suicide class

School psychology, Suicidal ideation, Suicide prevention

1. Suicide Intervention I am counseling a 15-year-old boy, Josh, whose girlfriend killed herself after they broke-up. Josh cut

school yesterday, and I know that he has been drinking heavily since his girlfriend’s funeral. This

morning he is at school and is sober. I have called Josh into my office.

Counselor:” Hello Josh. How are you doing today?”
Client: Ok, I guess.
Counselor: I want you to know how sorry I am for your loss.
Client: I just can’t seem to stop thinking about Carol killing herself. Counselor: I understand it must be real painful to lose someone you care about. Can you tell me some more about your feelings?

Client: I just can’t help thinking that if it wasn’t for me, Carol will still be alive right now. I just can’t live with the guilt.
Counselor: So not only are you dealing with the sudden death of Carol, but you are also feeling real guilty?
Client: Yes
Counselor: You know Josh, sometimes when people have experienced a sudden lose and feel as you do, they think of suicide. Is this something you have thought about? Client: Yes
Counselor: I think I understand, but can you tell me some more about what it is that has lead you to think about suicide? "I’m hearing you say you feel overwhelmed by the situation, and I understand that from where you sit, you cannot see a way out of this other than suicide. It is clear to me that you are in such tremendous psychological pain that you feel you simply cannot face another day.

Client: I just can’t live with this guilt. Everyone is looking at me. They know that I had broken 2.
up with Carol. I’m sure everyone hates me and wishes I were dead. I might as well do them a favor and I have no friends, and no one cares if I live or die, and I used to go to church and see people, but I don't even go there anymore.

Counselor: You are really feeling alone right now. You are thinking that you are being blamed for Carol’s death.
Client: You got...
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