Changes in suicide-related indices at a student counseling center at a Japanese university before and after COVID-19

Suicides by university students in Japan have increased with the onset of the COVID- 19 pandemic. Changes in the suicidality of clients in student counseling centers are unknown. We compared OQ 45.2, suicidal risk, and suicidality before and after the pandemic, testing 1801 clients at the Student Counseling Center of University A in Japan. The […]

The clinical utility of spirituality and religion in meaning-making theory for suicide loss survivors: A scoping review

In the case of violent/traumatic loss due to a completed suicide, there can be an overwhelming and complicated grief reaction followed by a spiritual need for the process of sense making and finding meaning. Some emerging literature on suicide loss survivors (SLSs) denotes that suicide loss is more similar to other forms of bereavement but […]

Lethal means assessment and counseling in the emergency department: Differences by provider type and personal home firearms

Objective This study examined emergency department (ED) and behavioral health (BH) provider attitudes and behaviors related to lethal means screening and counseling of patients with suicide risk, specifically examining differences by provider type and whether providers had firearms in their own home. Methods Emergency department providers (physicians and mid-level practitioners) and behavioral health (BH) providers […]

Lifeline Crisis Chat: Coding form development and findings on chatters’ risk status and counselor behaviors

Objective This study aimed to develop a reliable tool for the abstraction of data from crisis chat transcripts; to describe chatters’ suicide risk status and selected counselor behaviors; and to examine the relationship of chatters’ self-reported pre-chat suicidal thoughts to counselor behaviors and to chatters’ disclosures of suicide risk during the chat conversation. Methods Coders […]

35 years of working with suicidal patients: Lessons learned.


Validation of the suicide counseling skills inventory

Background: The self-report measures used in evaluations of the Applied Suicide Intervention Skills Training (ASIST) program have tended not to detect an improvement in a broad range of suicide counseling skills from pre- to posttraining or among trainees with better skills at pretraining. Aims: The purpose of this study was to develop and validate the Suicide Counseling Skills […]

Spirituality and loss: Approaches for counseling grieving adolescents

The death of a loved one has serious implications for adolescent growth and development. The authors review relevant research on the grief process and spirituality in adolescence, and they give a rationale for integrating spirituality into adolescent grief work. By way of a case illustration, they draw implications for counselors’ use of spirituality in addressing […]

A randomized controlled trial of the Collaborative Assessment and Management of Suicidality (CAMS) versus treatment as usual for suicidal college students

This randomized controlled trial compared the Collaborative Assessment and Management of Suicidality (CAMS) and Treatment as Usual (TAU) for suicidal college students within a feasibility trial. Sixty-two suicidal college students were randomized to CAMS (n = 33) or TAU (n = 29). We hypothesized that those receiving CAMS would show more improvement in suicide-related measures, and effects would be […]

Lethal means counseling, distribution of cable locks, and safe firearm storage practices among the Mississippi National Guard: A factorial randomized controlled trial, 2018-2020

Objectives. To examine whether lethal means counseling and provision of cable locks prompt safe firearm storage relative to control among firearm-owning members of the Mississippi National Guard. Methods. This randomized controlled trial utilized a 2 × 2 factorial design (lethal means counseling vs control, provision of cable locks vs no cable locks). Follow-up assessments took place at […]

Association of the type of counselor with suicidal ideation and suicide attempts: A survey of South Korean adolescents

Background Counseling for adolescents who consider or attempt suicide may help reduce suicide rates. However, the impact of the type of counselor (e.g., father, mother, sibling, friend, teacher, other) on suicidal ideation/suicide attempts remains unclear. Therefore, we examined this association in Korean adolescents. Methods Using data from the 2015 Korea Youth Risk Behavior Web-based Survey […]

The practice of lethal means restriction counseling in US emergency departments to reduce suicide risk: A systematic review of the literature

Suicide is a leading cause of death in the US. Lethal means restriction (LMR), which encourages limiting access and reducing the lethality of particular methods of suicide, has been identified as a viable prevention strategy. For this approach to be successful, adequate education about risks and means must be communicated to families and individuals at […]

Counselling students’ experiences learning how to assess youth suicide risk

Suicide rates continue to rise in the United States, especially within our youth population. Preparing counselors to confidently address suicide risk with their clients is crucial in suicide prevention. The authors conducted a phenomenological investigation of a youth suicide prevention course with 10 counseling students. The course included both a didactic component and an experiential […]

Is counseling ready for rational suicide? A study of perceived competence

Many counselors believe suicidal ideation in a terminally ill client can be rational (Rogers et al, 2001). One hundred and fifty-three counselors rated their perceived competence to counsel individuals who are rationally suicidal. Data were analyzed with non-parametric statistics. Findings suggest participants with more education, more years of service, and more experience with terminally ill […]

APA guidelines for the psychological practice with boys and men

The development of guidelines for psychological practice with boys and men may help to attend to the barriers that lead to the aforementioned disparities. Indeed, the American Psychological Association (APA) has developed guidelines for psychologists working with specific populations such as gay/lesbian/bisexual clients (2012), racial and ethnic minority clients (2017a), older adults (2014), transgender and gender-non-conforming […]

Prevalence rates and correlates of probable major depressive disorder in residents of Fort McMurray 6 months after a wildfire

This study assesses the prevalence rates for a major depressive disorder (MDD) in residents of Fort McMurray 6 months after a wildfire and to determine the demographic, clinical, and other predictors of likely MDD in the respondents. One thousand five hundred adult residents of Fort McMurray who could read and provide written informed consent were enrolled […]

Options for improving access to counselling, psychotherapy and psychological services for mental health problems and illnesses

In 2012, Changing Directions, Changing Lives: The Mental Health Strategy for Canada advanced two recommendations to enable wider and more equitable access to counselling, psychotherapy and psychological services for mental health problems and illnesses: 3.2.4 Increase access to psychotherapies and clinical counselling by service providers who are qualified to deliver approaches that are based on best […]

Do close supportive relationships moderate the effect of depressive symptoms on suicidal ideation?

Depressive symptoms, a lack of close supportive relationships and suicidal ideation are important risk factors for suicidal acts. Previous studies have primarily focused on the additive effects of close relationships and depressive symptoms on suicide risk. Here we explored whether, in addition, close relationships moderated the impact of depressive symptoms on suicidal ideation. An analysis […]

Suicide loss survivors’ experiences with therapy: Implications for clinical practice.

Over two-thirds of suicide loss survivors, those who have lost a loved one to suicide, seek individual therapy following their loss. However, nothing is known about what survivors find helpful about therapy or how therapy impacts their grief. An online survey was conducted June 2012ÐMarch 2013 with a convenience sample of 197 survivors primarily from […]

The hardest words: Exploring the dialogue of suicide in the counselling process – a discourse analysis.

Increasing suicide rates among specific groups of the population have led to the publication of suicide reduction targets and guidelines applicable to all mental health professionals, including counsellors. It is now widely expected that mental health workers possess skills and knowledge in the assessment of suicide risk. This research study used a discourse analysis approach […]

Counsellors’ experiences of working with suicidal clients: An exploratory study.

This paper describes an exploratory study that examined the experience of counsellors when working with suicidal clients. The paper considers counsellors’ behavioural, cognitive and emotional responses to such suicidal expression, both on a personal and professional level. The research employed semi-structured interviews. A constant comparative method was used in analysing the transcribed interview text. Results […]

The self-injury experiences of young adult women: Implications and counseling.


The process of suicide risk assessment: Twelve core principles.


Key considerations for using no-harm contracts with clients who self-injure.

One of the more controversial issues in working with people who self-injure is whether counselors should use no-harm contracts.