A solution-focused approach to working with clients who are suicidal

Sharry, John; Darmody, Melissa; Madden, Brendan

doi:10.1080/0306988021000025690

Cited by 24 publications

(22 citation statements)

References 7 publications

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“…For example, the practitioner might ask the client: 'When over the last few months has the pain lifted even a little bit?' (Sharry et al, 2002). If clients are unable to state a time when their goals have happened or feel that nothing positive has happened in their lives, the therapist can use a coping question.…”

Section: Exception Questionsmentioning

confidence: 99%

Solution-focused therapy in an Emergency Room setting: Increasing hope in persons presenting with suicidal ideation

Kondrat

Teater

2010

Journal of Social Work

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One-third or more of persons presenting to Emergency Rooms (ER)/ Accident and Emergency departments in psychiatric emergencies report experiencing suicidal ideations. A critical task for hospital-based practitioners is to assess the lethality of the situation to determine whether the person should be hospitalized. Practitioners often employ standardized assessment instruments to assist in determining the suicidal risk factors, yet such measures often fail to recognize or consider the following: 1) the relative importance of the therapeutic process in creating meaningful therapeutic change; 2) the quality of the therapeutic encounter in the ER; and 3) follow-through with the community referral process.Findings: This article proposes the use of the actual ER encounter between client and practitioner to work with suicidal risk factors that are amenable to immediate therapeutic change. Using a therapy approach that can positively impact a client's level of hopelessness and allow for the assessment of suicide risk can work to ensure that an appropriate hospitalization disposition is reached.Application: This article details how the use of solution-focused therapy provides one avenue for assessing suicide risk and how the therapeutic intervention, which has not been subjected to the scrutiny of empirical research, can serve as an opportunity for increasing hope.

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Section: Exception Questionsmentioning

confidence: 99%

Solution-focused therapy in an Emergency Room setting: Increasing hope in persons presenting with suicidal ideation

Kondrat

Teater

2010

Journal of Social Work

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“…This may partly explain a long‐standing focus on suicide risk factors. Some authors have called for a strengths‐based approach that emphasizes suicide protective factors, which better aligns with clients' challenging contexts and motivations to change, and is a more realistic and sustainable approach (Bryan, Jennings, Jobes, & Bradley, ; Murray, ; Sharry, Darmody, & Madden, ; Stallman, ).…”

Section: Defining Suicide Risk and Protective Factorsmentioning

confidence: 99%

SHORES: A Practical Mnemonic for Suicide Protective Factors

Cureton

Fink

2019

Jour of Counseling & Develop

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Guidelines for addressing and managing client suicide risk include discussing and conceptualizing protective factors. Counselors should be able to recall and discuss suicide protective factors that are applicable across client populations. SHORES, a suicide protective factors mnemonic that is supported by the literature, has applications for risk assessment and crisis intervention across settings, preventative care, strengths‐based management, and counselor training. A case example and discussion serve to illustrate the wide‐ranging application of SHORES in counseling practice.

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“…Therefore, it is important for clinicians to have a greater understanding of risk factors for suicide and knowledge on how to deal with concern for clients between sessions (Sharry, Darmody, and Madden, 2002). Risk factors for suicidal ideation or an attempt vary for each case.…”

Section: Suicidalitymentioning

confidence: 99%

“…The clinician may also highlight the client’s coping skills, examine their support system, explore reasons for living, and envision a more hopeful and optimistic future (Sharry, Darmody, and Madden, 2002). These tasks that occur in session may help prepare a client to deal with suicidal ideation between sessions, and reduce the clinician’s anxiety knowing that there is support for the client between sessions.…”

Section: Suicidalitymentioning

confidence: 99%

Strategies for Managing Difficult Clinical Situations in Between Sessions

Karakurt

Anderson

Banford

et al. 2014

The American Journal of Family Therapy

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Therapists often have to deal with situations that make them uneasy to leave their clients on their own. They can go home and wonder what their clients are doing, whether they are safe, have a place to stay, even whether or not they are fighting. These thoughts can be overwhelming for the therapist. They may think about their clients' safety, they may also be worried about their own professional way of dealing with these situations, and its implications for them as clinician. The aim of this paper is to assist therapists to manage their own anxiety and to help them help their clients in between sessions in difficult situations such as suicidality, child abuse and neglect, intimate partner violence, crisis and stress management.

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A solution-focused approach to working with clients who are suicidal

Cited by 24 publications

References 7 publications

Solution-focused therapy in an Emergency Room setting: Increasing hope in persons presenting with suicidal ideation

Solution-focused therapy in an Emergency Room setting: Increasing hope in persons presenting with suicidal ideation

SHORES: A Practical Mnemonic for Suicide Protective Factors

Strategies for Managing Difficult Clinical Situations in Between Sessions

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