Caregiver experiences of adolescent school reentry after adolescent hospitalization due to suicidal thoughts and behaviors: Recommendations to improve reentry practices

Background Suicide rates among adolescents increased over the past few decades. Following psychiatric hospitalization, many adolescents return to school, a context that can influence recovery. Families can play an integral role in supporting adolescents through the hospitalization and school reentry process; however, little research has focused on family experiences during adolescent school reentry. Grounded in […]

School counselors’ exposure to student suicide, suicide assessment self-efficacy, and workplace anxiety: Implications for training, practice, and research

In a national sample of current school counselors with membership in the American School Counselor Association (N = 226), we examined the prevalence of suicide training among school counselors as well as differences in  suicide assessment self-efficacy and workplace anxiety between school counselors who were exposed to student suicide and those who were not. The […]

The role of counsellors in post-COVID-19 trauma: A review

The global epidemic of COVID-19 has caused a slew of cultural changes that will impact our children and youth. Suicide, technology addiction, and school safety are all issues that must be addressed as schools return to normal in the coming months. Organized efforts are required to follow up on student problems. Interventions will also occur […]

The Healthy Activity Program (HAP), a lay counsellor delivered brief psychological treatment for severe depression, in primary care in India: A randomised controlled trial

Background Although structured psychological treatments are recommended as first-line interventions for depression, only a small fraction of people globally receive these treatments because of poor access in routine primary care. We assessed the effectiveness and cost-effectiveness of a brief psychological treatment (Healthy Activity Program [HAP]) for delivery by lay counsellors to patients with moderately severe […]

How the helping process unfolds for clients in suicidal crises: Linking helping-style trajectories with outcomes in online crisis chats

Objectives Crisis counselors’ active listening and collaborative problem-solving helping styles have been associated with outcomes for clients in suicidal crises. These associations have been based on static conceptualizations of helping (i.e., helping style for the entire session). Our aim was to further understand how the crisis counseling helping process unfolds (i.e., helping trajectory) and helping […]

Characteristics of survivors of suicide seeking counseling from an NGO in Denmark: Analyses of a national database

Objective The loss of a friend or family member to suicide, i.e., surviving suicide, can be devastating. Yet, little is known regarding the support received by survivors of suicide. We aimed to examine the characteristics of survivors of suicide who sought counseling from a Danish volunteer organization. Method Data on all users of the Danish […]

Elementary school counselors’ experiences with suicidal students

This phenomenological study is an examination of nine elementary school counselors’ experiences working with young children who are suicidal. Elementary school counselors were interviewed and asked to describe the phenomenon of suicidal ideation and behaviors they identified within their schools. Five themes emerged from the data, including school counselor role related to suicide, uniqueness of […]

Characteristics and perceptions of sexual and gender minority youth who utilized a national sexual and gender minority-focused crisis service

Background: Sexual and gender minority youth (SGMY) have heightened risk of suicidality; yet, we know little about their experiences when utilizing crisis services. Aims: The purpose of this study was to understand the characteristics and experiences of SGMY when in contact with SGMY-specific suicide crisis services. Method: Data were from 592 SGMY who contacted the most widely utilized national US […]

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 […]

Readiness of counselor education and supervision for suicide training: A CQR study

The Counselor Education and Supervision professional community is responsible for providing training on suicide to Master’s students in counseling. Elevated suicide rates and historically insufficient training along with updated practice, ethical, and accreditation standards necessitate changes to counselor preparation on suicide. Readiness assessment can support the CES community’s aims to meet such standards. A Consensual […]

Dissemination of the safety planning intervention(SPI) to university counseling center clinicians to reduce suicide risk among college students.

