What is the counselor's first step if a client discloses suicidal thoughts?

Assessing the degree of risk is a crucial first step when a client discloses suicidal thoughts. This assessment involves determining the immediacy and severity of the client's suicidal ideation, including any specific plans, means, or history of attempts. By understanding the level of risk, the counselor can tailor their response appropriately, ensuring that the client receives the necessary support and intervention.

This step is integral to the counselor's duty of care, as it helps prioritize safety and identify how urgently the situation needs to be addressed. Once a thorough risk assessment is completed, the counselor can then decide on an appropriate course of action, which may include initiating a crisis intervention or making referrals as needed. Documenting the disclosure in progress notes is important for record-keeping, but it is secondary to the immediate need to assess risk. Referring to a psychiatrist might be necessary later, but understanding the risk level is essential before making that determination.