This video showed how a counselor can be unfamiliar with a client and still perform a suicidal assessment. It is important to discuss the clients background to better understand them when conducting a suicide assessment.
This video was very helpful for me. I often work with juveniles who I am not familiar with. This video is helpful with displaying how to address both risk and protective factors as well as exploring the intent.
This was an in depth assessment of this client who seemed to be facing several concerns in her life. I liked how Dr. Grande acknowledged that it was hard for her to be positive at this time. He also took the time to fully assess her and was patient with her.
I really appreciated this video in trying to gain insight into how to conduct the suicide assessment for a client that's unfamiliar. I liked how Dr. Grande asked the client questions by looking at the client as he asked and asked questions about her personal history with suicide and how often she thought about her father committing suicide. I liked how he asked her the intensity of her depression and anxiety and if it was getting worse. Dr. Grande did a great job at reflecting the client’s feelings and building a rapport with the client.
Dr. Grande got right to the main points so he could get to know her history as well as her intent as best he could. This was very helpful in identifying her risk.
I like how Dr. Grande makes videos that have similar topics but are slightly different...like the what if this happens scenerio. It is very helpful to see how this same situation can have several different scenerios.
Although this comment was nearly a year ago, I can't help but agree. I really do like how Dr. Grande presents various scenarios because you never know what you are going to encounter.
As a CMHC student, these videos are great ways to learn the various types of questions that are appropriate for conducting this type of assessment with a new client.
I agree! It’s one thing to follow the assessment in front of you but Dr Grande has given us different probing questions to ask when provided certain responses.
This was a good video how to conduct a suicide assessment through an intake. You don't want to just skip over this and come back to it later. Dr. Grande stayed with the client while also gathering some information to fulfill the rest of the intake interview.
This was great to see how a supervisor would have to asses a client referred to them by someone else. I like the question of her attitude towards suicide and alcohol usage as it lowers inhibitions. Since she is depressed and hopeless assessing reasons for living is great..
I liked how the counselor delved into the client's presenting issues and also her familial history. Since he did not have a prior relationship with her, it was imperative for him to get a semi-solid background on the dynamics in her life to better grasp her current feelings of desperation.
I like how Dr. Grande summarizes the client's worries to show that he understands what she means and they are on the same page. I also like how upfront Dr. Grande is as the counselor asking her about her thoughts regarding suicide. I think it is important to get an idea of the client's mindset in that moment.
+Candace Fernandez I enjoyed that part as well, specifically when he asked about her reasons for living but also validated her feelings associated with depression and suicide.
In having to conduct a suicide assessment on a client who isn't familiar to you, this role play showed a lot to take into consideration and try to emulate. It is good to do a whole assessment and get the clients story instead of jumping the gun and getting the client out of there to another facility as quick as possible. In this situation with the client already seen by another counselor, that may be the attitude that the client has: that the counselors don't want to deal with her. It would benefit new counselors to be aware of that fact and to try to convey to the client that they are there for them and will hear them out and try to understand what is going on before making moves to push them to someone else.
This was reminiscent of an initial assessment, unsurprisingly. The counselor is coming in with, probably, only the knowledge they have from the client file and what the supervisee has shared. Being a supervisor is a huge responsibility and this video makes that clear.
In this video, there did not seem to be as much rapport with the client as in the previous videos. This makes sense in that the counselor did not know the client. I think that the amount of empathy that was provided was good though. It was enough that the client felt heard but that he was still able to get the information he needed. The client's safety was the primary concern.
+Mandy Moore I think the lack of rapport building was more so because this client was not his original client, he is the supervisor so his main focus and job right now is to assess for suicidal ideation and thoughts to determine whether or not this client may harm herself.
I've done these assessments on clients in the ER and he did a very great job learning about how the client is, and their history. Some clients are surprisengly open about where they are, whereas it's the clients who do NOT want to share that you really need to make sure you get as much information as you can to make the safest disposition (along with making collateral calls)
I agree and I really like the way that Dr. Grande approaches suicidal clients in his videos. All great resources for counselors and beginners in counseling.
