TAILIEUCHUNG - CLINICAL INTERVIEWING - PART 7

Các hướng dẫn sau đây, mặc dù không cao độ, cung cấp những ý tưởng cơ bản về làm thế nào để xử lý bản thân và khách hàng của bạn trong một cuộc khủng hoảng tự sát. Phù hợp với lời khuyên (1996) Shneidman của trị liệu làm việc với khách hàng tự tử: | 262 Structuring and Assessment mary of suicide intent levels and Putting It in Practice for a comprehensive suicide assessment checklist . CRISIS INTERVENTION WITH SUICIDAL CLIENTS The following guidelines although not foolproof provide basic ideas about how to handle yourself and your client during a suicide crisis. They are consistent with Shneid-man s 1996 advice for therapists working with suicidal clients Reduce the pain remove the blinders lighten the pressure all three even just a little bit p. 139 . Listening and Being Empathic The first rule of working therapeutically with suicidal clients is to listen closely to their thoughts and feelings. Often suicidal clients feel isolated and therefore it is imperative to establish an empathic connection with them. They may have never openly discussed their depressive or suicidal thoughts and feelings with another person. Consequently let them know you truly hear how miserable and desperate they are feeling Shneidman 1980 1996 . Obviously when clients begin discussing suicide expressions of shock or surprise should be avoided. This is easier said than done but you must deal with clients thoughts and feelings in a matter-of-fact manner this suggests to clients that you have dealt with such issues previously and reassures them that their experiences are not completely unusual. In some situations you may want to be openly reassuring and supportive even acknowledging that suicidal urges are sometimes a natural response by saying something like the following You ve told me about some of the difficult experiences you ve had recently-losing your wife your job and your good health. It s not unusual for you to consider killing yourself. Many people you re your situation might think about whether life is still worth living. Establishing a Therapeutic Relationship As you make efforts to empathize with your client you also should work on establishing a therapeutic relationship. As a professional it s your job to side with .

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