Objective: Suicide risk on college campuses remains a pervasive problem. Structural deficits in current clinical care models often result in sub-optimal treatment for suicidal students. This study reports on the feasibility, acceptability and utility of the Safety Planning Intervention (SPI), a brief, empirically-validated, clinician-administered suicide prevention intervention, in a university counseling center (UCC) setting. Methods: […]

Suicide protective factors: Utilizing SHORES in school counseling

Recently, a mnemonic device, SHORES, was created for counselors to utilize with clients with suicidal ideation. The acronym of SHORES stands for Skills and strategies for coping (S); Hope (H); Objections (O); Reasons to live and Restricted means (R); Engaged care (E); and Support (S). In this manuscript, SHORES is introduced as a way for […]

A national survey of school counselors’ experiences with student death by suicide

We examined school counselors’ experiences with student’s suicide. Our quantitative findings identified that encountering the death of a student by suicide is common for school counselors during their careers. School counselors reported a range of personal and professional reactions and relied on different sources of support following students’ deaths. School counselors who experienced student’s death […]

Effects of interview training with simulated patients on suicide, threat, and abuse assessment

Mental health practitioners as often not provided sufficiently effective interview training to assess for suicidality (Schmitz et al. 2012), to evaluate for abuse (Young et al. 2001), or to respond effectively to suicidal risk (Mackelprang et al. 2014). The current study examined the efficacy of general interview training using simulated patients to increase clinician competency […]

Depression, suicide and the gifted student; A primer for the school psychologist

Growing up gifted often means growing up “different.” As schools struggle to provide appropriately designed interventions for student mental health issues, the role of the school psychologist is becoming increasingly important. In the present article, the role of the school psychologist is discussed, particularly as related to helping gifted students who may be manifesting symptoms […]

Suicide postvention in schools: The role of the school counselor.

The role of the school counselor in responding to school crises, including student suicide, is addressed. An outline of the steps involved in postvention planning and special considerations for managing suicide postvention in schools are provided.

Easing the Legacy of Suicide (IN: Assessment, Treatment, and Prevention of Suicidal Behavior, edited by R I Yufit & D Lester)

The cathartic effect of a nonfatal suicide attempt has been noted & suicidal behaviour can be seen as a useful & helpful approach to crises. Suicidal behaviour may also be efficacious in changing the environment of an individual in a favourable way. In this chapter, the author goes further by viewing even death by suicide […]

Constructing Bridges of Support: School Counsellors’ Experiences of Student Suicide

Despite their important roles, there is litte research that explores the experiences of school counsellors who have lost clients to suicide. In this study, 7 school counsellors were individually interviewed, & data were analyzed using a basic interpretative qualitative method informed by grounded theory. Themes related to training & practice standards, support resources, & self-care […]

A Process Model for Clinical Decision Making in High-Risk Outpatient Situations: the Therapeutic Alliance and Suicide

When a client is at risk for suicide, important counselling decisions must be made. This article presents a process model for decision making in high-risk outpatient situations. It is proposed that counsellors attend to 2 key dimensions of these situations: the strength of the therapeutic alliance & the degree of suicide risk. Therapeutic actions are […]

The Process of Counselor Supervision for Counselor Trainees who Work With Suicidal Clients

The purpose of this study was to generate an emergent theory of the process of counselor supervision for counselor trainees who work with suicidal clients. The intent was to explore the perspectives of 5 counselor supervisors. An assumption was that counselor supervisors’ views about the process of counselor supervision with counselor trainees for suicidal clients […]

Counselor Perspectives on Suicide and Suicidal Ideation: a Qualitative Study


Death Anxiety and Attitudes Toward Suicide Among Counselors-in-Training

This study examined whether gender, age, & experience with death &/or suicide would influence reported levels of death anxiety, manifest anxiety, & attitudes toward suicide among 55 counsellors-in-training. Significant gender differences were found in levels of death anxiety with females reporting higher levels. When attitudes toward suicide were examined, trainees who had had a direct […]

It’s a Funny Thing About Suicide (IN: Suicide: Strategies and Interventions for Reduction and Prevention, ed. by S Palmer)