It was good to see how to assess a client that you are unfamiliar with. I can see how this would be helpful as a counselor if your client presents with suicidal ideation or intent often, yet something seems different this session. It is always good to get another opinion if in doubt.
+Rachel Foster I did like seeing how it would proceed with an unfamiler client because its weird to me to jump into something serious suicide without previous rapport
I am not always familiar with the clients currently interact with but my goal is their safety as well as the community's safety. Obtaining pertinent information is needed to understand the client's current mental health status and mood. There are many questions to be asked and at times it may seem or feel minimally empathetic especially for unfamiliar clients but this is needed. I appreciate Dr Grande's direct approach to obtain the information needed.
+Michelle Robinson I agree! This seemed to not have as much empathy as the previous videos. However, I think that Dr. Grande as the counselor provided as much empathy as he could while still getting the information he needed. Yes, rapport was important but in this case it took a back seat to the clients safety.
This is a good example, but I couldn't help but notice that the counselor jumped straight into the assessment without building any rapport with the client. They just went straight into family history. We recommend building some rapport first (which doesn't have to take that much time) by offering some empathy statements ("It sounds like you are experiencing a lot of pain" or "you are having a rough time right now"). This creates more safety as many clients will not share their real feelings and thoughts if they don't have trust or safety. It is also essential to let your clients know the limits of confidentiality to create more safety and a shared understanding of the therapeutic relationship.
I thought this was a good illustration of how to get the pertinent information on a client who may be suicidal. Dr. Grande also did a good job demonstrating effective paraphrasing and reflecting. I also really liked his response to her inability to identify strengths. He highlighted that it's hard for her to think positively right now which is a much better response than most in a situation like that.
I thought Dr. Grande conducted a thorough suicide assessment in this video. He effectively paraphrased, reflected feelings, and asked closed questions to understand his new client. I especially liked that he asked her about her reasons for living. I wouldn't think to ask that when determining someone's intent, ideation, and plan.
It was helpful to see how to implement a suicide assessment on an client that you are unfamiliar with and aided in understanding the importance gathering relevant background information and client history in order to make an accurate assessment.
+Jacklin Skibicki I also think it was helpful to learn how to gather important information for a suicide assessment when conducting it on a client who you are unfamiliar with.
This was a really great video that helped me feel more comfortable in understanding how counseling supervisors and counselors can approach clients when conducting suicide assessments. I feel less nervous in beginning my internship after also seeing what the role of a counseling supervisor does.
It's always better to surface the history and underlying issues including present issues might provoke attempt to suicide. Causes of anxieties and depression must be surfaced and will benefit to plan for counselling sessions. CBT and Vigotskey,s sociocultural theory will best benefit
I understand the importance of the counselor conducting a quick assessment of the client at the moment especially since he is not familiar with the client. The family history that he gathered was beneficial. The goal is the client's safety and performing this assessment was crucial. As a counselor you don't want to assume anything it is best to get the information from the client.
After viewing three successful suicide assessments this video threw me for a loop. There wasn't a lot of rapport, even though there was empathy, but Dr. Grande got the information that he needed. It was weird seeing counselor and client just jumping into something as diffficult as suicide
Why the hell not ask her was bothering her than the clinical checklist? Been, there done that for a good part of life, my none of these "professionals" couldn't ask why I feel this way. I must say this fellow is really good. Wish I could have found someone like him. Most shrinks have encountered are so checked out. Now on to a darker thought. To people in general care if you disappear from e instance, all I find in the present context (being fairly Aspie) makes it exceucinly difficult to continue on...All that aside the women being interviewed is a lovely person, I suspect holding, accepting, and being there for her would make a huge difference in her life. 90% of suicide cases are from some form of rejection.. For this lass, I'd be willing to take her in and work on her challenges...
