How should a clinician react if a client denies having suicidal ideation?

If a client denies having suicidal ideation, the most appropriate reaction for a clinician is to continue to ask about any past behaviors related to self-harm or suicide. This approach is grounded in the understanding that clients may not always disclose their feelings or thoughts about self-harm or suicide due to various reasons, including fear of stigma or misunderstanding the clinician's intent.

By gently probing into past behaviors, the clinician can gather more information about the client's history and risk factors. This step is critical for a thorough risk assessment, as understanding past actions can reveal patterns or triggers that may not be immediately apparent in the client's current statements. Additionally, it demonstrates the clinician's commitment to providing a safe space for the client to discuss sensitive issues, which can promote openness and trust.

Continuing the conversation in this way allows the clinician to manage risk effectively, ensuring the client's well-being remains the priority while also respecting their current claims about thoughts and feelings.