Crisis Intervention Essay

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Assessment and Intervention in Emergency Situations (Suicidal Ideation) By: Keysha A. Reynolds Counseling 5020: Introduction to Counseling May 10, 2008 Introduction All mental health professionals encounter emergency situations while performing their duties. A psychiatric emergency occurs when “and individual reaches a state of mind in which there is an imminent risk that he or she will do something (or fail to do something) that will result in serious harm or death to self or others unless there is some immediate intervention”. (Kleepies et al., 1999, p. 454) The most common emergency situation that will arise are suicidal ideation and this issue will be focused on more in the scope of this essay. Practitioners must be prepared at all times to handle emergency situations. Some examples of emergency situations are: • Extreme anger • Threats of self harm • Delusional thinking resulting in safety concerns • Threats of violence towards others • Other major psychiatric issues Practitioners should ask themselves the following questions when devising a plan to deal with emergency situations: • What is my plan should a client disclose suicidal thoughts during a counseling session? • How should or would I respond if a client become agitated or angry and begins to exhibit unpredictable behavior? • What strategies would I use should a client’s family member become angry and/or threatening? Practitioners should have a plan to address these situations and review them regularly, taking into consideration client variables, such as: • Gender • Religion • Race • Ethnicity • Socioeconomic status Practitioners should also take great care to understand issues from the client’s background experience and perspective rather than from theirs. Practitioners should interject their

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