Assessing safety risks is imperative in trauma treatment this should be done during an intake session through a comprehensive approach by asking direct but sensitive questions about thoughts of self-harm, harm to others, intent, and plans (Shebib, 2020).
Something I find helpful which is done at my workplace is to clarify and emphasize to clients that thoughts of self-harm and suicide, or acting on those, is common for those who have experienced trauma, and that confidentiality will only be broken if the counsellor does not believe that the client will be able to keep themselves or others \
What other types of resources may be helpful for client safety?
You make some interesting points! I completely agree with your emphasis on the significance of
sensitivity when asking questions during mental health assessments, particularly with trauma clients. The right balance of directness and sensitivity here is crucial because it allows us to build a foundation where our clients not only feel heard but also supported on a more personal level. As you mentioned, continuously monitoring the client's emotional state and well-being is crucial. For some trauma survivors, trauma responses can evolve over time (Herman, 2022), so staying attuned to potential shifts in emotional, psychological, and behavioral states gives the therapist a fuller picture of what is going on in the client's life.
Reference:
Herman, J. L. (2022). Trauma and recovery. BasicBooks
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Why is it impt to ask direct but sensitive questions during intake and during Assessing safety risks with trauma clients?”
