As you get more experienced in the field of [[Marriage & Family Therapy]], these questions will naturally flow into your conversations. However, when starting out, it’s okay to have a list of these on-hand. Utilize [[Risk Assessment Worksheets]] as well for a more structured line of questions. #### **1. Establishing the Nature of Suicidal Ideation:** - Can you tell me more about the thoughts of suicide you've been having? - How often do these thoughts come up? (e.g., daily, weekly, occasionally?) - When did these thoughts start? Have they become more frequent or intense? #### **2. Assessing Method, Plan, and Intent:** - You mentioned thinking about overdosing. Have you taken any steps toward obtaining or preparing the medication for this purpose? - Do you have the medication accessible to you right now? - Do you find yourself making any specific plans around this, or is it more of a passing thought? - Do you feel that you might act on these thoughts in the near future? #### **3. Exploring Protective Factors:** - What has kept you from acting on these thoughts? - Are there people in your life you feel connected to or supported by? - Have you experienced thoughts like this before? If so, what helped you get through those times? - Are there any future events, goals, or responsibilities that feel important to you? #### **4. Identifying Risk Factors:** - Have you ever attempted suicide in the past? - Have you been using any substances or alcohol more than usual? - Have you noticed any changes in your sleep, appetite, or energy levels? - Do you have a history of mental health diagnoses or hospitalizations? #### **5. Developing a Safety Plan:** - What would help you feel safe right now? - If these thoughts get worse, what can you do to reach out for support? - Would you be open to developing a plan together for what to do when you feel overwhelmed? - Who in your life can you reach out to if you're struggling?