Always love the " we'll take you over to your counselors" that absolute rubbish "counselors" preach! I've had a lot of negative experiences from so called professionals. Found the cares while the meter was running and lost interest when it stopped! Why the hell as we individuals can't reach out to the fellow man during our daily journeys and simply ask "do you have something on your mind you would like to talk about?"
Dr. Grande, so in this situation would you hospitalize? She endorsed having intent, but it was sort of related to past intent. These are the sort of uncertain cases that lead me to calling my supervisor lol
Dr. Grande asked the client her feelings towards suicide, then took her answer to clarify reasons why she was considering it. I thought that was clever, because he reflected back on what she said that she disapproved but still considered doing it
+Sherrie Tilghman I thought that was pretty awesome too! With Dr. Grande being unfamiliar with the client, it required him to ask more questions. He also had an outside perspective that the client's usual counselor may not have due to seeing the client regularly.
Dr. Grande the above set of strategies may become problematic in any long term care institution where there is a lot of turnover in staff happening. So how then can anyone explain that some people in such kind of long term care institution situations after getting diagnosed with chronic depression suicidal ideation manage to go on somehow in that kind of situation to live a long life -- Sometimes longer than average? What is their secret, 'secret' or only a dilemma while still living there? Real fun on the internet at the library? Maybe being told that only being able to enjoy a brief moment here and there by yoursefl is already being an important person enough?
The part where she says she wouldn't be slitting her wrists again... same. I tried to kill myself by slitting my wrist and that hurt so much. I'll never make an attempt that way again. I also really hate blood. Lol.
@@proctorritter5176 Hey. Thanks. Honestly I was in a pretty bad place when I originally wrote that. I was off meds and my bipolar was cycling at least once a day. But I'm stable on meds and doing much better. It's still a daily struggle but at least the desire to die isn't the first thing I go to when I'm having trouble with something.
@@OldChannelNoSee that’s good that you’re in a better place. Even though you are, I’m still always here if you ever want to talk. I know that bipolar disorder can cause a lot of distress for the person who has it, as well as their loved ones, so I want to be there for you if you ever need someone to talk with or vent to.
If you need help - being presented with a checklist is not supportive. There is more to conducting an assessment than just asking a list of questions, with it being obvious someone is just ticking them off one by one. Many of these are closed questions. There are different ways of conducting assessments and some come across as more supportive and less regimented than the model shown
Lou5568 are u a therapist or psychologist? These questions are asked to assess the level of risk the client is in harming herself. The client would then be given a treatment plan. You can't treat a person without assessing their condition that would be unethical practice.
![[TH] VALORANT Champions Seoul - Semi-Final - SEN vs TH](http://i.ytimg.com/vi/IewhVY9cAmQ/mqdefault.jpg)
I liked that he brought out the positives and asked permission to assess her.
This video showed how a counselor can be unfamiliar with a client and still perform a suicidal assessment. It is important to discuss the clients background to better understand them when conducting a suicide assessment.
This video was very helpful for me. I often work with juveniles who I am not familiar with. This video is helpful with displaying how to address both risk and protective factors as well as exploring the intent.
Thank you for what you're doing for young people. You're providing such a valuable service. ❤
This was an in depth assessment of this client who seemed to be facing several concerns in her life. I liked how Dr. Grande acknowledged that it was hard for her to be positive at this time. He also took the time to fully assess her and was patient with her.
I really appreciated this video in trying to gain insight into how to conduct the suicide assessment for a client that's unfamiliar. I liked how Dr. Grande asked the client questions by looking at the client as he asked and asked questions about her personal history with suicide and how often she thought about her father committing suicide. I liked how he asked her the intensity of her depression and anxiety and if it was getting worse. Dr. Grande did a great job at reflecting the client’s feelings and building a rapport with the client.
