you a safe and non-judgemental atmosphere to process the emotions and experience around the concept of no longer wanting to engage in life. The process would involve creating a safety plan if needed. This includes recognizing warning signs and identifying triggers, reviewing coping strategies and social supports, and reviewing professional contacts and going over environmental safety. You would have a therapist there to walk you through the process of exploring your thoughts and emotions while providing a safe space. A collaborator to work with you to set a goal and identify solutions. This process may also include continuous assessment of risk and adjusting the treatment plan as needed.