The therapist and the suicidal patient.

Risk Factors, Warning Signs, and Drivers of Suicide: What Are They, How Do They Differ, and Why Does It Matter?

“…More specifically, direct and indirect drivers can easily be observed in idiosyncratic “stories” about how patients' life events and circumstances led to their suicidal crises (e.g., Michel & Valach, ). Such stories should ideally contextualize the experiences specifically associated with patients' suicidal behaviors within their unique psychosocial stressors; allowing patients to relay a narrative that broadly describes their acute and chronic struggles has been suggested anecdotally (Jobes & Ballard, ) and shown empirically to improve their perceptions of the therapeutic alliance (Michel, Dey, Stadler, & Valach, ). In addition, maintaining this narrative framework allows practitioners to gauge whether direct and indirect drivers, as described previously, have been adequately identified.…”

The model of dynamic balance in therapists' experiences and views on working with suicidal clients: A qualitative study

“…A dynamic balance between relying on therapeutic alliance and accepting that there are no guarantees is needed in order to overcome the potential difficulties related to underreliance or overreliance on alliance with the suicidal client. They could feel that the therapist does not understand them (Jobes & Ballard, 2011) and withdraw from the relationship. On the other hand, expressing respect for the client's autonomy demonstrates unconditional acceptance of the client (Modic & Žvelc, 2015;Schechter & Goldblatt, 2011) and empathic listening alleviates the client's sense of loneliness in their pain, building an atmosphere of trust (Orbach, 2001(Orbach, , 2011.…”

“…Within the necessary knowledge, attitudes, skills, use of methods and techniques (Rudd, Joiner, & Rajab, 2001), it is relevant to explore professionals' attitudes and subjective experiences of working with suicidal clients, such as emotional responses (Barzilay et al, 2018), experienced difficulties (Rothes, Henriques, Leal, & Lemos, 2014) and therapeutic alliance with suicidal clients (Dunster-Page, Haddock, Wainwright, & Berry, 2017;Jobes & Ballard, 2011;Leenaars, 2006), as these are likely to influence their professional practice directly as well as indirectly, through personal well-being.…”

System Entrapment: Dehumanization While Help-Seeking for Suicidality in Women Who Have Experienced Intimate Partner Violence

“…Suicidality is embedded within an interpersonal context (Jobes & Ballard, 2011); therefore, understanding the influence of health care provider (HCP) relationships while help-seeking for suicidality within the health care system is important. Nearly all studies on patients' perception of care within Canadian psychiatric units between 1997 and 2014 reported coercive care and poor relationships with HCPs (Cutcliffe, Santos, Kozel, Taylor, & Lees, 2015).…”