A Process Model for Clinical Decision Making in High-Risk Outpatient Situations: The Therapeutic Alliance and Suicide
AbstractWhen a client is at risk for suicide, important counselling decisions must be made. In this article we present a process model for decision making in high-risk outpatient situations. We propose that counsellors attend to two key dimensions of these situations: the strength of the therapeutic alliance and the degree of suicide risk. Therapeutic actions are then directed toward strengthening the alliance, and toward implementing other risk-reduction interventions only when the risk cannot be adequately reduced via the alliance. Four case studies are presented to illustrate the application of the model to suicidal situations.
How to Cite
Truscott, D., Evans, J., & Knish, S. (2007). A Process Model for Clinical Decision Making in High-Risk Outpatient Situations: The Therapeutic Alliance and Suicide. Canadian Journal of Counselling and Psychotherapy, 33(4). Retrieved from https://cjc-rcc.ucalgary.ca/article/view/58631