Dr. Grande got right to the main points so he could get to know her history as well as her intent as best he could. This was very helpful in identifying her risk.
Right! one of the beneficial times to use closed questions...
Great video! I liked the way Dr. Grande used the rating scale to determine the severity of depression and anxiety.
I like how Dr. Grande makes videos that have similar topics but are slightly different...like the what if this happens scenerio. It is very helpful to see how this same situation can have several different scenerios.
+Melissa Clendaniel I agree. It's really nice to watch and listen to his response to various scenarios like this.
Although this comment was nearly a year ago, I can't help but agree. I really do like how Dr. Grande presents various scenarios because you never know what you are going to encounter.
As a CMHC student, these videos are great ways to learn the various types of questions that are appropriate for conducting this type of assessment with a new client.
I agree! It’s one thing to follow the assessment in front of you but Dr Grande has given us different probing questions to ask when provided certain responses.
This was a good video how to conduct a suicide assessment through an intake. You don't want to just skip over this and come back to it later. Dr. Grande stayed with the client while also gathering some information to fulfill the rest of the intake interview.
This was great to see how a supervisor would have to asses a client referred to them by someone else. I like the question of her attitude towards suicide and alcohol usage as it lowers inhibitions. Since she is depressed and hopeless assessing reasons for living is great..
I liked how the counselor delved into the client's presenting issues and also her familial history. Since he did not have a prior relationship with her, it was imperative for him to get a semi-solid background on the dynamics in her life to better grasp her current feelings of desperation.
I agree, the family dynamics played a significant part in current issues in the clients life.
I like how Dr. Grande summarizes the client's worries to show that he understands what she means and they are on the same page. I also like how upfront Dr. Grande is as the counselor asking her about her thoughts regarding suicide. I think it is important to get an idea of the client's mindset in that moment.
+Candace Fernandez I enjoyed that part as well, specifically when he asked about her reasons for living but also validated her feelings associated with depression and suicide.
In having to conduct a suicide assessment on a client who isn't familiar to you, this role play showed a lot to take into consideration and try to emulate. It is good to do a whole assessment and get the clients story instead of jumping the gun and getting the client out of there to another facility as quick as possible. In this situation with the client already seen by another counselor, that may be the attitude that the client has: that the counselors don't want to deal with her. It would benefit new counselors to be aware of that fact and to try to convey to the client that they are there for them and will hear them out and try to understand what is going on before making moves to push them to someone else.
This was reminiscent of an initial assessment, unsurprisingly. The counselor is coming in with, probably, only the knowledge they have from the client file and what the supervisee has shared. Being a supervisor is a huge responsibility and this video makes that clear.
....Well done, Dr. Grande
Thank you!
In this video, there did not seem to be as much rapport with the client as in the previous videos. This makes sense in that the counselor did not know the client. I think that the amount of empathy that was provided was good though. It was enough that the client felt heard but that he was still able to get the information he needed. The client's safety was the primary concern.
+Mandy Moore I think the lack of rapport building was more so because this client was not his original client, he is the supervisor so his main focus and job right now is to assess for suicidal ideation and thoughts to determine whether or not this client may harm herself.
I've done these assessments on clients in the ER and he did a very great job learning about how the client is, and their history. Some clients are surprisengly open about where they are, whereas it's the clients who do NOT want to share that you really need to make sure you get as much information as you can to make the safest disposition (along with making collateral calls)
I appreciated the suicide assessment and trying to understand suicidal ideation, intent and plan.
I enjoy watching these role plays, they are great examples of what could occur in any counseling session within different situations and clients.
I agree and I really like the way that Dr. Grande approaches suicidal clients in his videos. All great resources for counselors and beginners in counseling.
It was good to see how to assess a client that you are unfamiliar with. I can see how this would be helpful as a counselor if your client presents with suicidal ideation or intent often, yet something seems different this session. It is always good to get another opinion if in doubt.
