348 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client was encouraged to be forthright regarding the current strength of suicidal feelings and his/her ability to control such suicidal urges. 2. Perform a Risk Assessment (2) A. A suicide risk assessment was performed, including evaluating the nature of the client's suicidal state ments, specific plans, access to the means of suicide, and the degree of hope for the future. B. The impact of the client's other severe and persistent mental illness symptoms was considered as a risk assessment was performed. C. The risk assessment cond ucted regarding the client's suicidal ideation indicated no significant risk for suicide, and this was told to him/her. D. As the client's risk assessment has indicated a significant risk for suicide, additional intervention was warranted. 3. Arrange for Psychological Testing (3) A. The client underwent psychological testing to evaluate the depth of his/her depression and the degree of suicide risk. B. The Suicide Lethality Scale and the Beck Scale for Suicidal Ideation were administered to the client. C. The psychological test results were shared with the client, and the results indicate that his/her depression is severe and the suicide potential risk is high. D. The psychological test results were shared with the client, and the results indicate that his/her depression is moderate and the suicide potential risk is mild. E. The psychological test results were shared with the client, and the results indicate that his/her depression level has decreased significantly and the suicide risk is minimal. 4. Request Feedback from Support Network (4) A. The client's family members, friends, and caregivers were asked about his/her level of suicidal ideation and symptom intensity. B. The client's support network indicated significant suicidal ideation, and furt her steps to stabilize him/her were facilitated. C. Feedback from the client's support network indicated little concern regarding suicidal ideation and symptom intensity, and this was told to the client. 5. Obtain Clinical Supervision or Feedback (5) A. Clinical supervision was obtained regarding the necessary reaction to the client's current status. B. Clinical peers were contacted for feedback regarding the client's status and the necessary reaction. C. The use of clinical supervision or feedback has assisted in clarifying the most appropriate response to the client's suicidal ideation. 6. Obtain Emergency Medical Care (6) A. Emergency medical personnel were contacted regarding the client's suicide attempt in order to provide immediate care to him/h er. B. The client was assisted in obtaining emergency medical care for his/her suicide attempt. 