If a client expresses feelings of hopelessness and life being "not worth living," what should the counselor do?

When a client expresses feelings of hopelessness and states that life is "not worth living," the counselor's primary responsibility is to ensure the safety and well-being of the client. This requires a thorough understanding of the client’s mental state, particularly regarding suicidal thoughts or behaviors. By assessing the client's potential for suicide, including directly asking about their intent to harm themselves and evaluating relevant risk factors, the counselor gains critical information that can inform the next steps in the therapeutic process.

Directly asking about suicidal intent is essential because it allows the counselor to understand the severity of the client's feelings and whether there is an imminent risk of self-harm. This candid approach can help establish trust and openness in the therapeutic relationship, making the client feel safe to express their thoughts and feelings. The evaluation of risk factors—such as previous suicide attempts, current mood disorders, substance use, and support systems—provides further context to the client's situation, helping the counselor determine appropriate interventions.

While assessing the potential for suicide is crucial, merely considering the presence of a weapon or determining if hospitalization is required does not provide a comprehensive understanding of the client's mental health status. Initiating involuntary hospitalization is a significant step and typically follows a full risk assessment, making it essential to first determine the