+Rachel Foster I did like seeing how it would proceed with an unfamiler client because its weird to me to jump into something serious suicide without previous rapport
I am not always familiar with the clients currently interact with but my goal is their safety as well as the community's safety. Obtaining pertinent information is needed to understand the client's current mental health status and mood. There are many questions to be asked and at times it may seem or feel minimally empathetic especially for unfamiliar clients but this is needed. I appreciate Dr Grande's direct approach to obtain the information needed.
+Michelle Robinson I agree! This seemed to not have as much empathy as the previous videos. However, I think that Dr. Grande as the counselor provided as much empathy as he could while still getting the information he needed. Yes, rapport was important but in this case it took a back seat to the clients safety.
This is a good example, but I couldn't help but notice that the counselor jumped straight into the assessment without building any rapport with the client. They just went straight into family history. We recommend building some rapport first (which doesn't have to take that much time) by offering some empathy statements ("It sounds like you are experiencing a lot of pain" or "you are having a rough time right now"). This creates more safety as many clients will not share their real feelings and thoughts if they don't have trust or safety. It is also essential to let your clients know the limits of confidentiality to create more safety and a shared understanding of the therapeutic relationship.
I thought this was a good illustration of how to get the pertinent information on a client who may be suicidal. Dr. Grande also did a good job demonstrating effective paraphrasing and reflecting. I also really liked his response to her inability to identify strengths. He highlighted that it's hard for her to think positively right now which is a much better response than most in a situation like that.
+Kimberly Kelly I agree, and also liked his empathy when the client mentioned losing her job and her struggles.
Well Done Dr. Grande
I thought Dr. Grande conducted a thorough suicide assessment in this video. He effectively paraphrased, reflected feelings, and asked closed questions to understand his new client. I especially liked that he asked her about her reasons for living. I wouldn't think to ask that when determining someone's intent, ideation, and plan.
Liz Connor I agree. This definitely helped me to better learn how to conduct a suicide assessment with a future client.
I agree, Liz. Dr. Grande helped turn a list of questions into an understanding of the client's thoughts and feelings.
Therapist: How Bad Is Your Depression?
Me: Has Trouble Speaking Out The Pain
Therapist: Thinks I Am Lying About The Depression.
I am suffering from depression and suicidal thought schizophrenia
It was helpful to see how to implement a suicide assessment on an client that you are unfamiliar with and aided in understanding the importance gathering relevant background information and client history in order to make an accurate assessment.
+Jacklin Skibicki I also think it was helpful to learn how to gather important information for a suicide assessment when conducting it on a client who you are unfamiliar with.
This was a really great video that helped me feel more comfortable in understanding how counseling supervisors and counselors can approach clients when conducting suicide assessments. I feel less nervous in beginning my internship after also seeing what the role of a counseling supervisor does.
It's always better to surface the history and underlying issues including present issues might provoke attempt to suicide. Causes of anxieties and depression must be surfaced and will benefit to plan for counselling sessions. CBT and Vigotskey,s sociocultural theory will best benefit
I understand the importance of the counselor conducting a quick assessment of the client at the moment especially since he is not familiar with the client. The family history that he gathered was beneficial. The goal is the client's safety and performing this assessment was crucial. As a counselor you don't want to assume anything it is best to get the information from the client.
I agree, Dr. Grande got right to the point and went over the most important aspects.
Helpful for risk assessment. Another good counseling demonstration.
After viewing three successful suicide assessments this video threw me for a loop. There wasn't a lot of rapport, even though there was empathy, but Dr. Grande got the information that he needed. It was weird seeing counselor and client just jumping into something as diffficult as suicide
Why the hell not ask her was bothering her than the clinical checklist? Been, there done that for a good part of life, my none of these "professionals" couldn't ask why I feel this way. I must say this fellow is really good. Wish I could have found someone like him. Most shrinks have encountered are so checked out. Now on to a darker thought. To people in general care if you disappear from e instance, all I find in the present context (being fairly Aspie) makes it exceucinly difficult to continue on...All that aside the women being interviewed is a lovely person, I suspect holding, accepting, and being there for her would make a huge difference in her life. 90% of suicide cases are from some form of rejection..
