When a client discloses suicidal thoughts, what is the counselor's first step?

When a client discloses suicidal thoughts, the counselor's first step should be to assess the degree of risk. This is crucial because it allows the counselor to determine the immediacy and severity of the client's suicidal ideation, which is necessary for planning the appropriate intervention. The risk assessment should include evaluating the client's mental state, any specific plans they might have, past behaviors, and the presence of protective factors that could mitigate risk.

By thoroughly understanding the level of risk, the counselor can make informed decisions about how to proceed, whether that involves developing a safety plan, arranging for emergency services, or engaging other supports. Immediate assessment is vital in suicide prevention, as it can help to avert potential crises.

Other options, such as documenting thoughts or contacting family members, while important aspects of comprehensive care, should follow the initial assessment. These actions might be more appropriate once the risk is understood and managed, ensuring that the client receives the most appropriate support based on their current state.