For this lass, I'd be willing to take her in and work on her challenges...
Always love the " we'll take you over to your counselors" that absolute rubbish "counselors" preach! I've had a lot of negative experiences from so called professionals. Found the cares while the meter was running and lost interest when it stopped! Why the hell as we individuals can't reach out to the fellow man during our daily journeys and simply ask "do you have something on your mind you would like to talk about?"
This has may me feel better
Dr. Grande, so in this situation would you hospitalize? She endorsed having intent, but it was sort of related to past intent. These are the sort of uncertain cases that lead me to calling my supervisor lol
Dr. Grande asked the client her feelings towards suicide, then took her answer to clarify reasons why she was considering it. I thought that was clever, because he reflected back on what she said that she disapproved but still considered doing it
+Sherrie Tilghman I thought that was pretty awesome too! With Dr. Grande being unfamiliar with the client, it required him to ask more questions. He also had an outside perspective that the client's usual counselor may not have due to seeing the client regularly.
Wondering if he was using a standardized tool for his assessment. If so, which one.
went to work drunk lol omg, i lost many many jobs and never went to work drunk.stay alive
*Therapist* : have you ever thought about suicide
*Me* : only the normal amount
*Therapist* : -_-
Edit typos
This script is very accurate.
Dr. Grande the above set of strategies may become problematic in any long term care institution where there is a lot of turnover in staff happening. So how then can anyone explain that some people in such kind of long term care institution situations after getting diagnosed with chronic depression suicidal ideation manage to go on somehow in that kind of situation to live a long life -- Sometimes longer than average? What is their secret, 'secret' or only a dilemma while still living there? Real fun on the internet at the library? Maybe being told that only being able to enjoy a brief moment here and there by yoursefl is already being an important person enough?
The part where she says she wouldn't be slitting her wrists again... same. I tried to kill myself by slitting my wrist and that hurt so much. I'll never make an attempt that way again. I also really hate blood. Lol.
I’m here for you if you ever need someone to talk to
@@proctorritter5176 Hey. Thanks. Honestly I was in a pretty bad place when I originally wrote that. I was off meds and my bipolar was cycling at least once a day. But I'm stable on meds and doing much better. It's still a daily struggle but at least the desire to die isn't the first thing I go to when I'm having trouble with something.
@@OldChannelNoSee that’s good that you’re in a better place. Even though you are, I’m still always here if you ever want to talk. I know that bipolar disorder can cause a lot of distress for the person who has it, as well as their loved ones, so I want to be there for you if you ever need someone to talk with or vent to.
@@proctorritter5176 Thanks a lot. :I'm holding on. For dear life but I'm holding on. :) Gotta stay for my mom. She needs my help. So yeah. :)
@@OldChannelNoSee thank you for staying. I’m proud of you for continuing on, even when things are so hard.
Like if you are in Mrs B's Mental Health Nursing!
Wow she's pretty!
🕊
This just seems to me like an endless list of questions. If I needed help and all I got was this endless list, I would leave.
Well, a bunch of questions is what an assessment IS. The questions were needed for them to decide HOW to help her in the best possible way.
If you need help - being presented with a checklist is not supportive. There is more to conducting an assessment than just asking a list of questions, with it being obvious someone is just ticking them off one by one. Many of these are closed questions. There are different ways of conducting assessments and some come across as more supportive and less regimented than the model shown
Lou5568 I agree. He's a jackass.
Lou5568 are u a therapist or psychologist? These questions are asked to assess the level of risk the client is in harming herself. The client would then be given a treatment plan. You can't treat a person without assessing their condition that would be unethical practice.
13:47 Jesus well there's your problem